Sepsis treatment (inpatient stay)
Facility: Susan B Allen Memorial Hospital
Billing Code: 871 (MS-DRG)
- CPT Billing Code: 871
- Insurance Median: $757
- Cash Discount Price: Unavailable
- vs. Medicare Baseline: 0.05x Medicare
Average discount available for prompt cash payment at this facility.
Median negotiated contract rate across all mapped commercial carriers.
Standard federal government reimbursement rate for this code.
Visual Cost Comparison vs. 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.
Commercial Insurance Negotiated Rates
Negotiated contract ranges established by major commercial carriers at this facility.
| Carrier / Plan Group | Contract Rate Range | vs. Medicare Reference |
|---|---|---|
| Aetna | $20,906 | 148% |
Consumer Guidance & Cost Commentary
If you are paying out-of-pocket for Sepsis treatment at Susan B Allen Memorial Hospital, the most important thing to know is that cash rates can sometimes be lower than what your insurance allows, especially if you have a high-deductible plan. While the facility's median negotiated rate for this procedure is $757, patients should explicitly ask at registration about "self-pay" or "prompt-pay" discounts before scheduling, as these upfront fee reductions are often available to bypass the administrative costs associated with insurance claims.
For context, the hospital is a Voluntary non-profit - Private Acute Care Hospital located in El Dorado, KS, and the 2026-06 data indicates a ratio of 0.1 versus the Medicare benchmark. Although specific county or state average rates were not provided in this dataset, it is standard practice to compare these figures against local averages to ensure fair pricing. Patients should also be aware that while the No Surprises Act protects against balance billing for emergency services at in-network facilities, they should still request an itemized bill to verify that no unbundled charges or services not rendered have been included, as over 80% of hospital bills contain errors that can be resolved through a formal written audit dispute.