CMS Price Transparency Data

Sepsis treatment (inpatient stay)

Facility: Methodist Hospitals Inc

Billing Code: 871 (MS-DRG)

The BaseRate · fair price high confidence

A fair price for this

$22,544

about 1.6× the $14,117 Medicare rate · typically $15,478–$31,051

modeled estimate · not a bill or quote

What this hospital charges insurers

$26,410

Above the fair price

about $3,866 over the fair price · 1.9× Medicare

Medicare pays $14,117 Fair price $22,544 This hospital $26,410 Cash price $60,591 Hospital's list price $86,559

How we calculate the fair BaseRate →

How this hospital compares to other IN hospitals

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

Cheapest $10,488 Priciest $26,410

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

A fair price for a Sepsis treatment (inpatient stay) is about $22,544 (about 1.6× the $14,117 Medicare rate). Methodist Hospitals Inc charges insurers about $26,410, or about $60,591 in cash — above the fair price. Located in Gary, IN.

This price is above the fair BaseRate — you may be able to pay less

Ask the hospital for the cash / self-pay price, check whether you qualify for financial assistance, or negotiate the bill down toward the fair price of about $22,544. Many patients pay well below the first number they’re quoted — the checklists below walk you through it.

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	$16,006 - $28,714	113%
Blue Cross Blue Shieldmajor	$11,202 - $29,965	79%
Aetnamajor	$16,006 - $42,727	113%
Humanamajor	$16,006	113%
Ambetter (Centene)	$32,012	227%
CareSource	$26,410	187%
MagnaCare	$72,261	512%
+ 2 smaller / regional plans	$16,326 - $48,085

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 (about 60,591), 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 Methodist Hospitals Inc 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 Methodist Hospitals Inc

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.