CMS Price Transparency Data

Sepsis treatment (inpatient stay)

Facility: Christus Ochsner St Patrick Hospital

Billing Code: 871 (MS-DRG)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 871
  • Insurance Median: $11,944
  • Cash Discount Price: Unavailable
  • vs. Medicare Baseline: 0.85x Medicare
The contracted insurance negotiated median rate for a Sepsis treatment (inpatient stay) at Christus Ochsner St Patrick Hospital is $11,944. 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 0.85x the Medicare baseline. Located in 524 Dr Michael Debakey Drive, Lake Charles, LA.
Cash / Self-Pay
Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median
$11,944

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: $11,944 (85%)
Ins. Median: $11,944 (85% 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.

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%
Ppo Usa $2,035 14%
Ppoplus Llc $2,381 17%
Aetna $3,549 - $11,944 25%
Multiplan $3,966 28%
Phcs $3,966 28%
Vantage Health Plan Inc. $4,161 29%
Five Point Credit Union $4,190 30%
Triwest $11,705 83%
Arcadian $11,944 85%
Blue Cross Blue Shield $11,944 - $29,796 85%
Christus Health $11,944 - $16,721 85%
Coventry $11,944 85%
Humana $11,944 - $28,849 85%
UnitedHealthcare $11,944 - $19,582 85%
Vantage Health Plan Inc $11,944 85%
Dignity Health $12,302 87%
Peoples Health $12,302 87%
Wellcare $12,541 89%
Allyalign Health $13,138 93%
Medicare (plans) $13,138 93%
Lsu First Choice Verity $14,363 102%
Cigna $22,866 162%
Gilsbar Inc. $24,673 175%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 524 Dr Michael Debakey Drive, Lake Charles, LA 70601
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals