CMS Price Transparency Data

Sepsis treatment (inpatient stay)

Facility: HCA Houston Healthcare Tomball

Billing Code: 871 (MS-DRG)

The BaseRate · fair price high confidence

A fair price for this

$18,596

about 1.3× the $14,117 Medicare rate · typically $15,925–$23,146

modeled estimate · not a bill or quote

What this hospital charges insurers

$17,060

About the fair price

about $1,536 under the fair price · 1.2× Medicare

Medicare pays $14,117 Fair price $18,596 This hospital $17,060

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 $17,060

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 $18,596 (about 1.3× the $14,117 Medicare rate). HCA Houston Healthcare Tomball charges insurers about $17,060 — about the fair price. Located in Tomball, 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 - $16,575	23%
Blue Cross Blue Shieldmajor	$1,760 - $30,800	12%
Aetnamajor	$2,669 - $16,508	19%
Cignamajor	$16,558 - $40,322	117%
Humanamajor	$16,207 - $28,496	115%
Amerigroup	$16,726	118%
Devoted Health	$17,060	121%
Healthcare Highways	$23,634	167%
Independent Health	$16,893	120%
Molina	$18,231 - $28,013	129%
Oscar Health	$2,131 - $16,391	15%
WellCare	$16,893	120%
WellMed	$16,558	117%
+ 11 smaller / regional plans	$2,717 - $31,873

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

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 HCA Houston Healthcare Tomball 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 HCA Houston Healthcare Tomball

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.