CMS Price Transparency Data

Sepsis treatment (inpatient stay)

Facility: St Josephs Community Hospital West Bend

Billing Code: 871 (MS-DRG)

The BaseRate · fair price high confidence
A fair price for this
$35,585
about 2.5× the $14,117 Medicare rate · typically $16,522–$39,161
modeled estimate · not a bill or quote
What this hospital charges insurers
$35,567
About the fair price
about $18 under the fair price · 2.5× Medicare
Medicare pays $14,117 Fair price $35,585 This hospital $35,567

How we calculate the fair BaseRate →

How this hospital compares to other WI hospitals

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

Cheapest $7,995 Priciest $35,567

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 $35,585 (about 2.5× the $14,117 Medicare rate). St Josephs Community Hospital West Bend charges insurers about $35,567 — about the fair price. Located in West Bend, 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 $13,814 - $57,234 98%
Blue Cross Blue Shieldmajor $13,814 - $60,456 98%
Aetnamajor $14,090 100%
Humanamajor $13,814 98%
Health Net $42,968 304%
HealthPartners $13,814 - $39,576 98%
Molina $13,814 98%
Security Health Plan $13,814 98%
+ 9 smaller / regional plans $13,814 - $50,905

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Facility Profile & Credentials

  • Address: 3200 Pleasant Valley Road, West Bend, WI 53095
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals