CMS Price Transparency Data

Sepsis treatment (inpatient stay)

Facility: Novant Health Matthews Medical Center

Billing Code: 871 (MS-DRG)

The BaseRate · fair price high confidence
A fair price for this
$25,606
about 1.8× the $14,117 Medicare rate · typically $13,872–$27,634
modeled estimate · not a bill or quote
What this hospital charges insurers
$25,041
About the fair price
about $565 under the fair price · 1.8× Medicare
Medicare pays $14,117 Fair price $25,606 This hospital $25,041

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 $25,041

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 $25,606 (about 1.8× the $14,117 Medicare rate). Novant Health Matthews Medical Center charges insurers about $25,041 — about the fair price. Located in Matthews, 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 $15,614 - $39,240 111%
Blue Cross Blue Shieldmajor $15,614 - $38,378 111%
Aetnamajor $16,004 113%
Cignamajor $16,082 - $37,974 114%
Humanamajor $15,614 111%
AmeriHealth $25,542 181%
CareSource $21,368 151%
WellCare $25,542 181%
+ 4 smaller / regional plans $15,614 - $31,227

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Facility Profile & Credentials

  • Address: 1500 Matthews Twnshp Prkwy Box 3310, Matthews, NC 28106
  • CMS Rating: ★★★★★
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Acute Care Hospitals