Sepsis treatment (inpatient stay)
Facility: Menorah Medical Center
Billing Code: 871 (MS-DRG)
- CPT Billing Code: 871
- Insurance Median: $14,852
- Cash Discount Price: Unavailable
- vs. Medicare Baseline: 1.05x 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 |
|---|---|---|
| College Park Family Care Center | $2,022 | 14% |
| Blue Cross Blue Shield | $3,499 - $37,925 | 25% |
| Humana | $4,466 - $15,002 | 32% |
| United | $5,082 - $15,002 | 36% |
| 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 | $14,777 | 105% |
| Celtic | $15,302 | 108% |
| Devoted Health | $15,302 | 108% |
| Wellcare | $15,302 | 108% |
| Nhc Advantage | $15,452 | 109% |
| Cigna | $15,602 - $43,256 | 111% |
| Pyramid Life | $16,502 | 117% |
| Universal Healthcare | $17,102 | 121% |
| Ambetter / Centene | $17,907 | 127% |
| Oscar | $21,134 | 150% |
| Wppa Providrs Care Network | $36,500 | 259% |
Consumer Guidance & Cost Commentary
For the Sepsis treatment (inpatient stay) code at Menorah Medical Center in Overland Park, KS, the facility's negotiated rates range from $2,022 to $43,256 depending on the insurance plan, with a median negotiated amount of $14,852. This median rate is slightly higher than the Medicare benchmark of $14,116.91, reflecting a markup of 1.1 times the federal rate. While commercial insurance contracts often result in higher costs due to administrative overhead and network tiering, patients with high-deductible plans may find that paying cash directly is more cost-effective, as cash prices can sometimes be lower than the insurance negotiated rate. It is important to note that while the facility offers a cash median, specific cash rates are not listed in this report, so patients should contact the hospital directly to confirm current self-pay or prompt-pay discounts before scheduling.
Patients should be aware that commercial insurance rates are not always the lowest possible option and can vary significantly by payer, with some plans paying as little as $2,022 and others up to $43,256 for this service. If you receive a bill from an out-of-network provider or encounter unexpected charges, you may be subject to balance billing, which is the practice of being billed for the difference between the provider's full charge and what your insurance allowed. However, federal protections under the No Surprises Act generally ban balance billing for emergency care and non-emergency services at in-network facilities. To avoid surprise costs, always request an itemized bill to review every line item for errors or unbundled codes, and do not sign away your rights to dispute