CMS Price Transparency Data

Sepsis treatment (inpatient stay)

Facility: Terre Haute Regional Hospital

Billing Code: 871 (MS-DRG)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 871
  • Insurance Median: $16,050
  • Cash Discount Price: Unavailable
  • vs. Medicare Baseline: 1.14x Medicare
The contracted insurance negotiated median rate for a Sepsis treatment (inpatient stay) at Terre Haute Regional Hospital is $16,050. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is unavailable. Compared to the federal Medicare reimbursement reference rate of $14,116.91, this hospital’s rate is 1.14x the Medicare baseline. Located in 3901 S Seventh St, Terre Haute, IN.
Cash / Self-Pay
Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median
$16,050

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$14,116.91

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $14,116.91 (100%)
Insurance Median: $16,050 (114%)
Ins. Median: $16,050 (114% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $14,116.91 as the cost baseline. Rates below the baseline represent excellent value. In-network commercial rates commonly hover around 150% - 250% of Medicare, while rates exceeding 300% are elevated. Hover over the green and blue markers to view detailed calculations.

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Input your details and click calculate to compare out-of-pocket costs.

Commercial Insurance Negotiated Rates

Negotiated contract ranges established by major commercial carriers at this facility.

Carrier / Plan Group Contract Rate Range vs. Medicare Reference
United $6,546 - $15,891 46%
Blue Cross Blue Shield $15,891 - $28,999 113%
Humana $15,891 113%
In State Health (Bccp) $15,891 113%
Mdwise Hoosier Alliance $15,891 113%
U.S. Penitentiary $15,891 113%
United Behavioral Health $15,891 113%
Corizon Health $15,973 113%
Centurion $16,527 117%
American Health Plans $16,686 118%
Aetna $17,020 121%
Ambulatory Care Solutions $19,864 141%
Molina $21,453 152%
American Correctional $26,220 186%
Naphcare $26,220 186%
Cigna $36,852 - $61,047 261%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 3901 S Seventh St, Terre Haute, IN 47802
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals