CMS Price Transparency Data

Sepsis treatment (inpatient stay)

Facility: Johnson Memorial Hospital

Billing Code: 871 (MS-DRG)

The BaseRate · fair price high confidence

A fair price for this

$17,917

about 1.3× the $14,117 Medicare rate · typically $13,061–$31,173

modeled estimate · not a bill or quote

Medicare pays $14,117 Fair price $17,917 Cash price $3,568 Hospital's list price $4,459

How we calculate the fair BaseRate →

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	$3,122 - $16,511	22%
Blue Cross Blue Shieldmajor	$4,333	31%
Aetnamajor	$3,523 - $15,105	25%
Cignamajor	$22,185	157%
Humanamajor	$3,478 - $15,105	25%
+ 3 smaller / regional plans	$2,700 - $4,014

Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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 (about 3,568), 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 Johnson Memorial Hospital 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 Johnson Memorial Hospital

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

Putnam County Hospital · Greencastle $10,488
Norton Scott Hospital · Scottsburg $12,489
Schneck Medical Center · Seymour $12,648
Ascension St Vincent Warrick · Boonville $13,590
Ascension St Vincent Salem · Salem $13,700
Ascension St Vincent Evansville · Evansville $13,833
Ascension St Vincent Randolph · Winchester $13,833
Ascension St Vincent Jennings · North Vernon $13,833

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