CMS Price Transparency Data

Sepsis treatment (inpatient stay)

Facility: Jefferson Stratford Hospital

Billing Code: 871 (MS-DRG)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 871
Insurance Median: $20,302
Cash Discount Price: $20,726
vs. Medicare Baseline: 1.44x Medicare

The contracted insurance negotiated median rate for a Sepsis treatment (inpatient stay) at Jefferson Stratford Hospital is $20,302. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $20,726. Compared to the federal Medicare reimbursement reference rate of $14,116.91, this hospital’s rate is 1.44x the Medicare baseline. Located in 18 East Laurel Road, Stratford, NJ.

Cash / Self-Pay

$20,726

Average discount available for prompt cash payment at this facility.

Insurance Median

$20,302

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%)

Cash / Self-Pay: $20,726 (147%)

Insurance Median: $20,302 (144%)

Cash: $20,726 (147% of Medicare)

Ins. Median: $20,302 (144% 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
St Agnes	$18,456	131%
UnitedHealthcare	$18,456 - $19,933	131%
Point of Comfort Refugee Resettlement	$18,456	131%
Medicare (plans)	$18,456 - $19,020	131%
Inspira Life	$18,456	131%
Tricare	$18,456	131%
Blue Cross Blue Shield	$18,623 - $24,174	132%
Humana	$18,825	133%
Aetna	$18,825 - $45,204	133%
Innovage	$18,825	133%
Cigna	$19,194 - $40,408	136%
Devoted Health Participation	$19,379	137%
Provider Partners Health Plan	$19,748	140%
Allwell PA Health_Wellness Ma	$20,302	144%
Highmark Wholecare Gateway	$20,302	144%
Geisinger Health Plan	$20,687 - $58,075	147%
Ibc Employee Benefit	$23,070	163%
Ibc Main Line Health	$23,070	163%
Ambetter / Centene	$23,566	167%
Jeff Nj Amerihealth_Ibc	$28,677 - $34,180	203%
Highmark	$29,403 - $36,432	208%
Naphcare	$29,530	209%

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 $20,726.
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 Jefferson Stratford Hospital 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.