CMS Price Transparency Data

Sepsis treatment (inpatient stay)

Facility: Texoma Medical Center

Billing Code: 871 (MS-DRG)

The BaseRate · fair price high confidence
A fair price for this
$16,008
about 1.1× the $14,117 Medicare rate · typically $14,158–$18,812
modeled estimate · not a bill or quote
What this hospital charges insurers
$19,363
Above the fair price
about $3,355 over the fair price · 1.4× Medicare
Medicare pays $14,117 Fair price $16,008 This hospital $19,363

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 $19,363

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 $16,008 (about 1.1× the $14,117 Medicare rate). Texoma Medical Center charges insurers about $19,363 — above the fair price. Located in Denison, TX.

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 $16,008. 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 $15,060 - $25,698 107%
Blue Cross Blue Shieldmajor $26,908 - $29,926 191%
Aetnamajor $14,343 - $26,461 102%
Cignamajor $14,773 105%
Humanamajor $14,630 104%
Amerigroup $15,060 107%
Molina $19,363 137%
WellMed $15,367 109%
+ 3 smaller / regional plans $14,343 - $25,707

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.

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Facility Profile & Credentials

  • Address: 5016 S Us Highway 75, Denison, TX 75020
  • CMS Rating: ★★★★☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals