CMS Price Transparency Data

Sepsis treatment (inpatient stay)

Facility: Inspira Medical Center Mullica Hill

Billing Code: 871 (MS-DRG)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 871
Insurance Median: $23,420
Cash Discount Price: Unavailable
vs. Medicare Baseline: 1.66x Medicare

The contracted insurance negotiated median rate for a Sepsis treatment (inpatient stay) at Inspira Medical Center Mullica Hill is $23,420. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is unavailable. Compared to the federal Medicare reimbursement reference rate of $14,116.91, this hospital’s rate is 1.66x the Medicare baseline. Located in 501 West Front Street, Elmer, NJ.

Cash / Self-Pay

Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median

$23,420

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate

$14,116.91

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $14,116.91 (100%)

Insurance Median: $23,420 (166%)

Ins. Median: $23,420 (166% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $14,116.91 as the cost baseline. Rates below the baseline represent excellent value. In-network commercial rates commonly hover around 150% - 250% of Medicare, while rates exceeding 300% are elevated. Hover over the green and blue markers to view detailed calculations.

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Billing Status

Remaining Deductible ($)

Your Coinsurance Rate (%)

Input your details and click calculate to compare out-of-pocket costs.

Commercial Insurance Negotiated Rates

Negotiated contract ranges established by major commercial carriers at this facility.

Carrier / Plan Group	Contract Rate Range	vs. Medicare Reference
Horizon Nj Health	$10,965	78%
Aetna	$21,888 - $48,242	155%
Braven Health	$21,888	155%
Horizon Nj Total Care	$21,888	155%
Medicare (plans)	$21,888	155%
UnitedHealthcare	$21,888 - $53,731	155%
Wellcare Dual Liberty	$21,888	155%
Wellpoint Full Dual Advantage	$21,888	155%
Clover Health	$22,545	160%
Healthspring	$22,545	160%
Humana	$22,983	163%
Jefferson Health Plan	$23,420	166%
Ambetter / Centene	$44,871	318%
Oxford Health Plans	$48,735	345%
Cigna	$52,840	374%
Blue Cross Blue Shield	$55,994 - $62,273	397%
Amerihealth	$61,203	434%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $X.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify MS-DRG Code matches exactly: 871.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Inspira Medical Center Mullica Hill is fully in-network.
Ask your insurer if "Prior Authorization" is required for MS-DRG code 871.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.