CMS Price Transparency Data
Sepsis treatment (inpatient stay)
Facility: University Medical Center
Billing Code: 871 (MS-DRG)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 871
- Insurance Median: $3,403
- Cash Discount Price: Unavailable
- vs. Medicare Baseline: 0.24x Medicare
The contracted insurance negotiated median rate for a Sepsis treatment (inpatient stay) at University Medical Center is $3,403. 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 0.24x the Medicare baseline. Located in 1800 W Charleston Blvd, Las Vegas, NV.
Cash / Self-Pay
Unavailable
Average discount available for prompt cash payment at this facility.
Insurance Median
$3,403
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: $3,403 (24%)
Ins. Median: $3,403 (24% 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.
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 |
|---|---|---|
| Ambetter / Centene | $1,538 - $33,660 | 11% |
| Blue Cross Blue Shield | $1,538 - $21,716 | 11% |
| Molina | $1,538 - $32,140 | 11% |
| Sierra Health And Life | $1,538 - $21,716 | 11% |
| American Postal Workers Health Plan | $2,925 | 21% |
| Las Vegas Sand Corps | $2,925 | 21% |
| Surest | $2,925 | 21% |
| UnitedHealthcare | $2,925 - $21,716 | 21% |
| Arroweye Solutions | $3,284 | 23% |
| Dignity Health | $3,284 | 23% |
| Golden Entertainment | $3,284 | 23% |
| Golden Nugget Hotel & Casino | $3,284 | 23% |
| Marshall Retail Group | $3,284 | 23% |
| P3 Health Partners | $3,284 | 23% |
| Pli Las Vegas | $3,284 | 23% |
| Rebel Oil Company | $3,284 | 23% |
| State Of Nevada | $3,284 | 23% |
| Stations Casinos | $3,284 | 23% |
| Teacher'S Health Trust | $3,284 | 23% |
| Truline Corporation | $3,284 | 23% |
| Venetian/Palazzo | $3,284 | 23% |
| California Ironwork Field Welfare | $3,337 | 24% |
| Operating Engineers | $3,337 - $3,403 | 24% |
| Sheet Metal Workers | $3,337 | 24% |
| So Ca Pipe Trades H&W | $3,337 | 24% |
| Southwest Carpenters H&W | $3,337 | 24% |
| Boyd Group | $3,403 | 24% |
| Bricklayers Local 13 | $3,403 | 24% |
| Caesar'S Entertainment | $3,403 | 24% |
| Cement Masons & Plasters H&W | $3,403 | 24% |
| City Of Henderson | $3,403 | 24% |
| City Of North Las Vegas | $3,403 | 24% |
| Clark County Epo | $3,403 | 24% |
| Clark County Firefighters 1908 | $3,403 | 24% |
| Clark County Self Funded | $3,403 | 24% |
| Culinary Workers Hwf | $3,403 | 24% |
| Electrical Workers | $3,403 | 24% |
| Employee Painters Trust | $3,403 | 24% |
| Laborers Health And Welfare | $3,403 | 24% |
| Las Vegas Firefighters 1285 | $3,403 | 24% |
| Las Vegas Metro Police Dept | $3,403 | 24% |
| Mgm Grand | $3,403 | 24% |
| Mirage Las Vegas | $3,403 | 24% |
| Nevada Hand | $3,403 | 24% |
| Plumbers & Pipefitters Loc 525 | $3,403 | 24% |
| Resorts World Las Vegas | $3,403 | 24% |
| Switch | $3,403 | 24% |
| Teamsters Local 14 | $3,403 | 24% |
| Teamsters Local 631 | $3,403 | 24% |
| Teamsters Local 986 | $3,403 | 24% |
| Ufcw Local 711 Retail Clerks | $3,403 | 24% |
| Wynn Resorts | $3,403 | 24% |
| Cigna | $4,380 | 31% |
| Cirque De Soleil | $4,380 | 31% |
| Great West Healthcare | $4,380 | 31% |
| Kaiser | $4,380 | 31% |
| National Security Technologies | $4,380 | 31% |
| Aig | $4,455 | 32% |
| Beech Street | $4,455 | 32% |
| Aetna | $4,574 - $38,004 | 32% |
| Coventry | $4,574 | 32% |
| Mail Handlers Benefit Plan | $4,574 | 32% |
| Nevada Energy | $4,574 | 32% |
| Hometown Health Plan Of Nevada | $4,856 | 34% |
| One Health Plan | $4,856 | 34% |
| First Health | $5,517 | 39% |
| Health Net | $5,517 | 39% |
| Three Rivers Provider Network | $5,517 | 39% |
| Advantra Freedom | $21,716 | 154% |
| Alignment Health | $21,716 | 154% |
| Allwell | $21,716 | 154% |
| Healthcare Partners Of Nevada | $21,716 | 154% |
| P3 Health Partners Nevada | $21,716 | 154% |
| Scan | $21,716 | 154% |
| Selecthealth | $21,716 - $32,140 | 154% |
| Va Pc3 (Va Choice) | $21,716 | 154% |
| Health Direct Partners | $34,963 | 248% |
| Jw Marriott | $43,433 | 308% |
| Nevada Preferred Professionals | $43,433 | 308% |
| Prominence Health Plan | $43,433 | 308% |
| Universal Health Network (Uhn) | $43,433 | 308% |