CMS Price Transparency Data

Sepsis treatment (inpatient stay)

Facility: Deaconess Medical Center

Billing Code: 871 (MS-DRG)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 871
Insurance Median: $28,219
Cash Discount Price: Unavailable
vs. Medicare Baseline: 2.00x Medicare

The contracted insurance negotiated median rate for a Sepsis treatment (inpatient stay) at Deaconess Medical Center is $28,219. 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 2.00x the Medicare baseline. Located in W 800 Fifth Avenue, Spokane, WA.

Cash / Self-Pay

Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median

$28,219

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: $28,219 (200%)

Ins. Median: $28,219 (200% 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
Blue Cross Blue Shield	$16,747	119%
Community Health Plan Of Washington	$16,747 - $28,236	119%
Molina	$16,747 - $30,983	119%
Aetna	$17,250 - $43,657	122%
Regence	$17,250	122%
UnitedHealthcare	$17,417 - $41,022	123%
Wellcare	$17,585	125%
First Choice	$18,148 - $32,994	129%
Pacificsource	$20,260 - $26,483	144%
Ambetter / Centene	$28,201	200%
Premera	$28,609 - $42,238	203%
Cigna	$31,962	226%
Kaiser	$38,896	276%
Regence/Asuris	$41,252	292%

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 Deaconess Medical Center 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.