CMS Price Transparency Data

Sepsis treatment (inpatient stay)

Facility: Prisma Health Hillcrest Hospital

Billing Code: 871 (MS-DRG)

The BaseRate · fair price high confidence
A fair price for this
$16,141
about 1.1× the $14,117 Medicare rate · typically $12,208–$17,344
modeled estimate · not a bill or quote
What this hospital charges insurers
$14,535
About the fair price
about $1,606 under the fair price · 1.0× Medicare
Medicare pays $14,117 Fair price $16,141 This hospital $14,535 Cash price $24,773

How we calculate the fair BaseRate →

How this hospital compares to other SC hospitals

On the higher side — 6 of 8 other SC hospitals charge less.

Cheapest $11,648 Priciest $15,195

Black dot = this hospital, among the 9 SC hospitals with a price for this procedure. Full list below.

A fair price for a Sepsis treatment (inpatient stay) is about $16,141 (about 1.1× the $14,117 Medicare rate). Prisma Health Hillcrest Hospital charges insurers about $14,535, or about $24,773 in cash — about the fair price. Located in Simpsonville, SC.

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 $5,976 - $13,676 42%
Blue Cross Blue Shieldmajor $13,214 - $28,206 94%
Aetnamajor $13,874 98%
Cignamajor $13,214 - $39,676 94%
Humanamajor $12,987 - $13,241 92%
Ambetter (Centene) $35,232 250%
Molina $14,535 103%
MVP Health Care $39,676 281%
WellCare $13,874 98%
+ 16 smaller / regional plans $9,060 - $39,676
Government programs also on file: Medicare, Medicaid, Military & VA.
Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 741 South East Main Street, Simpsonville, SC 29681
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals