CMS Price Transparency Data

Sepsis treatment (inpatient stay)

Facility: Parkland Health & Hospital System

Billing Code: 871 (MS-DRG)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 871
Insurance Median: $59,628
Cash Discount Price: $33,127
vs. Medicare Baseline: 4.22x Medicare

The contracted insurance negotiated median rate for a Sepsis treatment (inpatient stay) at Parkland Health & Hospital System is $59,628. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $33,127. Compared to the federal Medicare reimbursement reference rate of $14,116.91, this hospital’s rate is 4.22x the Medicare baseline. Located in 5200 Harry Hines Blvd, Dallas, TX.

Cash / Self-Pay

$33,127

Average discount available for prompt cash payment at this facility.

Insurance Median

$59,628

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: $33,127 (235%)

Insurance Median: $59,628 (422%)

Cash: $33,127 (235% of Medicare)

Ins. Median: $59,628 (422% 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.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 422% of the Medicare baseline (a markup of 322%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

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
Blue Cross Blue Shield	$11,841 - $59,628	84%
Molina Aca [1337]	$14,792	105%
Cigna	$38,924 - $49,690	276%
Aetna	$49,690	352%
Great West Healthcare [1037]	$49,690	352%
UnitedHealthcare	$55,239 - $87,055	391%
Care Improvement Plus [1104]	$87,055	617%
Procare Advantage [2104]	$87,055	617%
Triwest Healthcare Alliance [1409]	$87,055	617%
Medicare (plans)	$89,666 - $95,760	635%
Wellcare Of Texas [1330]	$89,666	635%

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 $33,127.
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 Parkland Health & Hospital System 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.