CMS Price Transparency Data

Sepsis treatment (inpatient stay)

Facility: Guthrie Cortland Regional Medical Center

Billing Code: 871 (MS-DRG)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 871
Insurance Median: $18,598
Cash Discount Price: $26,809
vs. Medicare Baseline: 1.32x Medicare

The contracted insurance negotiated median rate for a Sepsis treatment (inpatient stay) at Guthrie Cortland Regional Medical Center is $18,598. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $26,809. Compared to the federal Medicare reimbursement reference rate of $14,116.91, this hospital’s rate is 1.32x the Medicare baseline. Located in 134 Homer Avenue, Cortland, NY.

Cash / Self-Pay

$26,809

Average discount available for prompt cash payment at this facility.

Insurance Median

$18,598

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate

$14,116.91

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $14,116.91 (100%)

Cash / Self-Pay: $26,809 (190%)

Insurance Median: $18,598 (132%)

Cash: $26,809 (190% of Medicare)

Ins. Median: $18,598 (132% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $14,116.91 as the cost baseline. Rates below the baseline represent excellent value. In-network commercial rates commonly hover around 150% - 250% of Medicare, while rates exceeding 300% are elevated. Hover over the green and blue markers to view detailed calculations.

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Billing Status

Remaining Deductible ($)

Your Coinsurance Rate (%)

Input your details and click calculate to compare out-of-pocket costs.

Commercial Insurance Negotiated Rates

Negotiated contract ranges established by major commercial carriers at this facility.

Carrier / Plan Group	Contract Rate Range	vs. Medicare Reference
UnitedHealthcare	$12,699 - $16,197	90%
Tricare	$16,197	115%
Wellcare	$16,197 - $18,598	115%
Blue Cross Blue Shield	$16,924 - $19,108	120%
Icircle	$19,108	135%
Aetna	$22,816	162%
Humana	$34,064	241%
Mvp	$34,516	245%
Amerihealth	$35,551	252%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $26,809.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify MS-DRG Code matches exactly: 871.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Guthrie Cortland Regional Medical Center is fully in-network.
Ask your insurer if "Prior Authorization" is required for MS-DRG code 871.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.