CMS Price Transparency Data

Sepsis treatment (inpatient stay)

Facility: Leonard J Chabert Medical Center

Billing Code: 871 (MS-DRG)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 871
Insurance Median: $12,657
Cash Discount Price: $6,730
vs. Medicare Baseline: 0.90x Medicare

The contracted insurance negotiated median rate for a Sepsis treatment (inpatient stay) at Leonard J Chabert Medical Center is $12,657. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $6,730. Compared to the federal Medicare reimbursement reference rate of $14,116.91, this hospital’s rate is 0.90x the Medicare baseline. Located in 1978 Industrial Blvd, Houma, LA.

Cash / Self-Pay

$6,730

Average discount available for prompt cash payment at this facility.

Insurance Median

$12,657

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%)

Cash / Self-Pay: $6,730 (48%)

Insurance Median: $12,657 (90%)

Cash: $6,730 (48% of Medicare)

Ins. Median: $12,657 (90% 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
Medicaid / KanCare	$3,854 - $12,707	27%
Louisiana Workers' Compensation Corporation (Lwcc)	$6,005 - $18,923	43%
Claritev D/B/A Multiplan/Phcs/American Life Care	$8,188 - $25,805	58%
First Health Network	$8,734 - $27,525	62%
Healthcomp & Personify Health (Formerly Gilsbar)	$8,952 - $28,213	63%
Usa Managed Care Network	$9,280 - $29,245	66%
Verity Commercial And First Choice Network	$12,607	89%
Tricare	$13,551	96%
Aetna	$17,057 - $19,296	121%
Zelis	$17,463	124%
Ochsner Health Plan	$19,213	136%
American Health Advantage Of Louisiana (Formerly Dignity Health Plan)	$19,296	137%
Blue Cross Blue Shield	$19,296	137%
Healthy Blue Dual Advantage (Hmo-D-Snp)	$19,296	137%
Medicare (plans)	$19,296	137%
UnitedHealthcare	$19,296 - $19,811	137%

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 $6,730.
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 Leonard J Chabert Medical Center 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.