CMS Price Transparency Data

Sepsis treatment (inpatient stay)

Facility: UPMC Pinnacle Hospitals

Billing Code: 871 (MS-DRG)

The BaseRate · fair price high confidence
A fair price for this
$17,605
about 1.2× the $14,117 Medicare rate · typically $15,055–$21,850
modeled estimate · not a bill or quote
What this hospital charges insurers
$17,561
About the fair price
about $44 under the fair price · 1.2× Medicare
Medicare pays $14,117 Fair price $17,605 This hospital $17,561

How we calculate the fair BaseRate →

How this hospital compares to other PA hospitals

Highest price of the 9 PA hospitals we have prices for — worth calling around.

Cheapest $12,085 Priciest $17,561

Black dot = this hospital, among the 9 PA hospitals with a price for this procedure. Full list below.

A fair price for a Sepsis treatment (inpatient stay) is about $17,605 (about 1.2× the $14,117 Medicare rate). UPMC Pinnacle Hospitals charges insurers about $17,561 — about the fair price. Located in Harrisburg, PA.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

5 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 $17,895 127%
Blue Cross Blue Shieldmajor $16,557 - $42,091 117%
Aetnamajor $17,444 124%
Cignamajor $17,561 124%
Humanamajor $17,226 122%
UPMC Health Plan $23,166 164%
+ 2 smaller / regional plans $17,394 - $39,665

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Facility Profile & Credentials

  • Address: 409 South Second Street, Harrisburg, PA 17104
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals