CMS Price Transparency Data

Sepsis treatment (inpatient stay)

Facility: Saint Joseph Regional Medical Center - Plymouth

Billing Code: 871 (MS-DRG)

The BaseRate · fair price high confidence
A fair price for this
$15,286
about 1.1× the $14,117 Medicare rate · typically $11,160–$32,198
modeled estimate · not a bill or quote
What this hospital charges insurers
$36,521
Well above the fair price
about $21,235 over the fair price · 2.6× Medicare
Medicare pays $14,117 Fair price $15,286 This hospital $36,521 Cash price $20,139

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 $36,521

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 $15,286 (about 1.1× the $14,117 Medicare rate). Saint Joseph Regional Medical Center - Plymouth charges insurers about $36,521, or about $20,139 in cash — well above the fair price. Located in Plymouth, 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 $15,286. 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✓ Cigna HumanaKaiser 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 $14,720 - $36,521 104%
Blue Cross Blue Shieldmajor $14,431 - $39,264 102%
Aetnamajor $14,431 - $23,119 102%
Cignamajor $57,622 408%
CareSource $22,825 162%
GEHA $36,521 259%
Health Net $57,622 - $62,620 408%
HealthPartners $57,622 408%
Meridian $14,726 104%
MVP Health Care $57,622 408%
Priority Health $57,622 408%
+ 20 smaller / regional plans $14,726 - $57,622
Government programs also on file: Medicare.

Self-Pay How to get the cash price

Insurance Before you use insurance

Estimate your out-of-pocket cost

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

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Facility Profile & Credentials

  • Address: 1915 Lake Ave, Plymouth, IN 46563
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Church
  • Hospital Type: Acute Care Hospitals