CMS Price Transparency Data

Sepsis treatment (inpatient stay)

Facility: St Anthony Community Hospital

Billing Code: 871 (MS-DRG)

The BaseRate · fair price high confidence
A fair price for this
$30,889
about 2.2× the $14,117 Medicare rate · typically $18,811–$50,100
modeled estimate · not a bill or quote
What this hospital charges insurers
$48,149
Above the fair price
about $17,260 over the fair price · 3.4× Medicare
Medicare pays $14,117 Fair price $30,889 This hospital $48,149 Cash price $26,663 Hospital's list price $101,890

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 $48,149

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 $30,889 (about 2.2× the $14,117 Medicare rate). St Anthony Community Hospital charges insurers about $48,149, or about $26,663 in cash — above the fair price. Located in Warwick, 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 $30,889. 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 $17,775 - $56,646 126%
Blue Cross Blue Shieldmajor $17,775 - $99,580 126%
Aetnamajor $17,775 - $56,726 126%
Cignamajor $60,192 - $60,806 426%
CDPHP $17,775 126%
Fidelis Care $17,775 126%
Geisinger $17,775 - $40,350 126%
MagnaCare $17,775 - $80,184 126%
Molina $18,476 131%
MVP Health Care $17,596 - $63,775 125%
WellCare $17,775 126%
+ 14 smaller / regional plans $17,596 - $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: 15 Maple Avenue -19, Warwick, NY 10990
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Church
  • Hospital Type: Acute Care Hospitals