CMS Price Transparency Data

Sepsis treatment (inpatient stay)

Facility: Medical City Weatherford

Billing Code: 871 (MS-DRG)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 871
Insurance Median: $17,564
Cash Discount Price: Unavailable
vs. Medicare Baseline: 1.24x Medicare

The contracted insurance negotiated median rate for a Sepsis treatment (inpatient stay) at Medical City Weatherford is $17,564. 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 1.24x the Medicare baseline. Located in 713 E Anderson St, Weatherford, TX.

Cash / Self-Pay

Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median

$17,564

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: $17,564 (124%)

Ins. Median: $17,564 (124% 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.

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
Oscar	$1,575 - $15,771	11%
Blue Cross Blue Shield	$2,017 - $30,837	14%
Aetna	$2,313 - $7,819	16%
United	$2,810 - $16,841	20%
Multiplan Phcs	$8,513	60%
Humana	$16,875 - $57,267	120%
Wellmed	$17,168	122%
Amerigroup	$17,220	122%
Integranet	$17,220	122%
Triwest Veterans	$17,220	122%
Wellcare	$17,220	122%
Care N Care	$17,392	123%
Cigna	$17,564 - $58,393	124%
Devoted Health	$17,564	124%
Mutual Of Omaha	$17,564	124%
Provider Partners Health Plan	$17,564	124%
Texas Independent Health Plan	$17,564	124%
American Health Plan Of Texas, Inc.	$18,081	128%
Procare Advantge	$18,081	128%
Superior Health Plan	$18,081	128%
Imperial Insurance Company	$18,253	129%
Verda Health Plan	$18,942	134%
Molina	$27,379	194%
Evry Health	$27,438	194%
Superior	$30,823 - $38,572	218%
Molina Healthcare	$33,846	240%

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 $X.
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 Medical City Weatherford 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.