CMS Price Transparency Data

Sepsis treatment (inpatient stay)

Facility: Centerpoint Medical Center

Billing Code: 871 (MS-DRG)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 871
Insurance Median: $15,255
Cash Discount Price: Unavailable
vs. Medicare Baseline: 1.08x Medicare

The contracted insurance negotiated median rate for a Sepsis treatment (inpatient stay) at Centerpoint Medical Center is $15,255. 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 1.08x the Medicare baseline. Located in 19600 East 39Th Street, Independence, MO.

Cash / Self-Pay

Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median

$15,255

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: $15,255 (108%)

Ins. Median: $15,255 (108% 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.

Billing Status

Remaining Deductible ($)

Your Coinsurance 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
College Park Family Care Center	$2,022	14%
Blue Cross Blue Shield	$3,499 - $37,925	25%
Humana	$4,466 - $15,409	32%
United	$4,778 - $15,409	34%
Multiplan	$5,423 - $13,152	38%
Medicaid / KanCare	$8,438	60%
Healthyblue	$8,889	63%
Amerigroup	$9,064	64%
Unicare	$9,064	64%
Corvel Corporation	$12,815	91%
Oha Network	$13,355	95%
Coventry	$15,178	108%
Celtic	$15,717	111%
Devoted Health	$15,717	111%
Wellcare	$15,717	111%
Nhc Advantage	$15,871	112%
Cigna	$16,026 - $43,256	114%
Pyramid Life	$16,950	120%
Universal Healthcare	$17,412	123%
Aetna	$17,780 - $32,200	126%
Ambetter / Centene	$17,907	127%
Oscar	$21,134	150%
Wppa Providrs Care Network	$36,500	259%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $X.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify MS-DRG Code matches exactly: 871.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Centerpoint Medical Center is fully in-network.
Ask your insurer if "Prior Authorization" is required for MS-DRG code 871.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.