CMS Price Transparency Data

Sepsis treatment (inpatient stay)

Facility: UPMC Children's Hospital of Pittsburgh

Billing Code: 871 (MS-DRG)

The BaseRate · fair price high confidence
A fair price for this
$20,896
about 1.5× the $14,117 Medicare rate · typically $13,206–$30,632
modeled estimate · not a bill or quote
What this hospital charges insurers
$21,223
About the fair price
about $327 over the fair price · 1.5× Medicare
Medicare pays $14,117 Fair price $20,896 This hospital $21,223

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 $21,223

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 $20,896 (about 1.5× the $14,117 Medicare rate). UPMC Children's Hospital of Pittsburgh charges insurers about $21,223 — about the fair price. Located in Pittsburgh, PA.

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 $33,382 - $53,164 236%
Aetnamajor $9,393 - $10,332 67%
UPMC Health Plan $21,117 - $21,223 150%
+ 1 smaller / regional plan $14,923 - $40,979

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: One Children's Hospital Drive, Pittsburgh, PA 15224
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Childrens