CMS Price Transparency Data

Sepsis treatment (inpatient stay)

Facility: Up Health System Portage

Billing Code: 871 (MS-DRG)

The BaseRate · fair price high confidence

A fair price for this

$18,349

about 1.3× the $14,117 Medicare rate · typically $15,494–$23,026

modeled estimate · not a bill or quote

What this hospital charges insurers

$19,115

About the fair price

about $766 over the fair price · 1.4× Medicare

Medicare pays $14,117 Fair price $18,349 This hospital $19,115 Cash price $23,703 Hospital's list price $39,505

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 $19,115

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 $18,349 (about 1.3× the $14,117 Medicare rate). Up Health System Portage charges insurers about $19,115, or about $23,703 in cash — about the fair price. Located in Hancock, MI.

What each insurance company pays

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

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana✓ Kaiser 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	$19,115	135%
Blue Cross Blue Shieldmajor	$19,115	135%
Aetnamajor	$19,115 - $19,307	135%
Cignamajor	$19,115	135%
Humanamajor	$19,115	135%
Kaiser Permanentemajor	$19,115	135%
Health Net	$19,115	135%
Molina	$19,115	135%
Priority Health	$19,115	135%
Security Health Plan	$19,115	135%
UCare	$19,115	135%
UniCare	$19,115	135%
WellCare	$19,115	135%
+ 9 smaller / regional plans	$19,115

Government programs also on file: Medicare, 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 (about 23,703), 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 Up Health System Portage 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 Up Health System Portage

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.