CMS Price Transparency Data

Sepsis treatment (inpatient stay)

Facility: Margaretville Memorial Hospital

Billing Code: 871 (MS-DRG)

The BaseRate · fair price high confidence

A fair price for this

$18,440

about 1.3× the $14,117 Medicare rate · typically $10,013–$27,298

modeled estimate · not a bill or quote

Medicare pays $14,117 Fair price $18,440 Cash price $15,279 Hospital's list price $27,203

How we calculate the fair BaseRate →

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

3 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna CignaHumanaKaiser 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	$3,395 - $56,283	24%
Blue Cross Blue Shieldmajor	$3,395 - $68,963	24%
Aetnamajor	$3,395 - $55,743	24%
CDPHP	$3,395 - $3,735	24%
MagnaCare	$3,395 - $7,456	24%
Molina	$3,565	25%
MVP Health Care	$3,395 - $48,147	24%
WellCare	$3,395	24%
+ 9 smaller / regional plans	$2,654 - $79,964

Government programs also on file: Medicare.

Excludes 2 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

Tell the billing desk you want to be billed as self-pay — not through insurance — before your visit.
Ask for the cash / prompt-pay discount in writing, with the exact price (about 15,279), before you agree to anything.
Get it in writing that they won’t also bill your insurance, so the cash price is what you owe.
Check the MS-DRG code on your bill matches exactly: 871.

Insurance Before you use insurance

Call your insurance company to confirm Margaretville Memorial Hospital is in-network.
Ask your insurer whether prior approval is required for MS-DRG code 871.
Confirm the doctor or provider is in-network too — not just the hospital building.
Check your Explanation of Benefits against the hospital’s final itemized bill.

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

How you’d pay

Deductible left to meet ($)

Your coinsurance (%)

Enter your details and press estimate to compare.

Other Procedures at Margaretville Memorial Hospital

Compare: Sepsis treatment (inpatient stay) at other NY hospitals

United Memorial Medical Center · Batavia $8,042
Kenmore Mercy Hospital · Kenmore $11,437
Mercy Hospital of Buffalo · Buffalo $11,437
Montefiore St Luke's Cornwall · Newburgh $16,782
Arnot Ogden Medical Center · Elmira $16,884
Montefiore Mount Vernon Hospital · Mount Vernon $17,174
Montefiore New Rochelle Hospital · New Rochelle $17,253
Bertrand Chaffee Hospital · Springville $17,440

Insurance negotiated median for the same procedure, sorted lowest first.