CMS Price Transparency Data

Sepsis treatment (inpatient stay)

Facility: HCA Houston Healthcare West

Billing Code: 871 (MS-DRG)

The BaseRate · fair price high confidence
A fair price for this
$17,823
about 1.3× the $14,117 Medicare rate · typically $15,504–$22,555
modeled estimate · not a bill or quote
What this hospital charges insurers
$20,747
Above the fair price
about $2,924 over the fair price · 1.5× Medicare
Medicare pays $14,117 Fair price $17,823 This hospital $20,747

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 $20,747

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 $17,823 (about 1.3× the $14,117 Medicare rate). HCA Houston Healthcare West charges insurers about $20,747 — above the fair price. Located in Houston, 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 $17,823. 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 $3,293 - $20,357 23%
Blue Cross Blue Shieldmajor $1,760 - $30,800 12%
Aetnamajor $2,669 - $20,275 19%
Cignamajor $16,678 - $40,322 118%
Humanamajor $19,905 - $28,496 141%
Amerigroup $20,542 146%
Devoted Health $20,953 148%
Fidelis Care $22,390 159%
Healthcare Highways $23,634 167%
Independent Health $20,747 147%
Molina $22,390 - $30,293 159%
Oscar Health $2,131 - $20,131 15%
WellCare $20,747 147%
WellMed $20,377 144%
+ 16 smaller / regional plans $2,717 - $31,873
Government programs also on file: Medicaid, Military & VA.
Excludes 3 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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: 12141 Richmond Ave, Houston, TX 77082
  • CMS Rating: ★☆☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals