CMS Price Transparency Data
Sepsis treatment (inpatient stay)
Facility: Dlp Swain County Hospital LLC
Billing Code: 871 (MS-DRG)
The BaseRate · fair price medium confidence
A fair price for this
$21,663
about 1.5× the $14,117 Medicare rate · typically $5,891–$31,762
modeled estimate · not a bill or quote
Medicare pays $14,117 Fair price $21,663 Cash price $10,163 Hospital's list price $25,408
What each insurance company pays
Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.
4 of 6 major insurers have a published price at this hospital
✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna HumanaKaiser 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 | $2,235 - $30,434 | 16% |
| Blue Cross Blue Shieldmajor | $2,235 - $21,408 | 16% |
| Aetnamajor | $2,235 | 16% |
| Cignamajor | $19,036 | 135% |
| Ambetter (Centene) | $5,374 | 38% |
| Health Net | $2,235 | 16% |
| Medical Mutual | $2,235 | 16% |
| UniCare | $2,235 | 16% |
| WellCare | $2,235 | 16% |
| + 13 smaller / regional plans | $2,235 |
Government programs also on file: Medicare.
Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.
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Other Procedures at Dlp Swain County Hospital LLC
Compare: Sepsis treatment (inpatient stay) at other NC hospitals
- Maria Parham Medical Center · Henderson $13,012
- Haywood Regional Medical Center · Clyde $13,295
- Carteret General Hospital · Morehead City $13,660
- Sentara Albemarle Medical Center · Elizabeth City $13,696
- Wilson Medical Center · Wilson $14,324
- Rutherford Regional Medical Center · Rutherfordton $14,841
- Harris Regional Hospital · Sylva $14,955
- Ecu Health North Hospital · Roanoke Rapids $15,300
Insurance negotiated median for the same procedure, sorted lowest first.