CMS Price Transparency Data

Sepsis treatment (inpatient stay)

Facility: CHI Health Midlands

Billing Code: 871 (MS-DRG)

The BaseRate · fair price high confidence

A fair price for this

$22,571

about 1.6× the $14,117 Medicare rate · typically $21,912–$31,559

modeled estimate · not a bill or quote

What this hospital charges insurers

$30,059

Above the fair price

about $7,488 over the fair price · 2.1× Medicare

Medicare pays $14,117 Fair price $22,571 This hospital $30,059

How we calculate the fair BaseRate →

How this hospital compares to other NE hospitals

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

Cheapest $9,142 Priciest $30,059

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

A fair price for a Sepsis treatment (inpatient stay) is about $22,571 (about 1.6× the $14,117 Medicare rate). CHI Health Midlands charges insurers about $30,059 — above the fair price. Located in Papillion, NE.

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 $22,571. 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.

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Humana AetnaCignaKaiser 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	$13,423 - $40,341	95%
Blue Cross Blue Shieldmajor	$13,423	95%
Humanamajor	$13,423	95%
Ambetter (Centene)	$9,054 - $13,825	64%
Amerigroup	$9,054 - $14,094	64%
Medica	$13,423 - $34,019	95%
Molina	$9,231	65%
+ 9 smaller / regional plans	$13,423 - $35,178

Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

Tell the billing desk you want to be billed as self-pay — not through insurance — before your visit.
Ask for the cash / prompt-pay discount in writing, with the exact price, before you agree to anything.
Get it in writing that they won’t also bill your insurance, so the cash price is what you owe.
Check the MS-DRG code on your bill matches exactly: 871.

Insurance Before you use insurance

Call your insurance company to confirm CHI Health Midlands is in-network.
Ask your insurer whether prior approval is required for MS-DRG code 871.
Confirm the doctor or provider is in-network too — not just the hospital building.
Check your Explanation of Benefits against the hospital’s final itemized bill.

Estimate your out-of-pocket cost

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

How you’d pay

Deductible left to meet ($)

Your coinsurance (%)

Enter your details and press estimate to compare.

Other Procedures at CHI Health Midlands

Compare: Sepsis treatment (inpatient stay) at other NE hospitals

CHI Health Schuyler · Schuyler $9,142
CHI Health St. Marys · Nebraska City $9,142
Boys Town National Research Hospital · Boys Town $11,330
Phelps Memorial Health Center · Holdrege $12,102
Children's Nebraska · Omaha $12,816
Mary Lanning Healthcare · Hastings $14,719
CHI Health Nebraska Heart · Lincoln $17,250
Midwest Surgical Hospital LLC · Omaha $17,409

Insurance negotiated median for the same procedure, sorted lowest first.