CMS Price Transparency Data

Sepsis treatment (inpatient stay)

Facility: Ochsner St Anne General Hospital

Billing Code: 871 (MS-DRG)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 871
Insurance Median: $15,010
Cash Discount Price: $8,108
vs. Medicare Baseline: 1.06x Medicare

The contracted insurance negotiated median rate for a Sepsis treatment (inpatient stay) at Ochsner St Anne General Hospital is $15,010. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $8,108. Compared to the federal Medicare reimbursement reference rate of $14,116.91, this hospital’s rate is 1.06x the Medicare baseline. Located in 4608 Highway 1, Raceland, LA.

Cash / Self-Pay

$8,108

Average discount available for prompt cash payment at this facility.

Insurance Median

$15,010

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: $8,108 (57%)

Insurance Median: $15,010 (106%)

Cash: $8,108 (57% of Medicare)

Ins. Median: $15,010 (106% 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)	$5,224 - $28,740	37%
Tricare	$6,743 - $37,100	48%
Mississippi Physicians Care Network	$7,123 - $39,191	50%
Healthcomp & Personify Health (Formerly Gilsbar)	$7,247 - $39,870	51%
Zelis	$7,883 - $43,371	56%
Employers Health Network (Ehn)	$8,073 - $44,416	57%
First Health Network	$8,073 - $44,416	57%
Prime Health Services Ppo	$8,073 - $44,416	57%
Claritev D/B/A Multiplan/Phcs/American Life Care	$8,548 - $47,029	61%
Usa Managed Care Network	$8,548 - $47,029	61%
Cigna	$18,089	128%
Aetna	$18,715	133%

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 $8,108.
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 Ochsner St Anne General 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.