CMS Price Transparency Data

Sepsis treatment (inpatient stay)

Facility: Brigham City Community Hospital

Billing Code: 871 (MS-DRG)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 871
  • Insurance Median: $19,584
  • Cash Discount Price: Unavailable
  • vs. Medicare Baseline: 1.39x Medicare
The contracted insurance negotiated median rate for a Sepsis treatment (inpatient stay) at Brigham City Community Hospital is $19,584. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is unavailable. Compared to the federal Medicare reimbursement reference rate of $14,116.91, this hospital’s rate is 1.39x the Medicare baseline. Located in 950 South Medical Drive, Brigham City, UT.
Cash / Self-Pay
Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median
$19,584

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$14,116.91

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $14,116.91 (100%)
Insurance Median: $19,584 (139%)
Ins. Median: $19,584 (139% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $14,116.91 as the cost baseline. Rates below the baseline represent excellent value. In-network commercial rates commonly hover around 150% - 250% of Medicare, while rates exceeding 300% are elevated. Hover over the green and blue markers to view detailed calculations.

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Input your details and click calculate to compare out-of-pocket costs.

Commercial Insurance Negotiated Rates

Negotiated contract ranges established by major commercial carriers at this facility.

Carrier / Plan Group Contract Rate Range vs. Medicare Reference
Aetna $3,564 - $28,266 25%
Bright Health $12,671 90%
Humana $14,329 - $29,669 102%
Coventry Altius $14,627 104%
Cigna $14,926 - $55,225 106%
Molina Healthcare $14,926 - $17,646 106%
State Of Utah $14,926 106%
Triwest Healthcare Alliance $14,926 106%
University Of Ut $14,926 106%
Veteran'S Administration $14,926 106%
Molina $15,065 107%
Blue Cross Blue Shield $15,075 107%
Sterling Life Insurance $15,971 113%
Universal Healthcare $16,269 115%
Health Choice $17,558 124%
Hosp Uncompensated Care $17,558 124%
Elap $18,028 128%
Regence $18,554 - $30,792 131%
Angle Insurance $21,224 150%
University Of Utah $23,637 - $31,123 167%
Pehp $24,320 - $30,429 172%
Motivhealth $33,965 241%
Imagine Health Wise $44,135 313%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 950 South Medical Drive, Brigham City, UT 84302
  • CMS Rating: No CMS Rating
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals