CMS Price Transparency Data

Sepsis treatment (inpatient stay)

Facility: Vibra Specialty Hospital of Portland

Billing Code: 871 (MS-DRG)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 871
Insurance Median: $47,644
Cash Discount Price: $47,644
vs. Medicare Baseline: 3.37x Medicare

The contracted insurance negotiated median rate for a Sepsis treatment (inpatient stay) at Vibra Specialty Hospital of Portland is $47,644. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $47,644. Compared to the federal Medicare reimbursement reference rate of $14,116.91, this hospital’s rate is 3.37x the Medicare baseline. Located in 10300 Ne Hancock St, Portland, OR.

Cash / Self-Pay

$47,644

Average discount available for prompt cash payment at this facility.

Insurance Median

$47,644

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate

$14,116.91

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $14,116.91 (100%)

Cash / Self-Pay: $47,644 (337%)

Insurance Median: $47,644 (337%)

Cash: $47,644 (337% of Medicare)

Ins. Median: $47,644 (337% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $14,116.91 as the cost baseline. Rates below the baseline represent excellent value. In-network commercial rates commonly hover around 150% - 250% of Medicare, while rates exceeding 300% are elevated. Hover over the green and blue markers to view detailed calculations.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 337% of the Medicare baseline (a markup of 237%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Billing Status

Remaining Deductible ($)

Your Coinsurance Rate (%)

Input your details and click calculate to compare out-of-pocket costs.

Commercial Insurance Negotiated Rates

Negotiated contract ranges established by major commercial carriers at this facility.

Carrier / Plan Group	Contract Rate Range	vs. Medicare Reference
Intercommunity_Health_Plans	$47,644	337%
Veterans_Care_Agreement	$47,644	337%
Blue Cross Blue Shield	$47,644	337%
Pacificsource	$47,644	337%
Williamette_Valley_Dr	$47,644	337%
Wellpath_Loa	$47,644	337%
Medicaid / KanCare	$47,644	337%
Medicare (plans)	$47,644	337%
Atrio_Mr	$47,644	337%
Care_Oregon	$47,644	337%
Samaritan_Health_Plan_Mr	$47,644	337%
Ohsu_Health_Dr	$47,644	337%
Va_Community_Care_Network	$47,644	337%
Care_Oregon_Mr	$47,644	337%
Cascade_Health_Alliance_Loa	$47,644	337%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $47,644.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify MS-DRG Code matches exactly: 871.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Vibra Specialty Hospital of Portland is fully in-network.
Ask your insurer if "Prior Authorization" is required for MS-DRG code 871.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.