CMS Price Transparency Data

Sepsis treatment (inpatient stay)

Facility: Saint Anthony Medical Center

Billing Code: 871 (MS-DRG)

The BaseRate · fair price high confidence
A fair price for this
$18,431
about 1.3× the $14,117 Medicare rate · typically $12,924–$18,527
modeled estimate · not a bill or quote
What this hospital charges insurers
$19,070
About the fair price
about $639 over the fair price · 1.4× Medicare
Medicare pays $14,117 Fair price $18,431 This hospital $19,070

How we calculate the fair BaseRate →

How this hospital compares to other IL hospitals

Highest price of the 9 IL hospitals we have prices for — worth calling around.

Cheapest $12,312 Priciest $19,070

Black dot = this hospital, among the 9 IL hospitals with a price for this procedure. Full list below.

A fair price for a Sepsis treatment (inpatient stay) is about $18,431 (about 1.3× the $14,117 Medicare rate). Saint Anthony Medical Center charges insurers about $19,070 — about the fair price. Located in Rockford, IL.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

5 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana Kaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company Price range vs. Medicare
UnitedHealthcaremajor $15,801 - $33,813 112%
Blue Cross Blue Shieldmajor $16,117 - $27,034 114%
Aetnamajor $15,959 - $21,550 113%
Cignamajor $33,937 240%
Humanamajor $15,801 - $31,948 112%
Dean Health Plan $28,333 201%
Meridian $15,801 112%
Molina $15,801 112%
WellCare $15,959 113%
+ 5 smaller / regional plans $15,801 - $34,857
Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 5666 East State Street, Rockford, IL 61108
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Church
  • Hospital Type: Acute Care Hospitals