CMS Price Transparency Data

Sepsis treatment (inpatient stay)

Facility: Highland Hospital

Billing Code: 871 (MS-DRG)

The BaseRate · fair price high confidence
A fair price for this
$19,883
about 1.4× the $14,117 Medicare rate · typically $14,546–$26,836
modeled estimate · not a bill or quote
What this hospital charges insurers
$21,466
About the fair price
about $1,583 over the fair price · 1.5× Medicare
Medicare pays $14,117 Fair price $19,883 This hospital $21,466 Cash price $18,246

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 $21,466

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 $19,883 (about 1.4× the $14,117 Medicare rate). Highland Hospital charges insurers about $21,466, or about $18,246 in cash — about the fair price. Located in Rochester, NY.

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✓ Humana CignaKaiser 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 $21,466 152%
Blue Cross Blue Shieldmajor $18,117 - $21,466 128%
Aetnamajor $21,466 - $24,842 152%
Humanamajor $21,895 155%
+ 2 smaller / regional plans $21,466
Government programs also on file: Medicare.

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Facility Profile & Credentials

  • Address: 1000 South Avenue, Rochester, NY 14617
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals