CMS Price Transparency Data

Sepsis treatment (inpatient stay)

Facility: Gila Regional Medical Center

Billing Code: 871 (MS-DRG)

The BaseRate · fair price high confidence

A fair price for this

$16,230

about 1.1× the $14,117 Medicare rate · typically $11,154–$23,368

modeled estimate · not a bill or quote

What this hospital charges insurers

$14,082

Below the fair price — a good deal

about $2,148 under the fair price · 1.0× Medicare

Medicare pays $14,117 Fair price $16,230 This hospital $14,082 Cash price $43,850 Hospital's list price $54,813

How we calculate the fair BaseRate →

How this hospital compares to other NM hospitals

One of the lower prices — 6 of 8 other NM hospitals charge more for the same procedure.

Cheapest $13,161 Priciest $19,788

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

⚠ The cash price looks unusually high next to the insurance price — it may be the full list price, not a real cash discount. Call to confirm the self-pay rate.

A fair price for a Sepsis treatment (inpatient stay) is about $16,230 (about 1.1× the $14,117 Medicare rate). Gila Regional Medical Center charges insurers about $14,082, or about $43,850 in cash — below the fair price — a good deal. Located in Silver City, NM.

What each insurance company pays

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

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

✓ Blue Cross Blue Shield UnitedHealthcareAetnaCignaHumanaKaiser 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
Blue Cross Blue Shieldmajor	$9,247	66%
Presbyterian	$18,917	134%

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 43,850), 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 Gila Regional 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 Gila Regional 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
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
Presbyterian Hospital · Albuquerque $19,788

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