Sepsis treatment (inpatient stay)
Facility: Ascension Via Christi Rehabilitation Hospital Inc
Billing Code: 871 (MS-DRG)
- CPT Billing Code: 871
- Insurance Median: $18,358
- Cash Discount Price: Unavailable
- vs. Medicare Baseline: 1.30x 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% |
| Aetna | $12,420 - $18,538 | 88% |
| Healthchoice Of Ok | $18,177 | 129% |
| Smarthealth | $20,618 | 146% |
| UnitedHealthcare | $21,783 - $22,150 | 154% |
| Humana | $25,665 | 182% |
Consumer Guidance & Cost Commentary
For the procedure "Sepsis treatment (inpatient stay)" at Ascension Via Christi Rehabilitation Hospital Inc in Wichita, KS, the facility's negotiated rates vary significantly by insurer, ranging from $10,731 with Medica to $25,665 with Humana. While the median negotiated amount across payers is $18,358, the facility's cash price is not listed in this report. It is important to note that cash-pay options can sometimes result in lower out-of-pocket costs for patients with high-deductible plans, as the insurance negotiated rate often exceeds the cash price. To maximize savings, patients should contact the hospital directly to inquire about "self-pay" or "prompt-pay" discounts, which may reduce the bill by 20% to 50% if paid in full upfront.
This service is categorized under the MS-DRG for Sepsis treatment, and the facility's pricing is benchmarked against the Medicare rate of $14,116.91. The data indicates a markup of 1.3 times the Medicare amount, which aligns with typical commercial pricing structures where rates often range between 200% and 300% of the Medicare baseline. Since the report does not provide specific county or state average comparisons for this specific code, patients should rely on the Medicare benchmark as a reliable baseline for evaluating the facility's pricing. If you receive a bill, ensure you have an itemized statement to verify all charges, as over 80% of hospital bills contain errors such as double-billing or unbundled codes that can be disputed to reduce your debt.