CMS Price Transparency Data

Sepsis treatment (inpatient stay)

Facility: Adventist Health Portland

Billing Code: 871 (MS-DRG)

The BaseRate · fair price high confidence

A fair price for this

$22,173

about 1.6× the $14,117 Medicare rate · typically $17,291–$34,351

modeled estimate · not a bill or quote

What this hospital charges insurers

$24,949

About the fair price

about $2,776 over the fair price · 1.8× Medicare

Medicare pays $14,117 Fair price $22,173 This hospital $24,949 Cash price $21,404 Hospital's list price $66,887

How we calculate the fair BaseRate →

How this hospital compares to other OR hospitals

Highest price of the 9 OR hospitals we have prices for — worth calling around.

Cheapest $16,505 Priciest $24,949

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 $22,173 (about 1.6× the $14,117 Medicare rate). Adventist Health Portland charges insurers about $24,949, or about $21,404 in cash — about the fair price. Located in Portland, 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	$17,465 - $51,636	124%
Blue Cross Blue Shieldmajor	$17,016 - $34,800	121%
Aetnamajor	$52,253	370%
Cignamajor	$24,340	172%
Humanamajor	$16,806 - $17,465	119%
Kaiser Permanentemajor	$16,476 - $29,211	117%
Health Net	$18,948 - $31,274	134%
Moda Health	$17,465 - $48,368	124%
+ 11 smaller / regional plans	$11,632 - $58,861

Excludes 6 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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 21,404), 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 Adventist Health Portland 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 Adventist Health Portland

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
Legacy Mount Hood Medical Center · Gresham $20,458

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