CMS Price Transparency Data

Sepsis treatment (inpatient stay)

Facility: Penn Medicine | Good Shepherd Rehabilitation

Billing Code: 871 (MS-DRG)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 871
Insurance Median: $2,526
Cash Discount Price: $1,800
vs. Medicare Baseline: 0.18x Medicare

The contracted insurance negotiated median rate for a Sepsis treatment (inpatient stay) at Penn Medicine | Good Shepherd Rehabilitation is $2,526. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,800. Compared to the federal Medicare reimbursement reference rate of $14,116.91, this hospital’s rate is 0.18x the Medicare baseline. Located in 1800 Lombard St, Fifth Floor, Philadelphia, PA.

Cash / Self-Pay

$1,800

Average discount available for prompt cash payment at this facility.

Insurance Median

$2,526

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate

$14,116.91

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $14,116.91 (100%)

Cash / Self-Pay: $1,800 (13%)

Insurance Median: $2,526 (18%)

Cash: $1,800 (13% of Medicare)

Ins. Median: $2,526 (18% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $14,116.91 as the cost baseline. Rates below the baseline represent excellent value. In-network commercial rates commonly hover around 150% - 250% of Medicare, while rates exceeding 300% are elevated. Hover over the green and blue markers to view detailed calculations.

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Billing Status

Remaining Deductible ($)

Your Coinsurance Rate (%)

Input your details and click calculate to compare out-of-pocket costs.

Commercial Insurance Negotiated Rates

Negotiated contract ranges established by major commercial carriers at this facility.

Carrier / Plan Group	Contract Rate Range	vs. Medicare Reference
Geisinger	$1,650 - $2,300	12%
Keystone First	$1,650 - $51,433	12%
Devon Health	$1,700 - $2,000	12%
Aetna	$1,949 - $2,293	14%
Cigna	$2,178 - $51,433	15%
Blue Cross Blue Shield	$2,385 - $2,649	17%
Highmark Sepa	$2,421 - $2,781	17%
UnitedHealthcare	$3,596 - $4,452	25%
Prime Health	$36,003	255%
Multiplan	$41,146	291%
Humana	$48,347 - $51,947	342%
Choice Care	$51,433	364%
Clover Health	$51,433	364%
Highmark Wholecare	$51,433	364%
Medicare (plans)	$51,433	364%
PA Health and Wellness	$51,433 - $52,462	364%
Imagine Health	$90,008	638%
Preferred Health Care	$92,579	656%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $1,800.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify MS-DRG Code matches exactly: 871.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Penn Medicine | Good Shepherd Rehabilitation is fully in-network.
Ask your insurer if "Prior Authorization" is required for MS-DRG code 871.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.