CMS Price Transparency Data

Sepsis treatment (inpatient stay)

Facility: Rainbow Babies and Childrens Hospital

Billing Code: 871 (MS-DRG)

The BaseRate · fair price medium confidence
A fair price for this
$17,159
about 1.2× the $14,117 Medicare rate · typically $8,376–$33,235
modeled estimate · not a bill or quote
What this hospital charges insurers
$20,746
Above the fair price
about $3,587 over the fair price · 1.5× Medicare
Medicare pays $14,117 Fair price $17,159 This hospital $20,746

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 $20,746

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 $17,159 (about 1.2× the $14,117 Medicare rate). Rainbow Babies and Childrens Hospital charges insurers about $20,746 — above the fair price. Located in Cleveland, 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 $17,159. 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 $20,746 147%
Blue Cross Blue Shieldmajor $20,746 147%
Aetnamajor $20,746 147%
Cignamajor $20,746 147%
Humanamajor $20,746 147%
Devoted Health $20,746 147%
Medical Mutual $20,746 147%
Molina $20,746 147%
Paramount $21,368 151%
WellCare $20,746 147%
+ 5 smaller / regional plans $20,746 - $21,783

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: 11100 Euclid Avenue, Cleveland, OH 44106
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Childrens