Sepsis treatment (inpatient stay)
Facility: Ascension Via Christi Hospitals Wichita, Inc.
Billing Code: 871 (MS-DRG)
- CPT Billing Code: 871
- Insurance Median: $18,358
- Cash Discount Price: Unavailable
- vs. Medicare Baseline: 1.30x 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 |
|---|---|---|
| Medica | $10,639 - $10,731 | 75% |
| Aetna | $12,420 - $18,538 | 88% |
| Healthchoice Of Ok | $18,177 | 129% |
| Smarthealth | $20,618 | 146% |
| UnitedHealthcare | $21,783 | 154% |
| Humana | $25,665 | 182% |
Consumer Guidance & Cost Commentary
For the procedure code 871, representing sepsis treatment during an inpatient stay at Ascension Via Christi Hospitals Wichita, Inc., the facility's negotiated rates vary significantly by insurer, ranging from $10,639 with Medica to $25,665 with Humana. The median negotiated amount across all payers is $18,358.00, which is notably higher than the Medicare benchmark of $14,116.91, reflecting a markup of 130% relative to the federal baseline. While the facility is located in Wichita, Kansas (ZIP 67214), the provided data does not include specific county or state average figures for comparison; however, the wide disparity in payer rates suggests that insurance contracts heavily influence the final cost for members.
Patients should be aware that cash-pay options may offer a lower total cost than insurance claims, particularly for those with high-deductible plans where the insurance allowed amount exceeds the cash price. Although the specific cash and median paid values are not listed for this service, the facility offers voluntary non-profit status and is located in an acute care setting where prompt-pay discounts are often available. To secure the best possible rate, patients should request a self-pay classification before check-in and sign a waiver of insurance submission to bypass claims processing, potentially avoiding administrative fees and achieving immediate liquidity benefits that hospitals typically offer to upfront payers.