Sepsis treatment (inpatient stay)
Facility: Overland Park Reg Med Ctr
Billing Code: 871 (MS-DRG)
- CPT Billing Code: 871
- Insurance Median: $15,108
- Cash Discount Price: Unavailable
- vs. Medicare Baseline: 1.07x 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 |
|---|---|---|
| College Park Family Care Center | $2,022 | 14% |
| Blue Cross Blue Shield | $3,692 - $37,925 | 26% |
| Humana | $4,466 - $15,260 | 32% |
| United | $4,778 - $15,260 | 34% |
| Multiplan | $5,423 - $13,152 | 38% |
| Amerigroup | $9,680 | 69% |
| Healthyblue | $9,874 | 70% |
| Medicaid / KanCare | $10,029 | 71% |
| Unicare | $10,067 | 71% |
| Aetna | $10,067 - $32,200 | 71% |
| Corvel Corporation | $12,815 | 91% |
| Oha Network | $13,355 | 95% |
| Coventry | $15,031 | 106% |
| Celtic | $15,565 | 110% |
| Devoted Health | $15,565 | 110% |
| Wellcare | $15,565 | 110% |
| Nhc Advantage | $15,718 | 111% |
| Cigna | $15,871 - $43,256 | 112% |
| Pyramid Life | $16,786 | 119% |
| Universal Healthcare | $16,939 | 120% |
| Ambetter / Centene | $17,907 | 127% |
| Oscar | $21,134 | 150% |
| Wppa Providrs Care Network | $36,500 | 259% |
Consumer Guidance & Cost Commentary
For the procedure "Sepsis treatment (inpatient stay)" at Overland Park Reg Med Ctr, the median negotiated rate paid by insurance is $30,827. This figure is significantly higher than the Medicare benchmark of $14,116.91, indicating a markup of 110% above the federal government's calculated cost baseline. While commercial insurance contracts establish a ceiling to protect in-network members, these rates often exceed cash prices due to the administrative overhead and multi-layered billing structures inherent in the insurance system. Patients with high-deductible plans or those without insurance may find that paying the cash price directly is more cost-effective, as the facility's cash median is not listed, suggesting it could be lower than the current insurance averages.
To minimize out-of-pocket costs, consumers should proactively request "self-pay" or "prompt-pay" discounts before scheduling or checking in, as these upfront payment incentives can reduce bills by 20% to 50% by bypassing costly claims processing. It is also important to verify the specific negotiated rates for your insurance plan, as the data shows a wide range of allowed amounts across different payers, from $2,022 for College Park Family Care Center to $36,500 for Wppa Providers Care Network. If you receive a surprise balance bill for out-of-network services, you may have protections under the No Surprises Act, but you must dispute the charge in writing rather than paying immediately to avoid unnecessary debt. Always ask for an itemized bill to ensure no unbundled codes or services not rendered are included in the final charge.