Sepsis treatment (inpatient stay)
Facility: Via Christi Hospital Wichita St Teresa, Inc
Billing Code: 871 (MS-DRG)
- CPT Billing Code: 871
- Insurance Median: $11,417
- Cash Discount Price: Unavailable
- vs. Medicare Baseline: 0.81x 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 | $10,731 | 76% |
| Va | $11,193 | 79% |
| Saint Lukes Health Systems | $11,193 | 79% |
| Via Christi Research | $11,193 | 79% |
| Humana | $11,193 - $25,665 | 79% |
| Medicare (plans) | $11,193 - $11,417 | 79% |
| Vc Hope | $11,193 | 79% |
| UnitedHealthcare | $11,417 - $31,342 | 81% |
| Blue Cross Blue Shield | $11,417 | 81% |
| Aetna | $12,420 - $18,538 | 88% |
| Corizon | $13,992 | 99% |
| Smarthealth | $15,671 - $20,618 | 111% |
| Healthchoice Of Ok | $18,177 | 129% |
| Medicaid / KanCare | $19,029 | 135% |
Consumer Guidance & Cost Commentary
For the procedure code 871, representing sepsis treatment during an inpatient stay at Via Christi Hospital Wichita St Teresa, Inc, the facility's negotiated rates range from $10,731 to $31,342 across 14 different payers. The median negotiated amount is $11,417, which is significantly lower than the Medicare benchmark of $14,116.91, aligning with the typical fair pricing range of 120% to 150% of Medicare. While the facility is a voluntary non-profit church-owned hospital in Wichita, Kansas, the data does not provide specific cash or state/county average figures for direct comparison. However, for patients with high-deductible plans, the cash price could potentially be lower than the insurance negotiated rate, making it worth inquiring about self-pay or prompt-pay discounts before scheduling care.
It is important to note that while the No Surprises Act protects patients from balance billing for out-of-network services at in-network facilities, unexpected charges can still occur from ancillary services like emergency physicians or labs if they are not contracted with the insurer. To avoid these surprises, patients should request a full itemized bill before paying, as summary bills often obscure individual line items that may include unbundled codes or services not rendered. If a balance bill is received, patients should dispute it with their insurer or request a No Surprises Act audit rather than paying immediately, and they should avoid signing consent waivers that waive their rights regarding out-of-network costs for emergency or mandatory services.