CMS Price Transparency Data

Sepsis treatment (inpatient stay)

Facility: Colleton Medical Center

Billing Code: 871 (MS-DRG)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 871
  • Insurance Median: $15,485
  • Cash Discount Price: Unavailable
  • vs. Medicare Baseline: 1.10x Medicare
The contracted insurance negotiated median rate for a Sepsis treatment (inpatient stay) at Colleton Medical Center is $15,485. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is unavailable. Compared to the federal Medicare reimbursement reference rate of $14,116.91, this hospital’s rate is 1.10x the Medicare baseline. Located in 501 Robertson Boulevard, Walterboro, SC.
Cash / Self-Pay
Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median
$15,485

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%)
Insurance Median: $15,485 (110%)
Ins. Median: $15,485 (110% 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.

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
Absolute Total Care $2,020 - $28,293 14%
Sc State Employees $3,346 - $18,605 24%
United $5,173 - $15,614 37%
Arcadian $13,000 - $15,614 92%
Blue Cross Blue Shield $13,000 - $56,450 92%
Hospice Care $13,000 - $15,614 92%
Humana $13,000 - $15,614 92%
Odyssey Hospice $13,000 - $15,614 92%
Regency Hospice $13,000 - $15,614 92%
United Behavioral Health $13,000 - $15,614 92%
United Hospice $13,000 - $15,614 92%
Aetna $13,130 - $15,770 93%
Clover $13,260 - $15,926 94%
Devoted Health $13,260 - $15,926 94%
Molina $13,260 - $16,680 94%
Wellcare $13,260 - $15,926 94%
Boldage Pace $13,390 - $16,082 95%
Apex Health $13,520 96%
Eon Health $13,520 - $16,239 96%
Nhc Advantage $13,520 - $16,239 96%
Pruitt Health $13,520 - $16,239 96%
Cigna $13,650 - $16,395 97%
Universal Healthcare Group $14,040 - $16,863 99%
Corvel Corporation $17,837 - $21,422 126%
Employer'S Health Network $17,837 - $21,422 126%
Prime Health $17,837 - $21,422 126%
Heritage Summit $19,111 - $22,953 135%
Medical Development $19,501 138%
Seven Corners $22,751 - $27,324 161%
Naphcare $25,351 - $30,447 180%
Blue Choice Health Plan $29,511 - $30,840 209%
Multiplan $34,767 - $35,121 246%
Select Health $38,548 - $40,090 273%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 501 Robertson Boulevard, Walterboro, SC 29488
  • CMS Rating: ★★★☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals