CMS Price Transparency Data

Sepsis treatment (inpatient stay)

Facility: Northwest Texas Hospital

Billing Code: 871 (MS-DRG)

The BaseRate · fair price high confidence

A fair price for this

$17,626

about 1.2× the $14,117 Medicare rate · typically $12,940–$20,842

modeled estimate · not a bill or quote

What this hospital charges insurers

$17,325

About the fair price

about $301 under the fair price · 1.2× Medicare

Medicare pays $14,117 Fair price $17,626 This hospital $17,325

How we calculate the fair BaseRate →

How this hospital compares to other TX hospitals

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

Cheapest $7,621 Priciest $17,325

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 $17,626 (about 1.2× the $14,117 Medicare rate). Northwest Texas Hospital charges insurers about $17,325 — about the fair price. Located in Amarillo, 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

✓ 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	$16,116 - $25,125	114%
Blue Cross Blue Shieldmajor	$18,442 - $23,141	131%
Aetnamajor	$15,809	112%
Cignamajor	$17,325	123%
Humanamajor	$15,348	109%
Amerigroup	$16,116	114%
Baylor Scott & White	$20,508	145%
+ 4 smaller / regional plans	$15,348 - $26,092

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, 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 Northwest Texas Hospital 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 Northwest Texas Hospital

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 $8,268
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.