CMS Price Transparency Data

Sepsis treatment (inpatient stay)

Facility: Parma Community General Hospital

Billing Code: 871 (MS-DRG)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 871
  • Insurance Median: $14,518
  • Cash Discount Price: Unavailable
  • vs. Medicare Baseline: 1.03x Medicare
The contracted insurance negotiated median rate for a Sepsis treatment (inpatient stay) at Parma Community General Hospital is $14,518. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is unavailable. Compared to the federal Medicare reimbursement reference rate of $14,116.91, this hospital’s rate is 1.03x the Medicare baseline. Located in 7007 Powers Boulevard, Parma, OH.
Cash / Self-Pay
Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median
$14,518

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$14,116.91

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $14,116.91 (100%)
Insurance Median: $14,518 (103%)
Ins. Median: $14,518 (103% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $14,116.91 as the cost baseline. Rates below the baseline represent excellent value. In-network commercial rates commonly hover around 150% - 250% of Medicare, while rates exceeding 300% are elevated. Hover over the green and blue markers to view detailed calculations.

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Input your details and click calculate to compare out-of-pocket costs.

Commercial Insurance Negotiated Rates

Negotiated contract ranges established by major commercial carriers at this facility.

Carrier / Plan Group Contract Rate Range vs. Medicare Reference
Aetna $13,827 - $26,233 98%
Blue Cross Blue Shield $13,827 - $23,165 98%
Cigna $13,827 - $14,217 98%
Devoted Health $13,827 98%
Humana $13,827 98%
Medical Mutual Of Ohio $13,827 - $29,606 98%
Molina $13,827 98%
Primetime Health Plan $13,827 98%
Summacare $13,827 98%
The Health Plan $13,827 - $25,262 98%
UnitedHealthcare $13,827 - $27,050 98%
Wellcare By Allwell $13,827 98%
Paramount $14,242 101%
Perennial Advantage Of Ohio $14,518 103%
Valor Health Plans $14,518 103%
Jp Farley $21,540 153%
Aultcare $23,641 167%
Ambetter / Centene $24,889 176%
Caresource $24,889 176%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 7007 Powers Boulevard, Parma, OH 44129
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals