CMS Price Transparency Data

Sepsis treatment (inpatient stay)

Facility: Bayou Bend Health System

Billing Code: 871 (MS-DRG)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 871
Insurance Median: $20,400
Cash Discount Price: $17,850
vs. Medicare Baseline: 1.45x Medicare

The contracted insurance negotiated median rate for a Sepsis treatment (inpatient stay) at Bayou Bend Health System is $20,400. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $17,850. Compared to the federal Medicare reimbursement reference rate of $14,116.91, this hospital’s rate is 1.45x the Medicare baseline. Located in 1097 Northwest Blvd, Franklin, LA.

Cash / Self-Pay

$17,850

Average discount available for prompt cash payment at this facility.

Insurance Median

$20,400

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: $17,850 (126%)

Insurance Median: $20,400 (145%)

Cash: $17,850 (126% of Medicare)

Ins. Median: $20,400 (145% 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
UnitedHealthcare	$4,710 - $15,565	33%
Verity Healthnet Ip/Op Only-All Other Plans	$6,300	45%
Aetna	$12,288 - $28,260	87%
Humana	$16,575 - $28,260	117%
Cigna	$16,725	118%
Amerihealth Caritas Mcaid Ip/Op Only-All Plans	$18,824	133%
Blue Cross Blue Shield	$18,824 - $28,260	133%
La Health Mcaid Ip/Op Only	$18,824	133%
Verity Healthnet Mcaid Ip/Op Only	$18,824	133%
Diocese Of Lafaytte Ip/Op Only-All Plans	$19,125	135%
Gilsbar 360 Ip/Op Only-All Plans	$19,125	135%
Ccn/First Health Ip/Op Only-All Plans	$20,400	145%
Integrated Hp Multiplan Ip/Op Only-All Plans	$20,400	145%
Ppo Plus / Zelis Ip/Op Only-All Plans	$20,400	145%
Geha Ppo Ip/Op Only-All Plans	$21,675	154%
Usa Mco Ip/Op Only-All Plans	$21,675	154%
Galaxy Ip/Op Only-All Plans	$22,950	163%
Tricare	$25,434	180%
Dignity Mcr Adv Ip/Op Only-All Plans	$28,260	200%
Sterling Hp Mcr Adv Ip/Op Only-All Plans	$28,260	200%
Verity Healthnet Mcr Adv Ip/Op Only	$28,260	200%
Wellcare Mcr Allwell Ip/Op Only-All Plans	$28,260	200%
Ambetter / Centene	$32,499	230%

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 $17,850.
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 Bayou Bend Health System 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.