CMS Price Transparency Data

Sepsis treatment (inpatient stay)

Facility: Christus St Frances Cabrini Hospital

Billing Code: 871 (MS-DRG)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 871
Insurance Median: $12,308
Cash Discount Price: Unavailable
vs. Medicare Baseline: 0.87x Medicare

The contracted insurance negotiated median rate for a Sepsis treatment (inpatient stay) at Christus St Frances Cabrini Hospital is $12,308. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is unavailable. Compared to the federal Medicare reimbursement reference rate of $14,116.91, this hospital’s rate is 0.87x the Medicare baseline. Located in 3330 Masonic Drive, Alexandria, LA.

Cash / Self-Pay

Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median

$12,308

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate

$14,116.91

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $14,116.91 (100%)

Insurance Median: $12,308 (87%)

Ins. Median: $12,308 (87% of 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.

Billing Status

Remaining Deductible ($)

Your Coinsurance Rate (%)

Input your details and click calculate to compare out-of-pocket costs.

Commercial Insurance Negotiated Rates

Negotiated contract ranges established by major commercial carriers at this facility.

Carrier / Plan Group	Contract Rate Range	vs. Medicare Reference
Healthcare Highways	$1,500	11%
Verity Healthnet	$1,500	11%
Ppoplus Llc	$2,381	17%
Aetna	$3,302 - $12,308	23%
Multiplan	$3,966	28%
Phcs	$3,966	28%
Vantage Health Plan Inc.	$4,161 - $12,308	29%
Five Point Credit Union	$4,190	30%
Humana	$12,061 - $23,143	85%
Triwest	$12,061	85%
Arcadian Health Plan	$12,308	87%
Blue Cross Blue Shield	$12,308 - $31,278	87%
Christus Health	$12,308 - $17,231	87%
Coventry	$12,308	87%
UnitedHealthcare	$12,308 - $21,210	87%
Dignity Health	$12,677	90%
Peoples Health	$12,677	90%
Wellcare	$12,923	92%
Allyalign Health	$13,538	96%
Medicare (plans)	$13,538	96%
Lsu First Choice Verity	$14,363	102%
Gilsbar, Inc.	$23,388	166%
Cigna	$23,830	169%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $X.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify MS-DRG Code matches exactly: 871.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Christus St Frances Cabrini Hospital is fully in-network.
Ask your insurer if "Prior Authorization" is required for MS-DRG code 871.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.