CMS Price Transparency Data

Sepsis treatment (inpatient stay)

Facility: Carlsbad Medical Center

Billing Code: 871 (MS-DRG)

The BaseRate · fair price high confidence

A fair price for this

$17,468

about 1.2× the $14,117 Medicare rate · typically $15,333–$21,619

modeled estimate · not a bill or quote

What this hospital charges insurers

$15,306

Below the fair price — a good deal

about $2,162 under the fair price · 1.1× Medicare

Medicare pays $14,117 Fair price $17,468 This hospital $15,306

How we calculate the fair BaseRate →

How this hospital compares to other NM hospitals

A typical price — 4 charge more and 4 charge less, among the 9 NM hospitals compared.

Cheapest $13,161 Priciest $19,788

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

A fair price for a Sepsis treatment (inpatient stay) is about $17,468 (about 1.2× the $14,117 Medicare rate). Carlsbad Medical Center charges insurers about $15,306 — below the fair price — a good deal. Located in Carlsbad, NM.

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✓ Cigna AetnaHumanaKaiser 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	$15,092 - $44,549	107%
Blue Cross Blue Shieldmajor	$11,833 - $19,476	84%
Cignamajor	$12,253	87%
Devoted Health	$16,070	114%
Molina	$15,306 - $42,542	108%
Presbyterian	$11,896 - $15,306	84%
+ 6 smaller / regional plans	$10,044 - $62,332

Government programs also on file: Medicare, Medicaid, Military & VA.

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 Carlsbad 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 Carlsbad Medical Center

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

Alta Vista Regional Hospital · Las Vegas $13,161
Christus St Vincent Regional Medical Center · Santa Fe $13,768
Gila Regional Medical Center · Silver City $14,082
Holy Cross Hospital A Div of Taos Health Systems · Taos $14,851
Mountain View Regional Medical Center · Las Cruces $15,435
Eastern New Mexico Medical Center · Roswell $15,753
Covenant Health Hobbs Hospital · Hobbs $18,093
Presbyterian Hospital · Albuquerque $19,788

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