Sepsis treatment (inpatient stay)
Facility: North Austin Medical Center
Billing Code: 871 (MS-DRG)
- CPT Billing Code: 871
- Insurance Median: $16,832
- Cash Discount Price: Unavailable
- vs. Medicare Baseline: 1.19x Medicare
Average discount available for prompt cash payment at this facility.
Median negotiated contract rate across all mapped commercial carriers.
Standard federal government reimbursement rate for this code.
Visual Cost Comparison vs. 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.
Commercial Insurance Negotiated Rates
Negotiated contract ranges established by major commercial carriers at this facility.
| Carrier / Plan Group | Contract Rate Range | vs. Medicare Reference |
|---|---|---|
| Blue Cross Blue Shield | $1,456 - $30,681 | 10% |
| Oscar | $1,633 - $12,300 | 12% |
| First Health | $2,308 | 16% |
| Nomi Health | $2,328 - $28,975 | 16% |
| Curative Administrators | $2,717 - $31,873 | 19% |
| United | $3,085 - $16,681 | 22% |
| Aetna | $3,463 - $18,011 | 25% |
| Harbor Health Team | $3,700 - $37,800 | 26% |
| Evry Health | $4,052 - $28,941 | 29% |
| Cigna | $4,649 - $17,169 | 33% |
| Moda | $14,483 | 103% |
| Altus Hospice (Hospice Of The Hills) | $15,149 | 107% |
| Cella Bella Hospice | $15,149 | 107% |
| Compassionate Care Mcr | $15,149 | 107% |
| Heart To Heart Hospice | $15,149 | 107% |
| Hospice Austin | $15,149 | 107% |
| Hospice Compassus | $15,149 | 107% |
| Silverado Hospice | $15,149 | 107% |
| St David’S Hospice | $15,149 | 107% |
| Wellmed | $16,614 | 118% |
| Angel Heart Hospice | $16,832 | 119% |
| Aseracare Hospice | $16,832 | 119% |
| Girling Hospice | $16,832 | 119% |
| Lighthouse Hospice, Llc. | $16,832 | 119% |
| Odyssey Hospice | $16,832 | 119% |
| Southern Care Hospice | $16,832 | 119% |
| Texas Home Health Hospice | $16,832 | 119% |
| Triwest Healthcare Alliance | $16,832 | 119% |
| UnitedHealthcare | $16,832 | 119% |
| Vistacare Family Hospice | $16,832 | 119% |
| Wesleyan Homes, Inc. | $16,832 | 119% |
| Devoted Health | $17,169 | 122% |
| Provider Partners Health Plan | $17,169 | 122% |
| American Health Plan Of Texas | $17,674 - $18,516 | 125% |
| Superior Health Plan | $17,674 - $26,932 | 125% |
| Universal Health | $17,674 | 125% |
| Imperial Insurance | $17,842 | 126% |
| Humana | $18,011 | 128% |
| Shared Health | $18,011 | 128% |
| Molina Healthcare | $18,347 | 130% |
| Pyramid Life | $18,516 | 131% |
| Texas Independent Health Plan | $18,684 | 132% |
| Wellcare | $18,684 | 132% |
| Austin Fc | $21,041 | 149% |
| Sendero | $22,724 - $28,783 | 161% |
| Corvel Corporation | $23,830 | 169% |
| Healthcare Highways | $24,390 - $24,885 | 173% |
| Naphcare | $26,090 | 185% |
| Seven Corners | $26,090 | 185% |
| Moda Health | $26,292 - $26,818 | 186% |
| Covenant Management Systems | $32,117 | 228% |