CMS Price Transparency Data

Sepsis treatment (inpatient stay)

Facility: Summerlin Hospital Medical Center

Billing Code: 871 (MS-DRG)

The BaseRate · fair price high confidence

A fair price for this

$19,464

about 1.4× the $14,117 Medicare rate · typically $16,386–$20,540

modeled estimate · not a bill or quote

What this hospital charges insurers

$19,450

About the fair price

about $14 under the fair price · 1.4× Medicare

Medicare pays $14,117 Fair price $19,464 This hospital $19,450

How we calculate the fair BaseRate →

How this hospital compares to other NV hospitals

A typical price — 1 charge more and 4 charge less, among the 9 NV hospitals compared.

Cheapest $16,393 Priciest $19,487

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

A fair price for a Sepsis treatment (inpatient stay) is about $19,464 (about 1.4× the $14,117 Medicare rate). Summerlin Hospital Medical Center charges insurers about $19,450 — about the fair price. Located in Las Vegas, NV.

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✓ Aetna CignaHumanaKaiser 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	$19,258	136%
Blue Cross Blue Shieldmajor	$19,258 - $37,249	136%
Aetnamajor	$19,258 - $33,701	136%
Molina	$19,258	136%
SelectHealth	$19,258 - $36,975	136%
+ 4 smaller / regional plans	$18,199 - $36,012

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 Summerlin Hospital 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 Summerlin Hospital Medical Center

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

Saint Rose Dominican Hospitals - San Martin Campus · Las Vegas $16,393
Saint Rose Dominican Hospitals - Siena Campus · Henderson $16,409
Sunrise Hospital and Medical Center · Las Vegas $18,086
Northern Nevada Medical Center · Sparks $18,687
Spring Valley Hospital Medical Center · Las Vegas $19,450
Henderson Hospital · Henderson $19,450
West Henderson Hospital · Henderson $19,450
Mountainview Hospital · Las Vegas $19,487

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