CMS Price Transparency Data

Sepsis treatment (inpatient stay)

Facility: East Liverpool City Hospital

Billing Code: 871 (MS-DRG)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 871
Insurance Median: $15,790
Cash Discount Price: $15,789
vs. Medicare Baseline: 1.12x Medicare

The contracted insurance negotiated median rate for a Sepsis treatment (inpatient stay) at East Liverpool City Hospital is $15,790. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $15,789. Compared to the federal Medicare reimbursement reference rate of $14,116.91, this hospital’s rate is 1.12x the Medicare baseline. Located in 425 West 5Th Street, East Liverpool, OH.

Cash / Self-Pay

$15,789

Average discount available for prompt cash payment at this facility.

Insurance Median

$15,790

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%)

Cash / Self-Pay: $15,789 (112%)

Insurance Median: $15,790 (112%)

Cash: $15,789 (112% of Medicare)

Ins. Median: $15,790 (112% 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.

Billing Status

Remaining Deductible ($)

Your Coinsurance 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
Medicaid / KanCare	$9,676	69%
UnitedHealthcare	$13,934 - $23,506	99%
Blue Cross Blue Shield	$14,219	101%
Buckeye Community Health Plan	$14,219 - $25,264	101%
Medical Mutual Of Oh	$14,219	101%
Molina	$14,219 - $22,895	101%
Ubh	$14,219	101%
Care Source	$14,645 - $22,895	104%
Health America	$14,645	104%
Communicare	$15,214	108%
Perennial	$15,641	111%
Medicare (plans)	$15,790	112%
Tricare	$16,009	113%
Devoted Health	$16,579	117%
Valor Health Plan	$16,895	120%
Three Rivers	$18,548	131%
Provider Select	$18,931	134%
Naphcare	$18,948	134%
Multiplan (Fka Private Healthcare Systems)	$19,122	135%
Worker Compensation	$19,122	135%
Employer Direct Healthcare	$20,527	145%
Keenan	$22,050	156%
National Healthcare Solutions (Nhsi)	$25,264	179%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $15,789.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify MS-DRG Code matches exactly: 871.

Insurance In-Network Protection Plan

Contact your insurance company to confirm East Liverpool City Hospital is fully in-network.
Ask your insurer if "Prior Authorization" is required for MS-DRG code 871.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.