Sepsis treatment (inpatient stay)
Facility: Labette Health
Billing Code: 871 (MS-DRG)
- CPT Billing Code: 871
- Insurance Median: $17,613
- Cash Discount Price: Unavailable
- vs. Medicare Baseline: 1.25x 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 |
|---|---|---|
| Uhccp | $7,172 | 51% |
| Medicaid / KanCare | $7,244 - $17,613 | 51% |
| Healthy Blue | $7,315 | 52% |
| Blue Cross Blue Shield | $17,193 - $17,613 | 122% |
| UnitedHealthcare | $17,613 - $26,857 | 125% |
| Humana | $17,613 | 125% |
| Wellcare | $17,613 | 125% |
| Kansas Superior Select | $18,141 | 129% |
| Ambetter / Centene | $20,254 | 143% |
| Montgomery County | $21,046 | 149% |
Consumer Guidance & Cost Commentary
For the procedure code 871, representing sepsis treatment at Labette Health in Parsons, Kansas, the median negotiated rate is $17,613. This figure reflects the average amount commercial payers agreed to pay under their contracts, which often exceeds the facility's cash price due to administrative overhead and network tiering. While the data shows a median paid amount of $15,667 across various payers, patients should be aware that cash-pay rates are not explicitly listed for this service. However, it is important to note that cash payments can sometimes result in lower out-of-pocket costs for individuals with high-deductible plans if the insurance negotiated rate exceeds the cash price. Patients are encouraged to contact the hospital directly to inquire about "self-pay" or "prompt-pay" discounts, which can offer significant fee reductions for upfront payment.
This facility operates as a government-owned acute care hospital in Kansas, and its pricing structure is subject to standard billing principles such as balance billing and itemized audits. Although the No Surprises Act generally protects patients from balance billing for out-of-network services at in-network facilities, patients should still review their itemized bills carefully to ensure no unbundled codes or services not rendered have been charged. When evaluating the cost, it is more accurate to compare the facility's rates against the Medicare benchmark rather than the hospital's inflated chargemaster list. For this specific code, the Medicare amount is $14,116.91, and the median negotiated rate is approximately 1.2 times the Medicare amount, which aligns with typical fair pricing ranges. Consumers should avoid accepting summary bills as final invoices and instead request a detailed, line-by-line statement to identify