CMS Price Transparency Data

Sepsis treatment (inpatient stay)

Facility: University Hospitals Ahuja Medical Center

Billing Code: 871 (MS-DRG)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 871
  • Insurance Median: $22,109
  • Cash Discount Price: Unavailable
  • vs. Medicare Baseline: 1.57x Medicare
The contracted insurance negotiated median rate for a Sepsis treatment (inpatient stay) at University Hospitals Ahuja Medical Center is $22,109. 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 1.57x the Medicare baseline. Located in 3999 Richmond Road, Beachwood, OH.
Cash / Self-Pay
Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median
$22,109

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: $22,109 (157%)
Ins. Median: $22,109 (157% 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 $13,977 - $26,233 99%
Blue Cross Blue Shield $13,977 - $26,116 99%
Cigna $13,977 - $22,109 99%
Devoted Health $13,977 99%
Humana $13,977 99%
Medical Mutual Of Ohio $13,977 - $31,144 99%
Molina $13,977 99%
Primetime Health Plan $13,977 99%
Summacare $13,977 - $25,507 99%
The Health Plan $13,977 - $25,262 99%
UnitedHealthcare $13,977 - $29,329 99%
Wellcare By Allwell $13,977 99%
Paramount $14,396 102%
Perennial Advantage Of Ohio $14,675 104%
Valor Health Plans $14,675 104%
University Health Employee Plan (Contigo) $18,601 132%
Jp Farley $23,433 166%
Aultcare $23,641 167%
Ambetter / Centene $25,158 178%
Caresource $25,158 178%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 3999 Richmond Road, Beachwood, OH 44122
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals