CMS Price Transparency Data

Sepsis treatment (inpatient stay)

Facility: Atrium Health Pineville

Billing Code: 871 (MS-DRG)

The BaseRate · fair price high confidence
A fair price for this
$22,151
about 1.6× the $14,117 Medicare rate · typically $12,607–$26,577
modeled estimate · not a bill or quote
What this hospital charges insurers
$28,719
Above the fair price
about $6,568 over the fair price · 2.0× Medicare
Medicare pays $14,117 Fair price $22,151 This hospital $28,719

How we calculate the fair BaseRate →

How this hospital compares to other NC hospitals

Highest price of the 9 NC hospitals we have prices for — worth calling around.

Cheapest $13,012 Priciest $28,719

Black dot = this hospital, among the 9 NC hospitals with a price for this procedure. Full list below.

A fair price for a Sepsis treatment (inpatient stay) is about $22,151 (about 1.6× the $14,117 Medicare rate). Atrium Health Pineville charges insurers about $28,719 — above the fair price. Located in Charlotte, NC.

This price is above the fair BaseRate — you may be able to pay less

Ask the hospital for the cash / self-pay price, check whether you qualify for financial assistance, or negotiate the bill down toward the fair price of about $22,151. Many patients pay well below the first number they’re quoted — the checklists below walk you through it.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

5 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana Kaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company Price range vs. Medicare
UnitedHealthcaremajor $15,022 - $27,070 106%
Blue Cross Blue Shieldmajor $29,971 - $39,436 212%
Aetnamajor $14,764 105%
Cignamajor $14,978 - $35,118 106%
Humanamajor $14,550 103%
Ambetter (Centene) $21,085 - $26,547 149%
AmeriHealth $28,189 200%
WellCare $28,719 203%
+ 6 smaller / regional plans $28,468 - $29,580

Self-Pay How to get the cash price

Insurance Before you use insurance

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

Enter your details and press estimate to compare.

Facility Profile & Credentials

  • Address: 10628 Park Rd, Charlotte, NC 28210
  • CMS Rating: ★★★☆☆
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Acute Care Hospitals