CMS Price Transparency Data

Sepsis treatment (inpatient stay)

Facility: Southcoast Hospitals Group

Billing Code: 871 (MS-DRG)

The BaseRate · fair price high confidence

A fair price for this

$18,138

about 1.3× the $14,117 Medicare rate · typically $17,460–$23,462

modeled estimate · not a bill or quote

What this hospital charges insurers

$18,288

About the fair price

about $150 over the fair price · 1.3× Medicare

Medicare pays $14,117 Fair price $18,138 This hospital $18,288 Cash price $17,675 Hospital's list price $35,350

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 $18,288

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 $18,138 (about 1.3× the $14,117 Medicare rate). Southcoast Hospitals Group charges insurers about $18,288, or about $17,675 in cash — about the fair price. Located in Fall River, 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	$17,669 - $42,016	125%
Blue Cross Blue Shieldmajor	$17,669 - $22,335	125%
Aetnamajor	$17,669 - $27,754	125%
Cignamajor	$22,518 - $25,251	160%
Priority Health	$25,883 - $29,024	183%
Tufts Health Plan	$17,669 - $21,155	125%
WellSense	$17,846	126%
+ 6 smaller / regional plans	$17,669 - $29,024

Government programs also on file: Medicare.

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 17,675), 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 Southcoast Hospitals Group 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 Southcoast Hospitals Group

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.