CMS Price Transparency Data

Sepsis treatment (inpatient stay)

Facility: PAM Specialty Hospital of San Antonio Medical Center

Billing Code: 871 (MS-DRG)

The BaseRate · fair price medium confidence
A fair price for this
$23,910
about 1.7× the $14,117 Medicare rate · typically $11,666–$46,771
modeled estimate · not a bill or quote
What this hospital charges insurers
$37,441
Above the fair price
about $13,531 over the fair price · 2.7× Medicare
Medicare pays $14,117 Fair price $23,910 This hospital $37,441

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 $37,441

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 $23,910 (about 1.7× the $14,117 Medicare rate). PAM Specialty Hospital of San Antonio Medical Center charges insurers about $37,441 — above the fair price. Located in San Antonio, 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 $23,910. 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✓ Cigna AetnaHumanaKaiser 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 $37,441 265%
Blue Cross Blue Shieldmajor $37,441 265%
Cignamajor $37,441 265%
Ambetter (Centene) $37,441 265%
Amerigroup $37,441 265%
Baylor Scott & White $37,441 265%
WellCare $37,441 265%
WellMed $37,441 265%
+ 8 smaller / regional plans $37,441 - $56,162
Excludes 3 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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: 8902 Floyd Curl Dr, San Antonio, TX 78240
  • CMS Rating: No CMS Rating
  • Ownership Type: N/A
  • Hospital Type: PART A PROVIDER - HOSPITAL