CMS Price Transparency Data

Sepsis treatment (inpatient stay)

Facility: Promedica Monroe Regional Hospital

Billing Code: 871 (MS-DRG)

The BaseRate · fair price high confidence

A fair price for this

$16,748

about 1.2× the $14,117 Medicare rate · typically $15,523–$18,056

modeled estimate · not a bill or quote

What this hospital charges insurers

$15,503

About the fair price

about $1,245 under the fair price · 1.1× Medicare

Medicare pays $14,117 Fair price $16,748 This hospital $15,503

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 $15,503

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 $16,748 (about 1.2× the $14,117 Medicare rate). Promedica Monroe Regional Hospital charges insurers about $15,503 — about the fair price. Located in Monroe, MI.

What each insurance company pays

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

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

✓ Blue Cross Blue Shield✓ Aetna✓ Humana UnitedHealthcareCignaKaiser 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
Blue Cross Blue Shieldmajor	$14,416 - $31,073	102%
Aetnamajor	$14,416 - $16,997	102%
Humanamajor	$14,849	105%
Paramount	$14,056	100%
Priority Health	$14,560 - $19,543	103%
+ 1 smaller / regional plan	$1,538 - $14,704

Government programs also on file: Military & VA.

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, 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 Promedica Monroe Regional 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.

Other Procedures at Promedica Monroe Regional Hospital

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

Trinity Health Grand Haven Hospital · Grand Haven $10,917
Ascension River District Hospital · East China $12,337
Corewell Health Watervliet Hospital · Watervliet $13,927
Henry Ford Health West Bloomfield Hospital · W Bloomfield $14,065
Henry Ford Macomb Hospital · Clinton Township $14,203
Wyandotte Hospital and Medical Center · Wyandotte $14,495
Henry Ford Allegiance Health · Jackson $14,571
Henry Ford Health Warren Hospital · Warren $14,739

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