CMS Price Transparency Data

Sepsis treatment (inpatient stay)

Facility: UMass Memorial Healthalliance Hospitals

Billing Code: 871 (MS-DRG)

The BaseRate · fair price high confidence

A fair price for this

$18,105

about 1.3× the $14,117 Medicare rate · typically $17,063–$22,052

modeled estimate · not a bill or quote

What this hospital charges insurers

$18,347

About the fair price

about $242 over the fair price · 1.3× Medicare

Medicare pays $14,117 Fair price $18,105 This hospital $18,347 Cash price $39,091 Hospital's list price $39,091

How we calculate the fair BaseRate →

How this hospital compares to other MA hospitals

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

Cheapest $13,849 Priciest $18,347

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

A fair price for a Sepsis treatment (inpatient stay) is about $18,105 (about 1.3× the $14,117 Medicare rate). UMass Memorial Healthalliance Hospitals charges insurers about $18,347, or about $39,091 in cash — about the fair price. Located in Leominster, MA.

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✓ Cigna HumanaKaiser 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	$18,347 - $18,697	130%
Blue Cross Blue Shieldmajor	$17,001 - $18,181	120%
Aetnamajor	$3,709 - $18,347	26%
Cignamajor	$4,268 - $6,206	30%
Harvard Pilgrim	$18,347	130%
Tufts Health Plan	$3,880 - $18,347	27%
+ 10 smaller / regional plans	$1,814 - $24,876

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 (about 39,091), 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 UMass Memorial Healthalliance Hospitals 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.

Other Procedures at UMass Memorial Healthalliance Hospitals

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

Beth Israel Deaconess Hospital - Milton · Milton $13,849
Emerson Hospital - · W Concord $16,561
Winchester Hospital · Winchester $16,633
Anna Jaques Hospital · Newburyport $16,856
Melrosewakefield Healthcare · Melrose $16,967
Heywood Hospital - · Gardner $17,051
Beth Israel Deaconess Hospital Plymouth · Plymouth $17,107
South Shore Hospital · South Weymouth $17,203

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