CMS Price Transparency Data

Sepsis treatment (inpatient stay)

Facility: Geisinger-Bloomsburg Hospital

Billing Code: 871 (MS-DRG)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 871
Insurance Median: $14,469
Cash Discount Price: $23,384
vs. Medicare Baseline: 1.02x Medicare

The contracted insurance negotiated median rate for a Sepsis treatment (inpatient stay) at Geisinger-Bloomsburg Hospital is $14,469. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $23,384. Compared to the federal Medicare reimbursement reference rate of $14,116.91, this hospital’s rate is 1.02x the Medicare baseline. Located in 549 East Fair Street, Bloomsburg, PA.

Cash / Self-Pay

$23,384

Average discount available for prompt cash payment at this facility.

Insurance Median

$14,469

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: $23,384 (166%)

Insurance Median: $14,469 (102%)

Cash: $23,384 (166% of Medicare)

Ins. Median: $14,469 (102% 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.

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
Blue Cross Blue Shield	$10,128 - $23,798	72%
UnitedHealthcare	$11,523 - $11,848	82%
Cigna	$11,696	83%
Advantra	$11,848	84%
Geisinger Health Plan	$11,848 - $13,882	84%
Humana	$11,848 - $32,058	84%
Medical Development International	$11,848	84%
Medicare (plans)	$11,848	84%
American Progressive	$12,085	86%
Care Improvement Plus	$12,085	86%
Intergroup Services	$15,086 - $26,401	107%
Naphcare	$15,403	109%
Christian Healthcare Ministries	$18,858	134%
Aetna	$24,176 - $35,347	171%
Ambetter / Centene	$24,881	176%
Multiplan	$32,058	227%

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 $23,384.
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 Geisinger-Bloomsburg Hospital 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.