CMS Price Transparency Data

Sepsis treatment (inpatient stay)

Facility: University of Mississippi Med Center

Billing Code: 871 (MS-DRG)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 871
Insurance Median: $30,109
Cash Discount Price: $31,452
vs. Medicare Baseline: 2.13x Medicare

The contracted insurance negotiated median rate for a Sepsis treatment (inpatient stay) at University of Mississippi Med Center is $30,109. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $31,452. Compared to the federal Medicare reimbursement reference rate of $14,116.91, this hospital’s rate is 2.13x the Medicare baseline. Located in 2500 N State St, Jackson, MS.

Cash / Self-Pay

$31,452

Average discount available for prompt cash payment at this facility.

Insurance Median

$30,109

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%)

Cash / Self-Pay: $31,452 (223%)

Insurance Median: $30,109 (213%)

Cash: $31,452 (223% of Medicare)

Ins. Median: $30,109 (213% 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.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 213% of the Medicare baseline (a markup of 113%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

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
Tricare	$16,235	115%
Humana	$16,407	116%
Medadv_Uhcdsnp	$19,065	135%
Medicare (plans)	$19,065	135%
Medadv_Primewell	$19,637	139%
Medadv_Uhc	$19,637	139%
Wellcare	$19,637	139%
Va_Ccn	$22,408	159%
Ambetter / Centene	$26,806	190%
Molina_Exchange	$28,166	200%
Mpcn	$28,166	200%
Firstchoice	$30,109	213%
Firstchoice-Hum	$30,109	213%
Advhealth	$30,237	214%
Blue Cross Blue Shield	$30,697	217%
Primewell	$35,607	252%
Aetna	$36,177	256%
Cigna	$54,322	385%
United	$56,819	402%
Ppoplus	$58,973	418%
Firsthealth	$59,536	422%
United-Options	$61,567	436%
Multiplan	$62,904	446%
Healthlink_Tupelo	$66,836	473%
Phcs	$70,767	501%

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 $31,452.
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 University of Mississippi Med 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.