CMS Price Transparency Data

Sepsis treatment (inpatient stay)

Facility: Madison St Joseph Health Center

Billing Code: 871 (MS-DRG)

The BaseRate · fair price medium confidence
A fair price for this
$19,947
about 1.4× the $14,117 Medicare rate · typically $8,503–$28,546
modeled estimate · not a bill or quote
What this hospital charges insurers
$23,518
Above the fair price
about $3,571 over the fair price · 1.7× Medicare
Medicare pays $14,117 Fair price $19,947 This hospital $23,518

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 $23,518

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 $19,947 (about 1.4× the $14,117 Medicare rate). Madison St Joseph Health Center charges insurers about $23,518 — above the fair price. Located in Madisonville, 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 $19,947. 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.

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna CignaHumanaKaiser 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 $3,534 - $23,518 25%
Blue Cross Blue Shieldmajor $3,464 - $5,196 25%
Aetnamajor $3,464 25%
Ambetter (Centene) $5,023 36%
Bright Health $27,751 197%
+ 5 smaller / regional plans $3,568 - $11,258

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: 100 West Cross Street, Madisonville, TX 77864
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals