CMS Price Transparency Data

Sepsis treatment (inpatient stay)

Facility: Legacy Mount Hood Medical Center

Billing Code: 871 (MS-DRG)

The BaseRate · fair price high confidence

A fair price for this

$22,288

about 1.6× the $14,117 Medicare rate · typically $17,257–$33,691

modeled estimate · not a bill or quote

What this hospital charges insurers

$20,458

About the fair price

about $1,830 under the fair price · 1.4× Medicare

Medicare pays $14,117 Fair price $22,288 This hospital $20,458

How we calculate the fair BaseRate →

How this hospital compares to other OR hospitals

On the higher side — 7 of 8 other OR hospitals charge less.

Cheapest $16,505 Priciest $20,516

Black dot = this hospital, among the 9 OR hospitals with a price for this procedure. Full list below.

A fair price for a Sepsis treatment (inpatient stay) is about $22,288 (about 1.6× the $14,117 Medicare rate). Legacy Mount Hood Medical Center charges insurers about $20,458 — about the fair price. Located in Gresham, OR.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

6 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	$18,983 - $43,549	134%
Blue Cross Blue Shieldmajor	$19,352 - $41,326	137%
Aetnamajor	$19,352 - $53,419	137%
Cignamajor	$20,273	144%
Humanamajor	$19,352	137%
Kaiser Permanentemajor	$18,430 - $36,860	131%
Devoted Health	$19,352	137%
Health Net	$19,536	138%
Moda Health	$20,642 - $48,616	146%
PacificSource	$19,905 - $37,082	141%
+ 6 smaller / regional plans	$18,983 - $35,321

Self-Pay How to get the cash price

Tell the billing desk you want to be billed as self-pay — not through insurance — before your visit.
Ask for the cash / prompt-pay discount in writing, with the exact price, before you agree to anything.
Get it in writing that they won’t also bill your insurance, so the cash price is what you owe.
Check the MS-DRG code on your bill matches exactly: 871.

Insurance Before you use insurance

Call your insurance company to confirm Legacy Mount Hood Medical Center is in-network.
Ask your insurer whether prior approval is required for MS-DRG code 871.
Confirm the doctor or provider is in-network too — not just the hospital building.
Check your Explanation of Benefits against the hospital’s final itemized bill.

Estimate your out-of-pocket cost

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

How you’d pay

Deductible left to meet ($)

Your coinsurance (%)

Enter your details and press estimate to compare.

Other Procedures at Legacy Mount Hood Medical Center

Compare: Sepsis treatment (inpatient stay) at other OR hospitals

Santiam Hospital & Clinics · Stayton $16,505
Willamette Valley Medical Center · McMinnville $16,589
St Charles Medical Center - Bend · Bend $16,888
Mid-Columbia Medical Center · The Dalles $16,964
Providence Newberg Medical Center · Newberg $17,780
Legacy Meridian Park Medical Center · Tualatin $18,454
Sky Lakes Medical Center · Klamath Falls $19,867
Providence Medford Medical Center · Medford $20,516

Insurance negotiated median for the same procedure, sorted lowest first.