CMS Price Transparency Data

Sepsis treatment (inpatient stay)

Facility: St Charles Medical Center - Bend

Billing Code: 871 (MS-DRG)

The BaseRate · fair price high confidence

A fair price for this

$20,127

about 1.4× the $14,117 Medicare rate · typically $16,810–$29,389

modeled estimate · not a bill or quote

What this hospital charges insurers

$16,888

Below the fair price — a good deal

about $3,239 under the fair price · 1.2× Medicare

Medicare pays $14,117 Fair price $20,127 This hospital $16,888 Cash price $41,975 Hospital's list price $52,469

How we calculate the fair BaseRate →

How this hospital compares to other OR hospitals

One of the lower prices — 6 of 8 other OR hospitals charge more for the same procedure.

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 $20,127 (about 1.4× the $14,117 Medicare rate). St Charles Medical Center - Bend charges insurers about $16,888, or about $41,975 in cash — below the fair price — a good deal. Located in Bend, 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	$16,888	120%
Blue Cross Blue Shieldmajor	$18,577 - $42,279	132%
Aetnamajor	$16,888	120%
Cignamajor	$16,888	120%
Humanamajor	$16,888	120%
Kaiser Permanentemajor	$12,093 - $31,243	86%
Devoted Health	$16,888	120%
Health Net	$16,888	120%
Moda Health	$33,776	239%
PacificSource	$12,869 - $14,264	91%
Providence Health Plan	$33,776	239%
UniCare	$16,888	120%
WellCare	$16,888	120%
+ 28 smaller / regional plans	$12,093 - $42,279

Government programs also on file: Medicare, Medicaid, Military & VA.

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 (about 41,975), 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 St Charles Medical Center - Bend 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 St Charles Medical Center - Bend

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

Santiam Hospital & Clinics · Stayton $16,505
Willamette Valley Medical Center · McMinnville $16,589
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
Legacy Mount Hood Medical Center · Gresham $20,458
Providence Medford Medical Center · Medford $20,516

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