CMS Price Transparency Data

Sepsis treatment (inpatient stay)

Facility: HCA Houston Healthcare Medical Center

Billing Code: 871 (MS-DRG)

The BaseRate · fair price high confidence
A fair price for this
$18,472
about 1.3× the $14,117 Medicare rate · typically $15,946–$24,216
modeled estimate · not a bill or quote
What this hospital charges insurers
$16,658
About the fair price
about $1,814 under the fair price · 1.2× Medicare
Medicare pays $14,117 Fair price $18,472 This hospital $16,658

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 $16,658

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 $18,472 (about 1.3× the $14,117 Medicare rate). HCA Houston Healthcare Medical Center charges insurers about $16,658 — about the fair price. Located in Houston, 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 $3,293 - $15,873 23%
Blue Cross Blue Shieldmajor $1,760 - $30,800 12%
Aetnamajor $2,669 - $5,299 19%
Cignamajor $15,857 - $40,322 112%
Humanamajor $15,521 - $28,496 110%
Amerigroup $16,337 116%
Devoted Health $16,337 116%
Healthcare Highways $23,634 167%
Independent Health $16,658 118%
Molina $17,459 - $28,625 124%
Oscar Health $2,131 - $15,697 15%
WellCare $16,658 118%
WellMed $15,857 112%
+ 10 smaller / regional plans $2,717 - $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.

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Facility Profile & Credentials

  • Address: 1313 Hermann Dr, Houston, TX 77004
  • CMS Rating: ★★★★☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals