CMS Price Transparency Data

Sepsis treatment (inpatient stay)

Facility: Henry Ford Health Hospital

Billing Code: 871 (MS-DRG)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 871
  • Insurance Median: $15,915
  • Cash Discount Price: Unavailable
  • vs. Medicare Baseline: 1.13x Medicare
The contracted insurance negotiated median rate for a Sepsis treatment (inpatient stay) at Henry Ford Health Hospital is $15,915. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is unavailable. Compared to the federal Medicare reimbursement reference rate of $14,116.91, this hospital’s rate is 1.13x the Medicare baseline. Located in 2799 W Grand Blvd, Detroit, MI.
Cash / Self-Pay
Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median
$15,915

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%)
Insurance Median: $15,915 (113%)
Ins. Median: $15,915 (113% 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.

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
Humana $13,394 - $16,233 95%
Pace Of Se Mi $15,119 107%
Amerihealth Michigan $15,597 110%
Aetna $15,915 - $39,348 113%
Bcn $15,915 113%
Blue Cross Blue Shield $15,915 - $41,081 113%
Cca Health Michigan $15,915 113%
Erickson $15,915 113%
Hap $15,915 - $36,258 113%
Hap Caresource $15,915 113%
Mclaren Health $15,915 113%
Molina Mi Health Link $15,915 113%
Mount Carmel Health Plan $15,915 113%
Priority Health $15,915 - $34,019 113%
UnitedHealthcare $15,915 - $33,383 113%
Wellcare $15,915 113%
Meridian Health Plan Of Mi $21,485 152%
Molina $21,485 152%
Vitalcore Physicians Group Of Mi $29,442 209%
Cofinity Group Health $36,234 257%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 2799 W Grand Blvd, Detroit, MI 48202
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals