CMS Price Transparency Data

Sepsis treatment (inpatient stay)

Facility: Corpus Christi Medical Center,The

Billing Code: 871 (MS-DRG)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 871
Insurance Median: $17,629
Cash Discount Price: Unavailable
vs. Medicare Baseline: 1.25x Medicare

The contracted insurance negotiated median rate for a Sepsis treatment (inpatient stay) at Corpus Christi Medical Center,The is $17,629. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is unavailable. Compared to the federal Medicare reimbursement reference rate of $14,116.91, this hospital’s rate is 1.25x the Medicare baseline. Located in 3315 S Alameda St, Corpus Christi, TX.

Cash / Self-Pay

Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median

$17,629

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate

$14,116.91

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $14,116.91 (100%)

Insurance Median: $17,629 (125%)

Ins. Median: $17,629 (125% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $14,116.91 as the cost baseline. Rates below the baseline represent excellent value. In-network commercial rates commonly hover around 150% - 250% of Medicare, while rates exceeding 300% are elevated. Hover over the green and blue markers to view detailed calculations.

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Billing Status

Remaining Deductible ($)

Your Coinsurance Rate (%)

Input your details and click calculate to compare out-of-pocket costs.

Commercial Insurance Negotiated Rates

Negotiated contract ranges established by major commercial carriers at this facility.

Carrier / Plan Group	Contract Rate Range	vs. Medicare Reference
Texas True Choice	$1,498	11%
Newton Ppo	$1,500	11%
First Health	$1,791	13%
Aetna	$2,196 - $17,505	16%
United	$2,213 - $17,629	16%
Multiplan Phcs	$2,250 - $3,300	16%
Blue Cross Blue Shield	$2,515 - $30,670	18%
Curative Administrators	$2,717 - $31,873	19%
Cigna	$3,977 - $19,154	28%
Humana	$17,150 - $20,317	121%
Wellmed	$17,257	122%
Texas Healthcare Foundation	$17,736	126%
Triwest Healthcare Alliance	$17,736	126%
Physicians Health Choice	$18,090 - $18,622	128%
Provider Partners Health Plan Of Texas	$18,090	128%
American Health Plan	$18,622	132%
Superior Health Plan	$18,622	132%
Shared Health	$18,977	134%
Molina	$19,332	137%
Pyramid Life	$19,509	138%
Texas Independent Health Plan	$19,509	138%
Fidelis Securecare Of Tx	$20,041	142%
Corvel Corporation	$25,108	178%
Omni Healthcare	$26,630	189%
Independent Medical System	$27,069	192%
Superior	$28,590	203%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $X.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify MS-DRG Code matches exactly: 871.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Corpus Christi Medical Center,The is fully in-network.
Ask your insurer if "Prior Authorization" is required for MS-DRG code 871.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.