CMS Price Transparency Data

Sepsis treatment (inpatient stay)

Facility: Raritan Bay Medical Center

Billing Code: 871 (MS-DRG)

The BaseRate · fair price high confidence

A fair price for this

$23,464

about 1.7× the $14,117 Medicare rate · typically $17,745–$38,168

modeled estimate · not a bill or quote

What this hospital charges insurers

$20,141

Below the fair price — a good deal

about $3,323 under the fair price · 1.4× Medicare

Medicare pays $14,117 Fair price $23,464 This hospital $20,141 Cash price $16,972

How we calculate the fair BaseRate →

How this hospital compares to other NJ hospitals

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

Cheapest $15,248 Priciest $20,141

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

A fair price for a Sepsis treatment (inpatient stay) is about $23,464 (about 1.7× the $14,117 Medicare rate). Raritan Bay Medical Center charges insurers about $20,141, or about $16,972 in cash — below the fair price — a good deal. Located in Perth Amboy, NJ.

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	$19,052 - $74,130	135%
Blue Cross Blue Shieldmajor	$18,145	129%
Aetnamajor	$18,145 - $54,733	129%
Cignamajor	$61,653 - $67,802	437%
Amerigroup	$18,145 - $19,415	129%
AmeriHealth	$15,049	107%
Clover Health	$19,959	141%
WellCare	$18,145	129%
+ 6 smaller / regional plans	$4,529 - $71,260

Government programs also on file: Military & VA.

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 (about 16,972), 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 Raritan Bay Medical Center 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 Raritan Bay Medical Center

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

Valley Hospital · Paramus $15,248
Shore Medical Center · Somers Point $15,824
Carewell Health Medical Center · East Orange $16,877
Riverview Medical Center · Red Bank $17,977
Bayshore Medical Center · Holmdel $18,098
Southern Ocean Medical Center · Manahawkin $18,557
Deborah Heart and Lung Center · Browns Mills $19,238
Jersey Shore University Medical Center · Neptune $19,810

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