CMS Price Transparency Data

Sepsis treatment (inpatient stay)

Facility: St Charles Madras

Billing Code: 871 (MS-DRG)

The BaseRate · fair price medium confidence

A fair price for this

$23,400

about 1.7× the $14,117 Medicare rate · typically $12,070–$44,471

modeled estimate · not a bill or quote

Medicare pays $14,117 Fair price $23,400 Cash price $22,398 Hospital's list price $27,997

How we calculate the fair BaseRate →

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	$5,338	38%
Blue Cross Blue Shieldmajor	$5,872	42%
Aetnamajor	$5,338	38%
Cignamajor	$5,338	38%
Humanamajor	$5,338	38%
Kaiser Permanentemajor	$5,338	38%
Devoted Health	$5,338	38%
Health Net	$5,338	38%
UniCare	$5,338	38%
WellCare	$5,338	38%
+ 7 smaller / regional plans	$5,338 - $41,769

Government programs also on file: Medicare, 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 22,398), 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 Madras 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 Madras

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.