CMS Price Transparency Data

Sepsis treatment (inpatient stay)

Facility: Riverside Methodist Hospital

Billing Code: 871 (MS-DRG)

The BaseRate · fair price high confidence

A fair price for this

$16,085

about 1.1× the $14,117 Medicare rate · typically $14,706–$33,707

modeled estimate · not a bill or quote

What this hospital charges insurers

$16,296

About the fair price

about $211 over the fair price · 1.2× Medicare

Medicare pays $14,117 Fair price $16,085 This hospital $16,296

How we calculate the fair BaseRate →

How this hospital compares to other OH hospitals

Highest price of the 9 OH hospitals we have prices for — worth calling around.

Cheapest $8,741 Priciest $16,296

Black dot = this hospital, among the 9 OH hospitals with a price for this procedure. Full list below.

A fair price for a Sepsis treatment (inpatient stay) is about $16,085 (about 1.1× the $14,117 Medicare rate). Riverside Methodist Hospital charges insurers about $16,296 — about the fair price. Located in Columbus, OH.

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	$16,296 - $36,277	115%
Blue Cross Blue Shieldmajor	$16,296 - $38,818	115%
Aetnamajor	$16,296 - $43,428	115%
Cignamajor	$16,296 - $40,523	115%
Humanamajor	$16,296	115%
CareSource	$16,296	115%
Devoted Health	$16,296	115%
Medical Mutual	$16,296 - $36,509	115%
Molina	$16,296	115%
+ 3 smaller / regional plans	$16,296

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, 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 Riverside Methodist 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 Riverside Methodist Hospital

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

Fulton County Health Center · Wauseon $8,741
Blanchard Valley Hospital · Findlay $8,788
Bluffton Hospital · Bluffton $8,788
Christ Hospital · Cincinnati $12,716
Cincinnati Children's Hospital Medical Center · Cincinnati $12,716
Medina Hospital · Medina $13,105
Cleveland Clinic Avon Hospital · Avon $13,340
Bellevue Hospital · Bellevue $13,355

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