CMS Price Transparency Data

Sepsis treatment (inpatient stay)

Facility: Ad Hospital East, LLC

Billing Code: 871 (MS-DRG)

The BaseRate · fair price high confidence
A fair price for this
$18,372
about 1.3× the $14,117 Medicare rate · typically $10,991–$32,219
modeled estimate · not a bill or quote
What this hospital charges insurers
$13,705
Below the fair price — a good deal
about $4,667 under the fair price · 1.0× Medicare
Medicare pays $14,117 Fair price $18,372 This hospital $13,705 Cash price $150,703 Hospital's list price $150,703

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 $13,705

Black dot = this hospital, among the 9 TX hospitals with a price for this procedure. Full list below.

⚠ The cash price looks unusually high next to the insurance price — it may be the full list price, not a real cash discount. Call to confirm the self-pay rate.

A fair price for a Sepsis treatment (inpatient stay) is about $18,372 (about 1.3× the $14,117 Medicare rate). Ad Hospital East, LLC charges insurers about $13,705, or about $150,703 in cash — below the fair price — a good deal. Located in Houston, TX.

What each insurance company pays

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

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

✓ Blue Cross Blue Shield✓ Aetna UnitedHealthcareCignaHumanaKaiser 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
Blue Cross Blue Shieldmajor $20,410 145%
Aetnamajor $13,276 - $13,292 94%
Ambetter (Centene) $13,705 97%

Self-Pay How to get the cash price

Insurance Before you use insurance

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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: 12950 East Freeway, Suite 100, Houston, TX 77015
  • CMS Rating: No CMS Rating
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals