CMS Price Transparency Data

Sepsis treatment (inpatient stay)

Facility: Methodist Hospital

Billing Code: 871 (MS-DRG)

The BaseRate · fair price high confidence

A fair price for this

$18,601

about 1.3× the $14,117 Medicare rate · typically $14,499–$22,038

modeled estimate · not a bill or quote

What this hospital charges insurers

$16,575

Below the fair price — a good deal

about $2,026 under the fair price · 1.2× Medicare

Medicare pays $14,117 Fair price $18,601 This hospital $16,575

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 $16,575

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 $18,601 (about 1.3× the $14,117 Medicare rate). Methodist Hospital charges insurers about $16,575 — below the fair price — a good deal. Located in San Antonio, TX.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

4 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna HumanaKaiser 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	$3,549 - $16,331	25%
Blue Cross Blue Shieldmajor	$2,238 - $30,697	16%
Aetnamajor	$2,775 - $16,038	20%
Cignamajor	$3,948 - $6,533	28%
Amerigroup	$16,250	115%
Clover Health	$16,575 - $16,900	117%
Devoted Health	$16,575	117%
Fidelis Care	$18,200 - $18,525	129%
Healthcare Highways	$25,641	182%
Independent Health	$16,575	117%
Molina	$25,837	183%
Oscar Health	$2,095 - $22,573	15%
WellCare	$16,575	117%
WellMed	$15,665	111%
+ 14 smaller / regional plans	$1,600 - $31,873

Government programs also on file: Medicaid, Military & VA.

Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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 Methodist 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 Methodist 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.