CMS Price Transparency Data

Sepsis treatment (inpatient stay)

Facility: UPMC Presbyterian Shadyside

Billing Code: 871 (MS-DRG)

The BaseRate · fair price high confidence
A fair price for this
$16,679
about 1.2× the $14,117 Medicare rate · typically $14,142–$21,691
modeled estimate · not a bill or quote
What this hospital charges insurers
$21,883
Above the fair price
about $5,204 over the fair price · 1.6× Medicare
Medicare pays $14,117 Fair price $16,679 This hospital $21,883

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 $21,883

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 $16,679 (about 1.2× the $14,117 Medicare rate). UPMC Presbyterian Shadyside charges insurers about $21,883 — 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 $16,679. 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.

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 $20,018 142%
Blue Cross Blue Shieldmajor $18,535 - $76,066 131%
Aetnamajor $20,388 144%
AmeriHealth $20,018 142%
UPMC Health Plan $23,378 166%
+ 1 smaller / regional plan $20,018

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: 200 Lothrop Street, Pittsburgh, PA 15213
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals