CMS Price Transparency Data

Sepsis treatment (inpatient stay)

Facility: Good Samaritan Hospital Medical Center

Billing Code: 871 (MS-DRG)

The BaseRate · fair price high confidence
A fair price for this
$24,157
about 1.7× the $14,117 Medicare rate · typically $17,630–$42,327
modeled estimate · not a bill or quote
What this hospital charges insurers
$33,607
Above the fair price
about $9,450 over the fair price · 2.4× Medicare
Medicare pays $14,117 Fair price $24,157 This hospital $33,607

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 $33,607

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 $24,157 (about 1.7× the $14,117 Medicare rate). Good Samaritan Hospital Medical Center charges insurers about $33,607 — above the fair price. Located in West Islip, 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 $24,157. 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 $17,765 - $53,571 126%
Blue Cross Blue Shieldmajor $17,409 - $53,571 123%
Aetnamajor $18,445 - $44,451 131%
Cignamajor $37,521 266%
Humanamajor $18,120 128%
AmeriHealth $46,207 327%
Cigna HealthSpring $17,765 126%
Fidelis Care $17,765 126%
Independent Health $17,765 126%
MVP Health Care $17,765 - $37,521 126%
WellCare $18,475 131%
+ 30 smaller / regional plans $7,286 - $48,009
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.

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Facility Profile & Credentials

  • Address: 1000 Montauk Highway, West Islip, NY 11795
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals