CMS Price Transparency Data

Sepsis treatment (inpatient stay)

Facility: St Clair Hospital

Billing Code: 871 (MS-DRG)

The BaseRate · fair price high confidence
A fair price for this
$16,359
about 1.2× the $14,117 Medicare rate · typically $14,417–$25,752
modeled estimate · not a bill or quote
What this hospital charges insurers
$24,817
Above the fair price
about $8,458 over the fair price · 1.8× Medicare
Medicare pays $14,117 Fair price $16,359 This hospital $24,817 Cash price $14,222 Hospital's list price $41,261

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 $24,817

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 $16,359 (about 1.2× the $14,117 Medicare rate). St Clair Hospital charges insurers about $24,817, or about $14,222 in cash — 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 $16,359. 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 $13,731 - $24,817 97%
Blue Cross Blue Shieldmajor $12,378 - $27,542 88%
Aetnamajor $14,143 - $27,549 100%
Cignamajor $14,554 - $26,224 103%
Humanamajor $13,731 97%
AmeriHealth $13,731 97%
Geisinger $14,554 103%
HealthPartners $14,692 104%
UPMC Health Plan $14,614 - $20,991 104%
+ 2 smaller / regional plans $14,005 - $30,894

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: 1000 Bower Hill Road, Pittsburgh, PA 15243
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals