CMS Price Transparency Data

Sepsis treatment (inpatient stay)

Facility: Seiling Municipal Hospital

Billing Code: 871 (MS-DRG)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 871
Insurance Median: $9,427
Cash Discount Price: Unavailable
vs. Medicare Baseline: 0.67x Medicare

The contracted insurance negotiated median rate for a Sepsis treatment (inpatient stay) at Seiling Municipal Hospital is $9,427. 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 0.67x the Medicare baseline. Located in 809 Ne Highway 60, Seiling, OK.

Cash / Self-Pay

Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median

$9,427

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: $9,427 (67%)

Ins. Median: $9,427 (67% 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
Humana	$1,800 - $9,142	13%
Blue Cross Blue Shield	$4,116 - $23,361	29%
Aetna	$4,573 - $12,707	32%
UnitedHealthcare	$4,573 - $12,314	32%
Wellcare Mcr Adv - All Plans	$4,573	32%
Ambetter / Centene	$7,545	53%
Soonerselect Mcaid - All Plans	$9,142	65%
Multiplan Ip/Op Only - All Plans	$9,712	69%
Cigna	$10,822	77%
Community Choice Ppo Ip/Op Only - All Plans	$11,614	82%
Preferred Comm Ip/Op Only - All Plans	$11,614	82%
Healthchoice Ip/Op Only - All Plans	$23,108	164%

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 $X.
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 Seiling Municipal 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.