CMS Price Transparency Data

Sepsis treatment (inpatient stay)

Facility: Ochsner Rush Hospital

Billing Code: 871 (MS-DRG)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 871
Insurance Median: $14,513
Cash Discount Price: $8,016
vs. Medicare Baseline: 1.03x Medicare

The contracted insurance negotiated median rate for a Sepsis treatment (inpatient stay) at Ochsner Rush Hospital is $14,513. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $8,016. Compared to the federal Medicare reimbursement reference rate of $14,116.91, this hospital’s rate is 1.03x the Medicare baseline. Located in 1314 19Th Ave, Meridian, MS.

Cash / Self-Pay

$8,016

Average discount available for prompt cash payment at this facility.

Insurance Median

$14,513

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: $8,016 (57%)

Insurance Median: $14,513 (103%)

Cash: $8,016 (57% of Medicare)

Ins. Median: $14,513 (103% 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
Medicaid / KanCare	$3,854 - $13,343	27%
Select Administrative Services Network	$10,887 - $41,409	77%
Prime Health Services Ppo	$12,442 - $47,325	88%
Humana	$12,590 - $14,504	89%
Cigna	$13,794 - $14,504	98%
UnitedHealthcare	$14,365 - $14,504	102%
Magnolia Health Plan – Wellcare By All Well Of Mississippi	$14,504	103%
Medicare (plans)	$14,521 - $16,679	103%
Shared Health Mississippi	$15,229	108%
Blue Cross Blue Shield	$15,849 - $19,621	112%
Ambetter / Centene	$20,156	143%
Cor Vel	$24,696	175%
Prime Health Services Ppo -Workers Comp	$24,696	175%
Primewell Health Services – Commercial	$35,534	252%
Primewell Health Services Commercial Exchange Plan	$35,898	254%

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 $8,016.
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 Ochsner Rush Hospital 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.