CMS Price Transparency Data

Sepsis treatment (inpatient stay)

Facility: Iu Health West Hospital

Billing Code: 871 (MS-DRG)

The BaseRate · fair price high confidence
A fair price for this
$20,076
about 1.4× the $14,117 Medicare rate · typically $13,669–$31,562
modeled estimate · not a bill or quote
What this hospital charges insurers
$24,767
Above the fair price
about $4,691 over the fair price · 1.8× Medicare
Medicare pays $14,117 Fair price $20,076 This hospital $24,767

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 $24,767

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 $20,076 (about 1.4× the $14,117 Medicare rate). Iu Health West Hospital charges insurers about $24,767 — above the fair price. Located in Avon, 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 $20,076. 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.

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 $15,659 - $44,104 111%
Blue Cross Blue Shieldmajor $15,659 - $47,591 111%
Aetnamajor $15,659 111%
Cignamajor $66,812 - $101,696 473%
Humanamajor $15,425 - $15,733 109%
Ambetter (Centene) $25,900 183%
CareSource $23,488 166%
Health Net $39,146 - $50,639 277%
WellCare $15,972 113%
+ 6 smaller / regional plans $15,659 - $39,821

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.

Enter your details and press estimate to compare.

Facility Profile & Credentials

  • Address: 1111 N Ronald Reagan Pkwy, Avon, IN 46123
  • CMS Rating: ★★★★☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals