CMS Price Transparency Data

Sepsis treatment (inpatient stay)

Facility: Jefferson Healthcare

Billing Code: 871 (MS-DRG)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 871
Insurance Median: $22,923
Cash Discount Price: $22,106
vs. Medicare Baseline: 1.62x Medicare

The contracted insurance negotiated median rate for a Sepsis treatment (inpatient stay) at Jefferson Healthcare is $22,923. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $22,106. Compared to the federal Medicare reimbursement reference rate of $14,116.91, this hospital’s rate is 1.62x the Medicare baseline. Located in 834 Sheridan Street, Port Townsend, WA.

Cash / Self-Pay

$22,106

Average discount available for prompt cash payment at this facility.

Insurance Median

$22,923

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%)

Cash / Self-Pay: $22,106 (157%)

Insurance Median: $22,923 (162%)

Cash: $22,106 (157% of Medicare)

Ins. Median: $22,923 (162% 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
Chpw Mcaid	$17,110	121%
Molina Mcaid	$17,110	121%
Amerigroup Mcaid-All Plans	$17,610	125%
Coord Care Mcaid Ip/Op Only	$17,942	127%
Tricare	$18,632	132%
Regence-All Other Plans	$20,725	147%
Aetna	$21,920 - $24,870	155%
Molina Mcr Adv	$21,920	155%
Medicare (plans)	$22,358	158%
Chpw Commercial-All Other Plans	$23,488	166%
Premera-All Plans	$23,488	166%
Chpw Mcr Adv	$23,674	168%
Cigna	$24,870	176%
Coord Care Cascade Ip/Op Only	$24,870	176%
Coord Care Comm/Exchge-All Other Plans	$24,870	176%
Molina Marketplace-All Other Plans	$27,400	194%
UnitedHealthcare	$30,496	216%

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 $22,106.
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 Jefferson Healthcare 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.