CMS Price Transparency Data
Sepsis treatment (inpatient stay)
Facility: Henry J Carter Specialty Hospital
Billing Code: 871 (MS-DRG)
The BaseRate · fair price medium confidence
A fair price for this
$37,938
about 2.7× the $14,117 Medicare rate · typically $13,120–$58,759
modeled estimate · not a bill or quote
Medicare pays $14,117 Fair price $37,938
What each insurance company pays
Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.
1 of 6 major insurers have a published price at this hospital
✓ Blue Cross Blue Shield UnitedHealthcareAetnaCignaHumanaKaiser 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 |
|---|---|---|
| Blue Cross Blue Shieldmajor | $28,809 | 204% |
| Fidelis Care | $62,828 - $73,128 | 445% |
| + 5 smaller / regional plans | $51,498 - $64,373 |
Government programs also on file: Military & VA.
Self-Pay How to get the cash price
Insurance Before you use insurance
Other Procedures at Henry J Carter Specialty 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.