CMS Price Transparency Data

Sepsis treatment (inpatient stay)

Facility: St Clare Hospital

Billing Code: 871 (MS-DRG)

The BaseRate · fair price high confidence

A fair price for this

$31,169

about 2.2× the $14,117 Medicare rate · typically $21,320–$39,284

modeled estimate · not a bill or quote

What this hospital charges insurers

$33,608

About the fair price

about $2,439 over the fair price · 2.4× Medicare

Medicare pays $14,117 Fair price $31,169 This hospital $33,608

How we calculate the fair BaseRate →

How this hospital compares to other WA hospitals

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

Cheapest $11,773 Priciest $33,608

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

A fair price for a Sepsis treatment (inpatient stay) is about $31,169 (about 2.2× the $14,117 Medicare rate). St Clare Hospital charges insurers about $33,608 — about the fair price. Located in Lakewood, WA.

What each insurance company pays

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

6 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	$17,473 - $46,490	124%
Blue Cross Blue Shieldmajor	$17,819 - $49,107	126%
Aetnamajor	$17,819 - $51,299	126%
Cignamajor	$37,790	268%
Humanamajor	$18,511	131%
Kaiser Permanentemajor	$17,300 - $37,494	123%
Amerigroup	$18,511	131%
Molina	$18,684 - $33,129	132%
+ 6 smaller / regional plans	$17,300 - $38,375

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 St Clare Hospital 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 St Clare Hospital

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

Prosser Memorial Hospital · Prosser $11,773
Island Hospital · Anacortes $15,392
Trios Health · Kennewick $16,586
Valley Medical Center · Renton $17,921
Providence St Mary Medical Center · Walla Walla $18,140
Kadlec Regional Medical Center · Richland $19,408
Legacy Salmon Creek Medical Center · Vancouver $20,806
Swedish Medical Center / Cherry Hill · Seattle $22,878

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