CMS Price Transparency Data

Sepsis treatment (inpatient stay)

Facility: UPMC St Margaret

Billing Code: 871 (MS-DRG)

The BaseRate · fair price high confidence
A fair price for this
$16,699
about 1.2× the $14,117 Medicare rate · typically $14,060–$20,939
modeled estimate · not a bill or quote
What this hospital charges insurers
$20,009
Above the fair price
about $3,310 over the fair price · 1.4× Medicare
Medicare pays $14,117 Fair price $16,699 This hospital $20,009

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 $20,009

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 $16,699 (about 1.2× the $14,117 Medicare rate). UPMC St Margaret charges insurers about $20,009 — above the fair price. Located in Pittsburgh, PA.

This price is above the fair BaseRate — you may be able to pay less

Ask the hospital for the cash / self-pay price, check whether you qualify for financial assistance, or negotiate the bill down toward the fair price of about $16,699. Many patients pay well below the first number they’re quoted — the checklists below walk you through it.

What each insurance company pays

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

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

✓ Blue Cross Blue Shield✓ Aetna UnitedHealthcareCignaHumanaKaiser 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
Blue Cross Blue Shieldmajor $15,940 - $64,636 113%
Aetnamajor $16,737 - $17,534 119%
UPMC Health Plan $16,753 - $20,009 119%
+ 1 smaller / regional plan $17,215

Self-Pay How to get the cash price

Insurance Before you use insurance

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

Enter your details and press estimate to compare.

Facility Profile & Credentials

  • Address: 815 Freeport Road, Pittsburgh, PA 15215
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals