CMS Price Transparency Data

Sepsis treatment (inpatient stay)

Facility: McLaren Oakland

Billing Code: 871 (MS-DRG)

The BaseRate · fair price high confidence
A fair price for this
$20,367
about 1.4× the $14,117 Medicare rate · typically $11,322–$31,297
modeled estimate · not a bill or quote
What this hospital charges insurers
$23,544
Above the fair price
about $3,177 over the fair price · 1.7× Medicare
Medicare pays $14,117 Fair price $20,367 This hospital $23,544 Cash price $23,164 Hospital's list price $46,327

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 $23,544

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 $20,367 (about 1.4× the $14,117 Medicare rate). McLaren Oakland charges insurers about $23,544, or about $23,164 in cash — above the fair price. Located in Pontiac, MI.

This price is above the fair BaseRate — you may be able to pay less

Ask the hospital for the cash / self-pay price, check whether you qualify for financial assistance, or negotiate the bill down toward the fair price of about $20,367. Many patients pay well below the first number they’re quoted — the checklists below walk you through it.

What each insurance company pays

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

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Humana CignaKaiser 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 $21,335 151%
Blue Cross Blue Shieldmajor $41,626 295%
Aetnamajor $13,056 92%
Humanamajor $13,488 96%
Priority Health $24,956 177%
+ 2 smaller / regional plans $6,979 - $23,544
Government programs also on file: Medicare, Military & VA.

Self-Pay How to get the cash price

Insurance Before you use insurance

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

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Facility Profile & Credentials

  • Address: 50 N Perry St, Pontiac, MI 48342
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals