Sepsis treatment (inpatient stay)
Facility: Kearny County Hospital
Billing Code: 871 (MS-DRG)
- CPT Billing Code: 871
- Insurance Median: $19,561
- Cash Discount Price: Unavailable
- vs. Medicare Baseline: 1.39x 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 |
|---|---|---|
| Community Care Health Plan Of | $19,561 | 139% |
Consumer Guidance & Cost Commentary
For the procedure "Sepsis treatment (inpatient stay)" at Kearny County Hospital in Lakin, KS, the facility's negotiated rate is $19,561, which matches the single payer rate reported for this service. This amount is significantly higher than the Medicare benchmark of $14,116.91, reflecting a markup of 1.4 times the federal rate. As a Critical Access Hospital with government-local ownership, the facility operates under specific pricing structures, but patients should note that commercial negotiated rates often include administrative overhead and contract dynamics that can inflate the final cost compared to the baseline Medicare amount.
While the data shows a single payer rate, patients with high-deductible plans may find that paying cash directly could result in lower out-of-pocket costs if the facility offers a self-pay or prompt-pay discount, as these upfront payments bypass insurance administrative fees. It is important to verify the facility's specific cash prices and request a waiver of insurance submission before scheduling to avoid automatic claims processing that locks in the higher negotiated rate. Additionally, since balance billing protections under the No Surprises Act apply to emergency care at in-network facilities, patients should ensure they receive an itemized bill to confirm all charges are accurate and to identify any potential errors before finalizing payment.