CMS Price Transparency Data

Sepsis treatment (inpatient stay)

Facility: The Monroe Clinic

Billing Code: 871 (MS-DRG)

The BaseRate · fair price high confidence
A fair price for this
$19,917
about 1.4× the $14,117 Medicare rate · typically $13,852–$33,256
modeled estimate · not a bill or quote
What this hospital charges insurers
$13,815
Below the fair price — a good deal
about $6,102 under the fair price · 1.0× Medicare
Medicare pays $14,117 Fair price $19,917 This hospital $13,815

How we calculate the fair BaseRate →

How this hospital compares to other WI hospitals

On the higher side — 6 of 8 other WI hospitals charge less.

Cheapest $7,995 Priciest $15,202

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

A fair price for a Sepsis treatment (inpatient stay) is about $19,917 (about 1.4× the $14,117 Medicare rate). The Monroe Clinic charges insurers about $13,815 — below the fair price — a good deal. Located in Monroe, WI.

What each insurance company pays

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

4 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Humana CignaKaiser 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 $13,815 - $31,171 98%
Blue Cross Blue Shieldmajor $13,815 - $28,164 98%
Aetnamajor $13,815 98%
Humanamajor $13,815 98%
Molina $13,815 98%
Quartz $28,078 199%
+ 4 smaller / regional plans $13,815 - $38,640

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Facility Profile & Credentials

  • Address: 515 22Nd Ave, Monroe, WI 53566
  • CMS Rating: ★★★★★
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals