CMS Price Transparency Data

Sepsis treatment (inpatient stay)

Facility: Ochsner Stennis Memorial Hospital

Billing Code: 871 (MS-DRG)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 871
Insurance Median: $9,731
Cash Discount Price: $12,790
vs. Medicare Baseline: 0.69x Medicare

The contracted insurance negotiated median rate for a Sepsis treatment (inpatient stay) at Ochsner Stennis Memorial Hospital is $9,731. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $12,790. Compared to the federal Medicare reimbursement reference rate of $14,116.91, this hospital’s rate is 0.69x the Medicare baseline. Located in 14365 Highway 16 West, De Kalb, MS.

Cash / Self-Pay

$12,790

Average discount available for prompt cash payment at this facility.

Insurance Median

$9,731

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: $12,790 (91%)

Insurance Median: $9,731 (69%)

Cash: $12,790 (91% of Medicare)

Ins. Median: $9,731 (69% 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 - $4,046	27%
Select Administrative Services Network	$8,733	62%
Humana	$9,731	69%
Prime Health Services Ppo	$9,980	71%
Cor Vel	$10,729	76%
Prime Health Services Ppo -Workers Comp	$10,729	76%

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 $12,790.
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 Stennis Memorial 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.