CMS Price Transparency Data

Sepsis treatment (inpatient stay)

Facility: Caldwell Memorial Hospital, Inc

Billing Code: 871 (MS-DRG)

The BaseRate · fair price high confidence

A fair price for this

$16,062

about 1.1× the $14,117 Medicare rate · typically $11,986–$22,226

modeled estimate · not a bill or quote

Medicare pays $14,117 Fair price $16,062

How we calculate the fair BaseRate →

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

3 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Aetna✓ Humana Blue Cross Blue ShieldCignaKaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company	Price range	vs. Medicare
UnitedHealthcaremajor	$4,067 - $5,649	29%
Aetnamajor	$4,067 - $5,649	29%
Humanamajor	$4,067	29%
+ 3 smaller / regional plans	$4,067 - $8,474

Government programs also on file: Medicare.

Self-Pay How to get the cash price

Tell the billing desk you want to be billed as self-pay — not through insurance — before your visit.
Ask for the cash / prompt-pay discount in writing, with the exact price, before you agree to anything.
Get it in writing that they won’t also bill your insurance, so the cash price is what you owe.
Check the MS-DRG code on your bill matches exactly: 871.

Insurance Before you use insurance

Call your insurance company to confirm Caldwell Memorial Hospital, Inc is in-network.
Ask your insurer whether prior approval is required for MS-DRG code 871.
Confirm the doctor or provider is in-network too — not just the hospital building.
Check your Explanation of Benefits against the hospital’s final itemized bill.

Other Procedures at Caldwell Memorial Hospital, Inc

Digestive disorders treatment (inpatient stay)

Compare: Sepsis treatment (inpatient stay) at other LA hospitals

Bayou Bend Health System · Franklin $10,138
West Calcasieu Cameron Hospital · Sulphur $10,611
St Tammany Parish Hospital · Covington $11,611
Lallie Kemp Medical Center · Independence $12,026
Christus Ochsner Lake Area Hospital · Lake Charles $12,093
Sabine Medical Center · Many $12,111
Winn Parish Medical Center · Winnfield $12,264
Christus Ochsner St Patrick Hospital · Lake Charles $12,302

Insurance negotiated median for the same procedure, sorted lowest first.