CMS Price Transparency Data

Sepsis treatment (inpatient stay)

Facility: UPMC Northwest

Billing Code: 871 (MS-DRG)

The BaseRate · fair price high confidence
A fair price for this
$16,486
about 1.2× the $14,117 Medicare rate · typically $15,575–$17,522
modeled estimate · not a bill or quote
What this hospital charges insurers
$15,496
About the fair price
about $990 under the fair price · 1.1× Medicare
Medicare pays $14,117 Fair price $16,486 This hospital $15,496

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 $15,496

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 $16,486 (about 1.2× the $14,117 Medicare rate). UPMC Northwest charges insurers about $15,496 — about the fair price. Located in Seneca, PA.

What each insurance company pays

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

3 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna CignaHumanaKaiser 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 $15,067 - $15,784 107%
Blue Cross Blue Shieldmajor $14,349 - $24,333 102%
Aetnamajor $14,780 - $15,067 105%
AmeriHealth $15,497 110%
UPMC Health Plan $14,019 - $16,932 99%
+ 2 smaller / regional plans $3,704 - $15,497

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Facility Profile & Credentials

  • Address: 100 Fairfield Drive, Seneca, PA 16346
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Acute Care Hospitals