CMS Price Transparency Data
Sepsis treatment (inpatient stay)
Facility: Sisters of Charity Hospital
Billing Code: 871 (MS-DRG)
The BaseRate · fair price high confidence
A fair price for this
$15,378
about 1.1× the $14,117 Medicare rate · typically $11,673–$20,265
modeled estimate · not a bill or quote
Medicare pays $14,117 Fair price $15,378 Cash price $25,095 Hospital's list price $26,774
What each insurance company pays
Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.
4 of 6 major insurers have a published price at this hospital
✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna HumanaKaiser 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 | $3,952 - $36,664 | 28% |
| Blue Cross Blue Shieldmajor | $3,952 - $14,782 | 28% |
| Aetnamajor | $14,782 | 105% |
| Cignamajor | $14,782 | 105% |
| Amerigroup | $3,952 | 28% |
| Fidelis Care | $3,952 - $14,782 | 28% |
| Independent Health | $3,952 - $12,307 | 28% |
| Molina | $3,952 | 28% |
| MVP Health Care | $6,264 | 44% |
| UPMC Health Plan | $34,563 | 245% |
| WellCare | $14,782 | 105% |
| + 15 smaller / regional plans | $3,679 - $37,987 |
Government programs also on file: Medicare, Medicaid, Military & VA.
Excludes 2 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.
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Other Procedures at Sisters of Charity Hospital
Compare: Sepsis treatment (inpatient stay) at other NY hospitals
- United Memorial Medical Center · Batavia $8,042
- Kenmore Mercy Hospital · Kenmore $11,437
- Mercy Hospital of Buffalo · Buffalo $11,437
- Montefiore St Luke's Cornwall · Newburgh $16,782
- Arnot Ogden Medical Center · Elmira $16,884
- Montefiore Mount Vernon Hospital · Mount Vernon $17,174
- Montefiore New Rochelle Hospital · New Rochelle $17,253
- Bertrand Chaffee Hospital · Springville $17,440
Insurance negotiated median for the same procedure, sorted lowest first.