CMS Price Transparency Data

Sepsis treatment (inpatient stay)

Facility: Ascension Seton Northwest

Billing Code: 871 (MS-DRG)

The BaseRate · fair price high confidence
A fair price for this
$16,637
about 1.2× the $14,117 Medicare rate · typically $11,820–$19,127
modeled estimate · not a bill or quote
What this hospital charges insurers
$12,323
Below the fair price — a good deal
about $4,314 under the fair price · 0.9× Medicare
Medicare pays $14,117 Fair price $16,637 This hospital $12,323

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 $12,323

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 $16,637 (about 1.2× the $14,117 Medicare rate). Ascension Seton Northwest charges insurers about $12,323 — below the fair price — a good deal. Located in Austin, TX.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

3 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Aetna✓ Humana Blue Cross Blue ShieldCignaKaiser 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 $12,570 89%
Aetnamajor $12,323 87%
Humanamajor $12,323 87%
Ambetter (Centene) $22,182 157%
Devoted Health $12,323 87%
Oscar Health $9,379 66%
WellCare $12,323 87%
WellMed $12,077 86%
+ 13 smaller / regional plans $6,150 - $21,566
Government programs also on file: Medicare, Military & VA.

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Facility Profile & Credentials

  • Address: 11113 Research Boulevard, Austin, TX 78759
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals