CMS Price Transparency Data

Sepsis treatment (inpatient stay)

Facility: Ochsner Medical Center-Hancock

Billing Code: 871 (MS-DRG)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 871
Insurance Median: $18,319
Cash Discount Price: $10,429
vs. Medicare Baseline: 1.30x Medicare

The contracted insurance negotiated median rate for a Sepsis treatment (inpatient stay) at Ochsner Medical Center-Hancock is $18,319. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $10,429. Compared to the federal Medicare reimbursement reference rate of $14,116.91, this hospital’s rate is 1.30x the Medicare baseline. Located in 149 Drinkwater Blvd, Bay Saint Louis, MS.

Cash / Self-Pay

$10,429

Average discount available for prompt cash payment at this facility.

Insurance Median

$18,319

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: $10,429 (74%)

Insurance Median: $18,319 (130%)

Cash: $10,429 (74% of Medicare)

Ins. Median: $18,319 (130% 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 - $17,165	27%
Healthcomp & Personify Health (Formerly Gilsbar)	$6,131 - $33,312	43%
Select Administrative Services Network	$7,153 - $38,864	51%
Humana	$10,964 - $20,143	78%
Zelis	$15,687	111%
Blue Cross Blue Shield	$17,427 - $19,621	123%
Cigna	$20,143	143%
Magnolia Health Plan – Wellcare By All Well Of Mississippi	$20,143	143%
Medicare (plans)	$20,143 - $21,150	143%
UnitedHealthcare	$20,143 - $20,145	143%
Aetna	$20,344	144%
Shared Health Mississippi	$21,150	150%
Ambetter / Centene	$34,243	243%
Primewell Health Services – Commercial	$49,350	350%
Primewell Health Services Commercial Exchange Plan	$49,355	350%

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 $10,429.
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 Medical Center-Hancock 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.