CMS Price Transparency Data

Sepsis treatment (inpatient stay)

Facility: St Alexius Medical Center

Billing Code: 871 (MS-DRG)

The BaseRate · fair price high confidence

A fair price for this

$19,401

about 1.4× the $14,117 Medicare rate · typically $15,426–$27,002

modeled estimate · not a bill or quote

What this hospital charges insurers

$13,403

Below the fair price — a good deal

about $5,998 under the fair price · 0.9× Medicare

Medicare pays $14,117 Fair price $19,401 This hospital $13,403

How we calculate the fair BaseRate →

How this hospital compares to other IL hospitals

A typical price — 5 charge more and 3 charge less, among the 9 IL hospitals compared.

Cheapest $12,312 Priciest $14,928

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 $19,401 (about 1.4× the $14,117 Medicare rate). St Alexius Medical Center charges insurers about $13,403 — below the fair price — a good deal. Located in Hoffman Estates, IL.

What each insurance company pays

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

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Humana CignaKaiser 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	$1,920 - $13,271	14%
Blue Cross Blue Shieldmajor	$13,140 - $17,344	93%
Aetnamajor	$13,140 - $13,797	93%
Humanamajor	$13,140	93%
Ambetter (Centene)	$21,286	151%
Bright Health	$16,425	116%
Molina	$13,534	96%
+ 3 smaller / regional plans	$12,483 - $20,367

Government programs also on file: Medicare.

Self-Pay How to get the cash price

Tell the billing desk you want to be billed as self-pay — not through insurance — before your visit.
Ask for the cash / prompt-pay discount in writing, with the exact price, before you agree to anything.
Get it in writing that they won’t also bill your insurance, so the cash price is what you owe.
Check the MS-DRG code on your bill matches exactly: 871.

Insurance Before you use insurance

Call your insurance company to confirm St Alexius Medical Center is in-network.
Ask your insurer whether prior approval is required for MS-DRG code 871.
Confirm the doctor or provider is in-network too — not just the hospital building.
Check your Explanation of Benefits against the hospital’s final itemized bill.

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

How you’d pay

Deductible left to meet ($)

Your coinsurance (%)

Enter your details and press estimate to compare.

Other Procedures at St Alexius Medical Center

Compare: Sepsis treatment (inpatient stay) at other IL hospitals

Blessing Hospital · Quincy $12,312
Northwestern Lake Forest Hospital · Lake Forest $12,977
Alexian Brothers Medical Center 1 · Elk Grove Village $13,175
University of Illinois Hospital and Clinics · Chicago $13,619
Northwestern Medicine Delnor Community Hospital · Geneva $14,417
Edward Hospital · Naperville $14,869
Northwest Community Hospital 1 · Arlington Heights $14,881
Crawford Memorial Hospital · Robinson $14,928

Insurance negotiated median for the same procedure, sorted lowest first.