CMS Price Transparency Data

Sepsis treatment (inpatient stay)

Facility: Karmanos Cancer Center

Billing Code: 871 (MS-DRG)

The BaseRate · fair price high confidence

A fair price for this

$18,094

about 1.3× the $14,117 Medicare rate · typically $10,248–$25,388

modeled estimate · not a bill or quote

What this hospital charges insurers

$20,614

About the fair price

about $2,520 over the fair price · 1.5× Medicare

Medicare pays $14,117 Fair price $18,094 This hospital $20,614 Cash price $27,807 Hospital's list price $55,613

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 $20,614

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 $18,094 (about 1.3× the $14,117 Medicare rate). Karmanos Cancer Center charges insurers about $20,614, or about $27,807 in cash — about the fair price. Located in Detroit, MI.

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	$21,016	149%
Blue Cross Blue Shieldmajor	$23,365 - $25,768	166%
Aetnamajor	$16,012 - $34,335	113%
Humanamajor	$13,369 - $13,502	95%
Priority Health	$17,076	121%
+ 2 smaller / regional plans	$19,572 - $20,614

Government programs also on file: Medicare, Military & VA.

Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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 27,807), 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 Karmanos Cancer Center 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 Karmanos Cancer Center

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.