CMS Price Transparency Data

Sepsis treatment (inpatient stay)

Facility: Moberly Regional Medical Center

Billing Code: 871 (MS-DRG)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 871
  • Insurance Median: $18,026
  • Cash Discount Price: Unavailable
  • vs. Medicare Baseline: 1.28x Medicare
The contracted insurance negotiated median rate for a Sepsis treatment (inpatient stay) at Moberly Regional Medical Center is $18,026. 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 1.28x the Medicare baseline. Located in 1515 Union Ave, Moberly, MO.
Cash / Self-Pay
Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median
$18,026

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: $18,026 (128%)
Ins. Median: $18,026 (128% 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
Blue Preferred $8,083 57%
Blue Access $15,561 110%
Medicare (plans) $17,306 - $17,354 123%
Blue Cross Blue Shield $17,651 125%
UnitedHealthcare $17,677 125%
Node Va $18,026 128%
Node Devoted Health Mcr Adv $18,220 129%
Centurion Correctional $20,414 145%
Corizon $22,091 156%
Us Department Of Labor $25,239 179%
Pathway/Pathway X $27,778 197%
Healthscope Benefits $27,923 198%
Naphcare $37,561 266%
Home State Health Plan $41,415 293%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1515 Union Ave, Moberly, MO 65270
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals