CMS Price Transparency Data

Sepsis treatment (inpatient stay)

Facility: Long Island Community Hospital

Billing Code: 871 (MS-DRG)

The BaseRate · fair price high confidence

A fair price for this

$23,585

about 1.7× the $14,117 Medicare rate · typically $17,589–$38,169

modeled estimate · not a bill or quote

What this hospital charges insurers

$18,816

Below the fair price — a good deal

about $4,769 under the fair price · 1.3× Medicare

Medicare pays $14,117 Fair price $23,585 This hospital $18,816

How we calculate the fair BaseRate →

How this hospital compares to other NY hospitals

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

Cheapest $8,042 Priciest $18,816

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

A fair price for a Sepsis treatment (inpatient stay) is about $23,585 (about 1.7× the $14,117 Medicare rate). Long Island Community Hospital charges insurers about $18,816 — below the fair price — a good deal. Located in Patchogue, NY.

What each insurance company pays

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

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana Kaiser 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	$18,816 - $50,747	133%
Blue Cross Blue Shieldmajor	$18,816 - $67,666	133%
Aetnamajor	$13,924 - $18,816	99%
Cignamajor	$18,816 - $53,498	133%
Humanamajor	$18,816	133%
Fidelis Care	$18,816	133%
Oscar Health	$12,795	91%
WellCare	$20,698	147%
+ 12 smaller / regional plans	$9,408 - $45,671

Government programs also on file: Medicare.

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 Long Island Community Hospital 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 Long Island Community 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.