CMS Price Transparency Data

Sepsis treatment (inpatient stay)

Facility: Stillwater Billings Clinic

Billing Code: 871 (MS-DRG)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 871
Insurance Median: $11,784
Cash Discount Price: $12,404
vs. Medicare Baseline: 0.83x Medicare

The contracted insurance negotiated median rate for a Sepsis treatment (inpatient stay) at Stillwater Billings Clinic is $11,784. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $12,404. Compared to the federal Medicare reimbursement reference rate of $14,116.91, this hospital’s rate is 0.83x the Medicare baseline. Located in 710 N 11Th St, Columbus, MT.

Cash / Self-Pay

$12,404

Average discount available for prompt cash payment at this facility.

Insurance Median

$11,784

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: $12,404 (88%)

Insurance Median: $11,784 (83%)

Cash: $12,404 (88% of Medicare)

Ins. Median: $11,784 (83% 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
Humana	$5,576	39%
Pacific Source Mcr Advantage	$5,576	39%
Tricare	$5,576	39%
Blue Cross Blue Shield	$5,632 - $12,404	40%
Pacific Source Billings Clinic	$9,303	66%
Allied Core Value	$10,791	76%
Rci Wyoben	$11,164	79%
Wyo-Ben Inc- All Plans	$11,164	79%
Mountain Health Coop - All Plans	$11,412	81%
All Savers-All Plans	$11,784	83%
Allegiance Direct Ppo - All Other Plans	$11,784	83%
Blackhawk - All Plans	$11,784	83%
Cigna	$11,784	83%
Ebms Interwest	$11,784	83%
Ebms Town Pump	$11,784	83%
Gpa Interwest- All Plans	$11,784	83%
Interwest Health-All Plans	$11,784	83%
Mtada- All Plans	$11,784	83%
Pacific Source Voyager - All Other Plans	$11,784	83%
Pacificsource Nav	$11,784	83%
Prodegi (Y-Tex Corp)- All Plans	$11,784	83%
Rci Interwest	$11,784	83%
Town Pump Inc- All Plans	$11,784	83%
UnitedHealthcare	$11,784	83%
Aetna	$12,032	85%
Boon Chapman First Choice Health	$12,032	85%
Ebms First Choice Health	$12,032	85%
First Choice- All Plans	$12,032	85%
Murdoch Oil - All Plans	$12,032	85%
Rci First Choice Health - All Other Plans	$12,032	85%
Ryegate Public Schools - All Plans	$12,032	85%
Savatree - All Plans	$12,032	85%
Tabs - All Plans	$12,032	85%
Trustmark First Choice Health	$12,032	85%
Zenith First Choice Health- All Plans	$12,032	85%
Allegiance State Of Mt	$12,267	87%
Pacific Steel Direct - All Plans	$12,267	87%

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 $12,404.
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 Stillwater Billings Clinic 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.