CMS Price Transparency Data

Sepsis treatment (inpatient stay)

Facility: John Randolph Medical Center

Billing Code: 871 (MS-DRG)

The BaseRate · fair price high confidence

A fair price for this

$24,020

about 1.7× the $14,117 Medicare rate · typically $15,498–$41,094

modeled estimate · not a bill or quote

What this hospital charges insurers

$15,282

Below the fair price — a good deal

about $8,738 under the fair price · 1.1× Medicare

Medicare pays $14,117 Fair price $24,020 This hospital $15,282

How we calculate the fair BaseRate →

How this hospital compares to other VA hospitals

Highest price of the 9 VA hospitals we have prices for — worth calling around.

Cheapest $10,776 Priciest $15,282

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

A fair price for a Sepsis treatment (inpatient stay) is about $24,020 (about 1.7× the $14,117 Medicare rate). John Randolph Medical Center charges insurers about $15,282 — below the fair price — a good deal. Located in Hopewell, VA.

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	$4,267 - $14,765	30%
Blue Cross Blue Shieldmajor	$15,208 - $45,047	108%
Aetnamajor	$15,081 - $19,905	107%
Cignamajor	$15,061 - $30,600	107%
Humanamajor	$14,765	105%
Devoted Health	$15,061	107%
Oscar Health	$22,451	159%
Sentara	$14,765 - $20,738	105%
+ 7 smaller / regional plans	$15,061 - $16,242

Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

Tell the billing desk you want to be billed as self-pay — not through insurance — before your visit.
Ask for the cash / prompt-pay discount in writing, with the exact price, before you agree to anything.
Get it in writing that they won’t also bill your insurance, so the cash price is what you owe.
Check the MS-DRG code on your bill matches exactly: 871.

Insurance Before you use insurance

Call your insurance company to confirm John Randolph Medical Center is in-network.
Ask your insurer whether prior approval is required for MS-DRG code 871.
Confirm the doctor or provider is in-network too — not just the hospital building.
Check your Explanation of Benefits against the hospital’s final itemized bill.

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

How you’d pay

Deductible left to meet ($)

Your coinsurance (%)

Enter your details and press estimate to compare.

Other Procedures at John Randolph Medical Center

Compare: Sepsis treatment (inpatient stay) at other VA hospitals

Childrens Hospital of the Kings Daughters Inc · Norfolk $10,776
Sentara Rmh Medical Center · Harrisonburg $14,559
Lewisgale Hospital Alleghany · Low Moor $14,635
Buchanan General Hospital · Grundy $14,876
Sentara Halifax Regional Hospital · South Boston $15,094
Sovah Health Danville · Danville $15,113
Lewisgale Hospital Pulaski · Pulaski $15,216
Clinch Valley Medical Center · Richlands $15,240

Insurance negotiated median for the same procedure, sorted lowest first.