CMS Price Transparency Data

Sepsis treatment (inpatient stay)

Facility: Yoakum Community Hospital

Billing Code: 871 (MS-DRG)

The BaseRate · fair price high confidence

A fair price for this

$19,330

about 1.4× the $14,117 Medicare rate · typically $9,200–$27,431

modeled estimate · not a bill or quote

What this hospital charges insurers

$27,113

Above the fair price

about $7,783 over the fair price · 1.9× Medicare

Medicare pays $14,117 Fair price $19,330 This hospital $27,113 Cash price $22,967 Hospital's list price $35,333

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 $27,113

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 $19,330 (about 1.4× the $14,117 Medicare rate). Yoakum Community Hospital charges insurers about $27,113, or about $22,967 in cash — above the fair price. Located in Yoakum, 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 $19,330. 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.

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	$13,400 - $28,751	95%
Blue Cross Blue Shieldmajor	$19,376 - $32,407	137%
Aetnamajor	$31,800	225%
Cignamajor	$6,706	48%
Humanamajor	$24,664	175%
+ 10 smaller / regional plans	$8,000 - $41,929

Government programs also on file: Medicare, Medicaid, Military & VA.

Excludes 11 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 (about 22,967), 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 Yoakum Community Hospital 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 Yoakum Community Hospital

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.