CMS Price Transparency Data

Sepsis treatment (inpatient stay)

Facility: Timpanogos Regional Hospital

Billing Code: 871 (MS-DRG)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 871
Insurance Median: $21,377
Cash Discount Price: Unavailable
vs. Medicare Baseline: 1.51x Medicare

The contracted insurance negotiated median rate for a Sepsis treatment (inpatient stay) at Timpanogos Regional Hospital is $21,377. 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 1.51x the Medicare baseline. Located in 750 West 800 North, Orem, UT.

Cash / Self-Pay

Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median

$21,377

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: $21,377 (151%)

Ins. Median: $21,377 (151% 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.

Billing Status

Remaining Deductible ($)

Your Coinsurance 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 - $27,434	25%
Bright Health	$12,671	90%
Humana	$14,435 - $29,669	102%
Coventry Altius	$14,736	104%
Molina Healthcare	$15,037 - $17,646	107%
State Of Utah	$15,037	107%
Veteran'S Administration	$15,037	107%
Molina	$15,065	107%
Blue Cross Blue Shield	$15,187	108%
University Of Ut	$15,187	108%
Cigna	$15,488 - $55,225	110%
Sterling Life Insurance	$16,089	114%
Universal Healthcare	$16,390	116%
Health Choice	$17,558	124%
Hosp Uncompensated Care	$17,558	124%
Regence	$19,239 - $31,928	136%
Elap	$20,718	147%
Angle Insurance	$21,224	150%
University Of Utah	$24,501 - $32,747	174%
Pehp	$30,278 - $38,324	214%
Motivhealth	$36,568	259%
Dmba (Deseret Mutual Benefit Admin)	$38,059	270%
Multiplan	$39,384	279%
Imagine Health Wise	$43,542	308%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $X.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify MS-DRG Code matches exactly: 871.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Timpanogos Regional Hospital is fully in-network.
Ask your insurer if "Prior Authorization" is required for MS-DRG code 871.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.