CMS Price Transparency Data

Sepsis treatment (inpatient stay)

Facility: Henry Ford Health Warren Hospital

Billing Code: 871 (MS-DRG)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 871
  • Insurance Median: $14,593
  • Cash Discount Price: Unavailable
  • vs. Medicare Baseline: 1.03x Medicare
The contracted insurance negotiated median rate for a Sepsis treatment (inpatient stay) at Henry Ford Health Warren Hospital is $14,593. 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 11800 East Twelve Mile Road, Warren, MI.
Cash / Self-Pay
Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median
$14,593

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: $14,593 (103%)
Ins. Median: $14,593 (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 $8,400 - $14,739 60%
Aetna $9,410 - $14,593 67%
Phcs Pos $9,410 67%
Phcs Ppo $9,410 67%
UnitedHealthcare $10,828 77%
Medicare (plans) $13,863 - $15,323 98%
Amerihealth Vip Care $14,447 102%
Harbor Advantage Hmo $14,593 103%
Tricare $14,593 103%
Veterans Choice $14,593 103%
Total Health Care $14,739 104%
Meridian Wellcare $15,323 109%
Molina Advantage $15,323 109%
Molina Health Link $15,323 109%
Ambetter / Centene $18,241 129%
Molina Market Place $18,241 129%
Ppom $19,215 136%
Smarthealth $20,430 145%
Priority Hmo $23,808 169%
Priority Ppo $23,808 169%
Aaa-Auto Insurance $27,727 196%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 11800 East Twelve Mile Road, Warren, MI 48093
  • CMS Rating: ★☆☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals