CMS Price Transparency Data

Sepsis treatment (inpatient stay)

Facility: PAM Specialty Hospital of Texarkana North

Billing Code: 871 (MS-DRG)

The BaseRate · fair price medium confidence
A fair price for this
$24,337
about 1.7× the $14,117 Medicare rate · typically $11,684–$47,854
modeled estimate · not a bill or quote
What this hospital charges insurers
$41,839
Above the fair price
about $17,502 over the fair price · 3.0× Medicare
Medicare pays $14,117 Fair price $24,337 This hospital $41,839

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 $41,839

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 $24,337 (about 1.7× the $14,117 Medicare rate). PAM Specialty Hospital of Texarkana North charges insurers about $41,839 — above the fair price. Located in Texarkana, 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 $24,337. 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 $41,839 296%
Blue Cross Blue Shieldmajor $41,839 296%
Aetnamajor $41,839 296%
Cignamajor $41,839 296%
Humanamajor $41,839 296%
Ambetter (Centene) $41,839 296%
WellCare $41,839 296%
+ 7 smaller / regional plans $41,839 - $62,759
Excludes 2 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: 2400 St Michael Dr 2Nd Floor, Texarkana, TX 75503
  • CMS Rating: No CMS Rating
  • Ownership Type: N/A
  • Hospital Type: PART A PROVIDER - HOSPITAL