CMS Price Transparency Data

Sepsis treatment (inpatient stay)

Facility: Houma-Amg Specialty Hospital

Billing Code: 871 (MS-DRG)

The BaseRate · fair price medium confidence

A fair price for this

$26,353

about 1.9× the $14,117 Medicare rate · typically $11,485–$41,534

modeled estimate · not a bill or quote

What this hospital charges insurers

$32,646

Above the fair price

about $6,293 over the fair price · 2.3× Medicare

Medicare pays $14,117 Fair price $26,353 This hospital $32,646 Cash price $67,401 Hospital's list price $67,401

How we calculate the fair BaseRate →

How this hospital compares to other LA hospitals

Highest price of the 9 LA hospitals we have prices for — worth calling around.

Cheapest $10,138 Priciest $32,646

Black dot = this hospital, among the 9 LA hospitals with a price for this procedure. Full list below.

A fair price for a Sepsis treatment (inpatient stay) is about $26,353 (about 1.9× the $14,117 Medicare rate). Houma-Amg Specialty Hospital charges insurers about $32,646, or about $67,401 in cash — above the fair price. Located in Houma, LA.

This price is above the fair BaseRate — you may be able to pay less

Ask the hospital for the cash / self-pay price, check whether you qualify for financial assistance, or negotiate the bill down toward the fair price of about $26,353. Many patients pay well below the first number they’re quoted — the checklists below walk you through it.

What each insurance company pays

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

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Humana CignaKaiser 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	$32,646	231%
Blue Cross Blue Shieldmajor	$32,646	231%
Aetnamajor	$32,646	231%
Humanamajor	$32,646	231%
Health Net	$29,381	208%
+ 4 smaller / regional plans	$32,646 - $57,291

Excludes 2 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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 (about 67,401), 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 Houma-Amg Specialty Hospital 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.

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

How you’d pay

Deductible left to meet ($)

Your coinsurance (%)

Enter your details and press estimate to compare.

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.