CMS Price Transparency Data

Sepsis treatment (inpatient stay)

Facility: Carolinas Medical Center/Behav Health

Billing Code: 871 (MS-DRG)

The BaseRate · fair price high confidence
A fair price for this
$20,875
about 1.5× the $14,117 Medicare rate · typically $12,605–$26,099
modeled estimate · not a bill or quote
What this hospital charges insurers
$21,719
About the fair price
about $844 over the fair price · 1.5× Medicare
Medicare pays $14,117 Fair price $20,875 This hospital $21,719

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 $21,719

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 $20,875 (about 1.5× the $14,117 Medicare rate). Carolinas Medical Center/Behav Health charges insurers about $21,719 — about the fair price. Located in Charlotte, NC.

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 $20,274 - $21,784 144%
Blue Cross Blue Shieldmajor $9,302 - $37,776 66%
Aetnamajor $21,409 152%
Cignamajor $21,719 - $35,118 154%
Humanamajor $21,099 149%
Ambetter (Centene) $21,085 - $26,547 149%
AmeriHealth $21,111 - $21,724 150%
Molina $22,074 - $23,499 156%
WellCare $21,509 152%
+ 6 smaller / regional plans $21,509 - $22,154

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: 1000 Blythe Blvd, Charlotte, NC 28203
  • CMS Rating: ★★★★☆
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Acute Care Hospitals