CMS Price Transparency Data

Sepsis treatment (inpatient stay)

Facility: Trinity Health Oakland Hospital

Billing Code: 871 (MS-DRG)

The BaseRate · fair price high confidence
A fair price for this
$18,537
about 1.3× the $14,117 Medicare rate · typically $12,241–$27,093
modeled estimate · not a bill or quote
What this hospital charges insurers
$31,785
Above the fair price
about $13,248 over the fair price · 2.3× Medicare
Medicare pays $14,117 Fair price $18,537 This hospital $31,785 Cash price $31,301

How we calculate the fair BaseRate →

How this hospital compares to other MI hospitals

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

Cheapest $10,917 Priciest $31,785

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

A fair price for a Sepsis treatment (inpatient stay) is about $18,537 (about 1.3× the $14,117 Medicare rate). Trinity Health Oakland Hospital charges insurers about $31,785, or about $31,301 in cash — above the fair price. Located in Pontiac, MI.

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 $18,537. 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✓ Kaiser Permanente CignaHumana

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 $14,966 106%
Blue Cross Blue Shieldmajor $14,240 - $32,898 101%
Aetnamajor $14,240 - $28,970 101%
Kaiser Permanentemajor $32,898 233%
CareSource $31,785 225%
GEHA $28,970 205%
Medical Mutual $28,970 205%
Molina $18,889 134%
Priority Health $28,441 - $31,601 201%
+ 14 smaller / regional plans $2,000 - $32,898
Government programs also on file: Medicare.
Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

Insurance Before you use insurance

Estimate your out-of-pocket cost

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

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Facility Profile & Credentials

  • Address: 44405 Woodward Ave, Pontiac, MI 48341
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals