CMS Price Transparency Data

Sepsis treatment (inpatient stay)

Facility: Wyandotte Hospital and Medical Center

Billing Code: 871 (MS-DRG)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 871
  • Insurance Median: $14,495
  • Cash Discount Price: Unavailable
  • vs. Medicare Baseline: 1.03x Medicare
The contracted insurance negotiated median rate for a Sepsis treatment (inpatient stay) at Wyandotte Hospital and Medical Center is $14,495. 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 1.03x the Medicare baseline. Located in 2333 Biddle Ave, Wyandotte, MI.
Cash / Self-Pay
Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median
$14,495

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: $14,495 (103%)
Ins. Median: $14,495 (103% 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 $13,387 - $14,785 95%
Pace Of Se Mi $13,770 98%
Amerihealth Michigan $14,205 101%
Aetna $14,495 - $24,768 103%
Bcn $14,495 103%
Blue Cross Blue Shield $14,495 - $34,362 103%
Cca Health Michigan $14,495 103%
Erickson $14,495 103%
Hap $14,495 - $28,961 103%
Hap Caresource $14,495 103%
Mclaren Health $14,495 103%
Molina Mi Health Link $14,495 103%
Mount Carmel Health Plan $14,495 103%
Priority Health $14,495 - $25,370 103%
UnitedHealthcare $14,495 - $23,108 103%
Wellcare $14,495 103%
Meridian Health Plan Of Mi $19,568 139%
Molina $19,568 139%
Vitalcore Physicians Group Of Mi $26,815 190%
Cofinity Group Health $27,850 197%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 2333 Biddle Ave, Wyandotte, MI 48192
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals