CMS Price Transparency Data

Sepsis treatment (inpatient stay)

Facility: Good Samaritan Hospital of Suffern

Billing Code: 871 (MS-DRG)

The BaseRate · fair price high confidence
A fair price for this
$24,385
about 1.7× the $14,117 Medicare rate · typically $17,420–$42,554
modeled estimate · not a bill or quote
What this hospital charges insurers
$50,538
Well above the fair price
about $26,153 over the fair price · 3.6× Medicare
Medicare pays $14,117 Fair price $24,385 This hospital $50,538 Cash price $27,513 Hospital's list price $117,133

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 $50,538

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 $24,385 (about 1.7× the $14,117 Medicare rate). Good Samaritan Hospital of Suffern charges insurers about $50,538, or about $27,513 in cash — well above the fair price. Located in Suffern, NY.

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 $24,385. 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.

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 $18,342 - $56,646 130%
Blue Cross Blue Shieldmajor $18,342 - $99,580 130%
Aetnamajor $18,342 - $56,726 130%
Cignamajor $60,192 - $60,806 426%
CDPHP $18,342 130%
Fidelis Care $18,342 130%
Geisinger $18,342 - $41,888 130%
MagnaCare $18,342 - $80,184 130%
Molina $19,375 137%
MVP Health Care $18,342 - $63,775 130%
WellCare $18,342 130%
+ 14 smaller / regional plans $18,342 - $200,813
Government programs also on file: Medicare, Military & VA.
Excludes 4 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

Insurance Before you use insurance

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

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Facility Profile & Credentials

  • Address: 255 Lafayette Avenue, Suffern, NY 10901
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals