CMS Price Transparency Data

Sepsis treatment (inpatient stay)

Facility: PAM Health Specialty Hospital of Reno

Billing Code: 871 (MS-DRG)

The BaseRate · fair price medium confidence

A fair price for this

$27,424

about 1.9× the $14,117 Medicare rate · typically $11,871–$44,715

modeled estimate · not a bill or quote

What this hospital charges insurers

$38,705

Above the fair price

about $11,281 over the fair price · 2.7× Medicare

Medicare pays $14,117 Fair price $27,424 This hospital $38,705

How we calculate the fair BaseRate →

How this hospital compares to other NV hospitals

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

Cheapest $16,393 Priciest $38,705

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 $27,424 (about 1.9× the $14,117 Medicare rate). PAM Health Specialty Hospital of Reno charges insurers about $38,705 — above the fair price. Located in Reno, NV.

This price is above the fair BaseRate — you may be able to pay less

Ask the hospital for the cash / self-pay price, check whether you qualify for financial assistance, or negotiate the bill down toward the fair price of about $27,424. Many patients pay well below the first number they’re quoted — the checklists below walk you through it.

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

✓ Blue Cross Blue Shield✓ Aetna✓ Humana UnitedHealthcareCignaKaiser 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	$38,705	274%
Aetnamajor	$38,705	274%
Humanamajor	$38,705	274%
Molina	$42,575	302%
SelectHealth	$38,705	274%
+ 9 smaller / regional plans	$38,705 - $48,381

Excludes 2 rental-network / third-party entries (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 PAM Health Specialty Hospital of Reno 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 PAM Health Specialty Hospital of Reno

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
Summerlin Hospital Medical Center · Las Vegas $19,450
Spring Valley Hospital Medical Center · Las Vegas $19,450
Henderson Hospital · Henderson $19,450
West Henderson Hospital · Henderson $19,450

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