Sepsis treatment (inpatient stay)
Facility: Medical City North Hills
Billing Code: 871 (MS-DRG)
This hospital's typical commercial price is $19,667 compared to the $20,109 fair price benchmark.
2-Star CMS clinical quality rating paired with 0.98× fair market pricing.
Highest price of the 9 TX hospitals we have prices for — worth calling around.
Black dot = this hospital, among the 9 TX hospitals with a price for this procedure. Full list below.
A fair price for a Sepsis treatment (inpatient stay) is about $20,109 (about 1.4× the $14,117 Medicare rate). Medical City North Hills charges insurers about $19,667 — about the fair price. Located in North Richland Hills, TX.
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
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 | $2,231 - $17,328 | 16% |
| Blue Cross Blue Shieldmajor | $4,136 - $30,837 | 29% |
| Aetnamajor | $2,433 - $17,488 | 17% |
| Cignamajor | $18,072 - $58,393 | 128% |
| Humanamajor | $17,364 - $57,267 | 123% |
| Amerigroup | $17,718 | 126% |
| Devoted Health | $18,072 | 128% |
| Fidelis Care | $20,021 | 142% |
| Healthcare Highways | $25,806 | 183% |
| Independent Health | $18,072 | 128% |
| Molina | $19,313 - $33,498 | 137% |
| Oscar Health | $1,575 - $15,771 | 11% |
| WellCare | $18,072 | 128% |
| WellMed | $17,665 | 125% |
| + 13 smaller / regional plans | $2,717 - $39,688 |
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.
Other Procedures at Medical City North Hills
Compare: Sepsis treatment (inpatient stay) at other TX hospitals
- Childrens Medical Ctr of Dallas · Dallas $7,621
- Childrens Medical Center Plano · Plano $7,621
- Memorial Medical Center · Port Lavaca $8,391
- Dell Seton Med Center at the University of Tx · Austin $9,063
- Northwest Hills Surgical Hospital · Austin $9,063
- Ascension Seton Highland Lakes · Burnet $9,063
- Ascension Seton Edgar B Davis · Luling $9,063
- Dell Children's Medical Center · Austin $9,063
Insurance negotiated median for the same procedure, sorted lowest first.
Audit a Bill or Quote at Medical City North Hills (Zero PHI Required)
Statutory 501(r) AGB Cap Limits Bill to $17,134
At 274% FPL (201%–400% FPL tier), 26 U.S.C. § 501(r)(5) caps FAP-eligible bills at Amounts Generally Billed (36.3% of gross = $17,134).
Compare Prompt-Pay Cash Rate Against Remaining Deductible
Ask Medical City North Hills's billing desk for their written 45 CFR § 180 discounted self-pay cash price and Good Faith Estimate under the No Surprises Act.
Negotiate Toward $20,109 Fair BaseRate ($14,117 Medicare)
Your bill ($47,201) is $27,092 above the denoised Fair BaseRate ($20,109) and 3.3× the $14,117 Medicare rate.
Clinical Quality, Patient Experience & Infection Benchmarks
Source: CMS Hospital Care Compare. Clinical quality metrics summarize historical facility-wide cohorts and are not medical advice for individual care decisions.
How to Pay Less Nearby: Freestanding Centers, Insurer Leverage & Outpatient Savings
Verify the Raw Data: Official Hospital MRF, CMS Medicare.gov & Federal Filings
Safe-Harbor Data Corrections: Parsed directly from public 45 CFR § 180 hospital filings, CMS Care Compare, and CMS HCRIS cost reports. Hospital compliance officers may submit updated MRF URLs or rate tables for verification.