CMS Price Transparency Data

Sepsis treatment (inpatient stay)

Facility: Baylor Scott and White Medical Center Lake Pointe

Billing Code: 871 (MS-DRG)

The BaseRate · fair price high confidence

A fair price for this

$20,147

about 1.4× the $14,117 Medicare rate · typically $15,999–$23,698

modeled estimate · not a bill or quote

What this hospital charges insurers

$18,261

About the fair price

about $1,886 under the fair price · 1.3× Medicare

Medicare pays $14,117 Fair price $20,147 This hospital $18,261

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 $18,261

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 $20,147 (about 1.4× the $14,117 Medicare rate). Baylor Scott and White Medical Center Lake Pointe charges insurers about $18,261 — about the fair price. Located in Rowlett, 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	$17,500 - $44,736	124%
Blue Cross Blue Shieldmajor	$15,674 - $28,742	111%
Aetnamajor	$27,457	194%
Cignamajor	$19,597 - $23,055	139%
Humanamajor	$2,778 - $15,217	20%
Ambetter (Centene)	$34,391	244%
Baylor Scott & White	$14,457 - $27,391	102%
Cigna HealthSpring	$15,978	113%
Health Net	$20,181	143%
Molina	$15,978	113%
+ 3 smaller / regional plans	$15,978 - $16,884

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

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 Baylor Scott and White Medical Center Lake Pointe 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 Baylor Scott and White Medical Center Lake Pointe

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.