Sepsis treatment (inpatient stay)
Facility: Select Specialty Hospital - Wichita
Billing Code: 871 (MS-DRG)
- CPT Billing Code: 871
- Insurance Median: $1,700
- Cash Discount Price: Unavailable
- vs. Medicare Baseline: 0.12x 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 |
|---|---|---|
| Aetna | $1,615 - $1,880 | 11% |
| Cigna | $1,682 | 12% |
| Phcs-Multiplan | $1,700 | 12% |
| UnitedHealthcare | $1,836 | 13% |
| Healthcare Highways | $1,957 | 14% |
| Wppa | $2,308 | 16% |
| Sidecare Health Insurance Solutions | $2,400 | 17% |
Consumer Guidance & Cost Commentary
For the procedure code 871, representing sepsis treatment in an inpatient stay at Select Specialty Hospital - Wichita, the negotiated rates range from $1,615 to $2,400 depending on the insurance carrier. While the facility's median negotiated rate is $1,700, the cash median is not available in the current data. It is important to note that cash-pay options can sometimes be more cost-effective for patients with high-deductible plans if the insurance negotiated rate exceeds the cash price. We recommend contacting the hospital directly to inquire about "self-pay" or "prompt-pay" discounts, which can significantly reduce the final amount owed.
This pricing data is specific to the Wichita area and does not include a direct comparison to Kansas state or county averages. The Medicare benchmark for this service is $14,116.91, which serves as a baseline for evaluating the facility's pricing markup. Commercial negotiated rates often exceed Medicare benchmarks due to administrative costs and contract dynamics, but comparing your specific plan's allowed amount to the Medicare rate can help identify if the facility is charging above fair market value. Always verify your specific plan's deductible status and allowed amounts before scheduling to avoid unexpected out-of-pocket expenses.