CMS Price Transparency Data

Sepsis treatment (inpatient stay)

Facility: Providence Portland Medical Center

Billing Code: 871 (MS-DRG)

The BaseRate · fair price high confidence

A fair price for this

$24,565

about 1.7× the $14,117 Medicare rate · typically $17,673–$37,559

modeled estimate · not a bill or quote

What this hospital charges insurers

$35,010

Above the fair price

about $10,445 over the fair price · 2.5× Medicare

Medicare pays $14,117 Fair price $24,565 This hospital $35,010

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 $35,010

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 $24,565 (about 1.7× the $14,117 Medicare rate). Providence Portland Medical Center charges insurers about $35,010 — above the fair price. Located in Portland, OR.

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 $24,565. 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.

4 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Cigna✓ Humana AetnaKaiser 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	$19,562 - $56,220	139%
Blue Cross Blue Shieldmajor	$18,282 - $49,096	130%
Cignamajor	$64,904	460%
Humanamajor	$18,282	130%
Health Net	$18,282	130%
Moda Health	$18,282 - $86,341	130%
Molina	$19,744 - $33,456	140%
Providence Health Plan	$18,282 - $63,922	130%
+ 2 smaller / regional plans	$18,282 - $19,927

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 Providence Portland 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 Providence Portland 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
Legacy Mount Hood Medical Center · Gresham $20,458

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