CMS Price Transparency Data

Sepsis treatment (inpatient stay)

Facility: University Hospitals - Elyria Medical Center

Billing Code: 871 (MS-DRG)

The BaseRate · fair price high confidence
A fair price for this
$16,112
about 1.1× the $14,117 Medicare rate · typically $10,747–$20,808
modeled estimate · not a bill or quote
What this hospital charges insurers
$18,601
Above the fair price
about $2,489 over the fair price · 1.3× Medicare
Medicare pays $14,117 Fair price $16,112 This hospital $18,601

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 $18,601

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 $16,112 (about 1.1× the $14,117 Medicare rate). University Hospitals - Elyria Medical Center charges insurers about $18,601 — above the fair price. Located in Elyria, OH.

This price is above the fair BaseRate — you may be able to pay less

Ask the hospital for the cash / self-pay price, check whether you qualify for financial assistance, or negotiate the bill down toward the fair price of about $16,112. Many patients pay well below the first number they’re quoted — the checklists below walk you through it.

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 $13,643 97%
Blue Cross Blue Shieldmajor $13,643 - $24,401 97%
Aetnamajor $13,643 - $26,233 97%
Cignamajor $13,643 - $19,623 97%
Humanamajor $13,643 97%
Ambetter (Centene) $24,557 174%
CareSource $24,557 174%
Devoted Health $13,643 97%
Medical Mutual $13,643 - $27,813 97%
Molina $13,643 97%
Paramount $14,052 100%
WellCare $13,643 97%
+ 8 smaller / regional plans $13,643 - $25,507

Self-Pay How to get the cash price

Insurance Before you use insurance

Estimate your out-of-pocket cost

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

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Facility Profile & Credentials

  • Address: 630 East River Street, Elyria, OH 44035
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals