CMS Price Transparency Data

Sepsis treatment (inpatient stay)

Facility: St Francis Hospital - the Heart Center

Billing Code: 871 (MS-DRG)

The BaseRate · fair price high confidence
A fair price for this
$25,994
about 1.8× the $14,117 Medicare rate · typically $18,189–$44,459
modeled estimate · not a bill or quote
What this hospital charges insurers
$38,321
Above the fair price
about $12,327 over the fair price · 2.7× Medicare
Medicare pays $14,117 Fair price $25,994 This hospital $38,321

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 $38,321

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 $25,994 (about 1.8× the $14,117 Medicare rate). St Francis Hospital - the Heart Center charges insurers about $38,321 — above the fair price. Located in Roslyn, 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 $25,994. 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.

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 $17,032 - $61,086 121%
Blue Cross Blue Shieldmajor $16,691 - $61,086 118%
Aetnamajor $17,299 - $61,431 123%
Cignamajor $50,920 361%
Humanamajor $17,372 123%
AmeriHealth $73,141 518%
Cigna HealthSpring $17,032 121%
Fidelis Care $17,032 121%
Independent Health $17,032 121%
MVP Health Care $17,032 - $50,920 121%
WellCare $17,713 125%
+ 30 smaller / regional plans $9,878 - $73,141
Government programs also on file: Medicare, Military & VA.
Excludes 1 rental-network / third-party entry (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.

Enter your details and press estimate to compare.

Facility Profile & Credentials

  • Address: 100 Port Washington Boulevard, Roslyn, NY 11576
  • CMS Rating: ★★★★★
  • Ownership Type: Voluntary non-profit - Church
  • Hospital Type: Acute Care Hospitals