CMS Price Transparency Data

Sepsis treatment (inpatient stay)

Facility: Lincoln County Medical Center

Billing Code: 871 (MS-DRG)

The BaseRate · fair price high confidence

A fair price for this

$20,675

about 1.5× the $14,117 Medicare rate · typically $9,702–$21,316

modeled estimate · not a bill or quote

What this hospital charges insurers

$21,288

About the fair price

about $613 over the fair price · 1.5× Medicare

Medicare pays $14,117 Fair price $20,675 This hospital $21,288

How we calculate the fair BaseRate →

How this hospital compares to other NM hospitals

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

Cheapest $13,161 Priciest $21,288

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 $20,675 (about 1.5× the $14,117 Medicare rate). Lincoln County Medical Center charges insurers about $21,288 — about the fair price. Located in Ruidoso, NM.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

5 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana Kaiser 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	$16,017 - $33,812	113%
Blue Cross Blue Shieldmajor	$16,017 - $35,217	113%
Aetnamajor	$16,171 - $45,494	115%
Cignamajor	$16,171 - $28,324	115%
Humanamajor	$18,808	133%
Molina	$18,462 - $30,111	131%
Presbyterian	$9,869 - $32,209	70%
+ 2 smaller / regional plans	$16,017 - $18,980

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 Lincoln County 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 Lincoln County 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
Carlsbad Medical Center · Carlsbad $15,306
Mountain View Regional Medical Center · Las Cruces $15,435
Eastern New Mexico Medical Center · Roswell $15,753
Covenant Health Hobbs Hospital · Hobbs $18,093

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