Sepsis treatment (inpatient stay)
Facility: Memorial Health Care Systems
Billing Code: 871 (MS-DRG)
Compares typical commercial prices against the fair price benchmark after accounting for local wages and case complexity.
3-Star CMS clinical quality rating paired with 1.00× fair market pricing.
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
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 | $10,554 - $17,617 | 75% |
| Blue Cross Blue Shieldmajor | $10,554 - $17,078 | 75% |
| Aetnamajor | $17,617 | 125% |
| Ambetter (Centene) | $17,258 | 122% |
| Medica | $10,554 - $17,258 | 75% |
| Molina | $12,505 | 89% |
| WellCare | $10,765 | 76% |
| + 2 smaller / regional plans | $10,554 - $12,505 |
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.
Other Procedures at Memorial Health Care Systems
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
- Bellevue Medical Center · Bellevue $15,115
- CHI Health Nebraska Heart · Lincoln $17,250
Insurance negotiated median for the same procedure, sorted lowest first.
Audit a Bill or Quote at Memorial Health Care Systems (Zero PHI Required)
Statutory 501(r) AGB Cap Limits Bill to $6,526
At 274% FPL (201%–400% FPL tier), 26 U.S.C. § 501(r)(5) caps FAP-eligible bills at Amounts Generally Billed (36.3% of gross = $6,526).
Compare Prompt-Pay Cash Rate Against Remaining Deductible
Memorial Health Care Systems's published 45 CFR § 180 self-pay cash rate is $17,977. Ask billing to reclassify the visit to prompt-pay self-pay if it beats your deductible.
Request Itemized CPT Coding & Medicare Benchmark Review
Your entered amount is at or below the modeled Fair BaseRate benchmark.
Clinical Quality, Patient Experience & Infection Benchmarks
Source: CMS Hospital Care Compare. Clinical quality metrics summarize historical facility-wide cohorts and are not medical advice for individual care decisions.
How to Pay Less Nearby: Freestanding Centers, Insurer Leverage & Outpatient Savings
Verify the Raw Data: Official Hospital MRF, CMS Medicare.gov & Federal Filings
Safe-Harbor Data Corrections: Parsed directly from public 45 CFR § 180 hospital filings, CMS Care Compare, and CMS HCRIS cost reports. Hospital compliance officers may submit updated MRF URLs or rate tables for verification.