CMS Price Transparency Data
Sepsis treatment (inpatient stay)
Facility: St Charles Medical Center Prineville
Billing Code: 871 (MS-DRG)
The BaseRate · fair price high confidence
A fair price for this
$19,647
about 1.4× the $14,117 Medicare rate · typically $12,116–$31,345
modeled estimate · not a bill or quote
Medicare pays $14,117 Fair price $19,647 Cash price $24,153 Hospital's list price $30,192
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 | $5,349 | 38% |
| Blue Cross Blue Shieldmajor | $5,884 - $42,279 | 42% |
| Aetnamajor | $5,349 | 38% |
| Cignamajor | $5,349 | 38% |
| Humanamajor | $5,349 | 38% |
| Kaiser Permanentemajor | $5,349 - $31,243 | 38% |
| Devoted Health | $5,349 | 38% |
| Health Net | $5,349 | 38% |
| Moda Health | $33,776 | 239% |
| PacificSource | $12,869 - $14,264 | 91% |
| Providence Health Plan | $33,776 | 239% |
| UniCare | $5,349 | 38% |
| WellCare | $5,349 | 38% |
| + 12 smaller / regional plans | $5,349 - $42,279 |
Government programs also on file: Medicare, Military & VA.
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Other Procedures at St Charles Medical Center Prineville
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.