CMS Price Transparency Data

Sepsis treatment (inpatient stay)

Facility: Rio Grande Regional Hospital

Billing Code: 871 (MS-DRG)

The BaseRate · fair price high confidence
A fair price for this
$17,764
about 1.3× the $14,117 Medicare rate · typically $15,047–$21,171
modeled estimate · not a bill or quote
What this hospital charges insurers
$20,814
Above the fair price
about $3,050 over the fair price · 1.5× Medicare
Medicare pays $14,117 Fair price $17,764 This hospital $20,814

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 $20,814

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 $17,764 (about 1.3× the $14,117 Medicare rate). Rio Grande Regional Hospital charges insurers about $20,814 — above the fair price. Located in McAllen, 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 $17,764. 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 $3,060 - $19,889 22%
Blue Cross Blue Shieldmajor $2,317 - $32,140 16%
Aetnamajor $2,958 - $19,849 21%
Cignamajor $19,910 - $32,721 141%
Humanamajor $19,206 - $29,460 136%
Independent Health $21,116 150%
Molina $21,921 - $30,783 155%
Oscar Health $2,014 - $22,154 14%
WellMed $20,191 143%
+ 13 smaller / regional plans $2,717 - $31,873
Government programs also on file: Medicaid, Military & VA.
Excludes 2 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: 101 E Ridge Rd, McAllen, TX 78503
  • CMS Rating: ★★★★☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals