CMS Price Transparency Data

Sepsis treatment (inpatient stay)

Facility: Prisma Health Baptist

Billing Code: 871 (MS-DRG)

The BaseRate · fair price high confidence

A fair price for this

$17,934

about 1.3× the $14,117 Medicare rate · typically $15,347–$26,382

modeled estimate · not a bill or quote

What this hospital charges insurers

$20,781

Above the fair price

about $2,847 over the fair price · 1.5× Medicare

Medicare pays $14,117 Fair price $17,934 This hospital $20,781 Cash price $31,858

How we calculate the fair BaseRate →

How this hospital compares to other SC hospitals

Highest price of the 9 SC hospitals we have prices for — worth calling around.

Cheapest $11,648 Priciest $20,781

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 $17,934 (about 1.3× the $14,117 Medicare rate). Prisma Health Baptist charges insurers about $20,781, or about $31,858 in cash — above the fair price. Located in Columbia, SC.

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 $17,934. 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	$5,976 - $61,795	42%
Blue Cross Blue Shieldmajor	$16,312 - $89,064	116%
Aetnamajor	$17,127	121%
Cignamajor	$16,312 - $46,859	116%
Humanamajor	$16,312	116%
Ambetter (Centene)	$16,351	116%
Molina	$17,127	121%
WellCare	$17,127	121%
+ 10 smaller / regional plans	$17,127 - $89,272

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.

Self-Pay How to get the cash price

Tell the billing desk you want to be billed as self-pay — not through insurance — before your visit.
Ask for the cash / prompt-pay discount in writing, with the exact price (about 31,858), before you agree to anything.
Get it in writing that they won’t also bill your insurance, so the cash price is what you owe.
Check the MS-DRG code on your bill matches exactly: 871.

Insurance Before you use insurance

Call your insurance company to confirm Prisma Health Baptist is in-network.
Ask your insurer whether prior approval is required for MS-DRG code 871.
Confirm the doctor or provider is in-network too — not just the hospital building.
Check your Explanation of Benefits against the hospital’s final itemized bill.

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

How you’d pay

Deductible left to meet ($)

Your coinsurance (%)

Enter your details and press estimate to compare.

Other Procedures at Prisma Health Baptist

Compare: Sepsis treatment (inpatient stay) at other SC hospitals

Anmed Health · Anderson $11,648
Cannon Memorial Hospital · Pickens $11,884
McLeod Loris Hospital · Loris $13,397
MUSC Health Black River Medical Center · Cades $13,531
Cherokee Medical Center · Gaffney $13,907
Aiken Regional Medical Center · Aiken $14,196
Prisma Health Hillcrest Hospital · Simpsonville $14,535
MUSC Health Florence Medical Center · Florence $15,087

Insurance negotiated median for the same procedure, sorted lowest first.