CMS Price Transparency Data

Sepsis treatment (inpatient stay)

Facility: Penn Presbyterian Medical Center

Billing Code: 871 (MS-DRG)

The BaseRate · fair price high confidence
A fair price for this
$20,977
about 1.5× the $14,117 Medicare rate · typically $16,365–$32,365
modeled estimate · not a bill or quote
What this hospital charges insurers
$32,643
Above the fair price
about $11,666 over the fair price · 2.3× Medicare
Medicare pays $14,117 Fair price $20,977 This hospital $32,643

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 $32,643

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 $20,977 (about 1.5× the $14,117 Medicare rate). Penn Presbyterian Medical Center charges insurers about $32,643 — above the fair price. Located in Philadelphia, 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 $20,977. 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.

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 $3,121 - $42,751 22%
Blue Cross Blue Shieldmajor $16,431 - $42,076 116%
Aetnamajor $17,417 - $35,668 123%
Cignamajor $16,924 - $40,948 120%
Humanamajor $16,924 120%
Clover Health $17,417 123%
Geisinger $16,924 - $58,556 120%
HealthPartners $16,924 120%
Oscar Health $34,542 245%
UPMC Health Plan $16,431 116%
+ 18 smaller / regional plans $16,217 - $53,844
Government programs also on file: Medicare.
Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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: 51 North 39Th Street, Philadelphia, PA 19104
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Acute Care Hospitals