CMS Price Transparency Data

Sepsis treatment (inpatient stay)

Facility: Gundersen St Josephs Hospital and Clinics

Billing Code: 871 (MS-DRG)

The BaseRate · fair price high confidence
A fair price for this
$20,288
about 1.4× the $14,117 Medicare rate · typically $11,756–$33,095
modeled estimate · not a bill or quote
What this hospital charges insurers
$18,189
Below the fair price — a good deal
about $2,099 under the fair price · 1.3× Medicare
Medicare pays $14,117 Fair price $20,288 This hospital $18,189

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 $18,189

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 $20,288 (about 1.4× the $14,117 Medicare rate). Gundersen St Josephs Hospital and Clinics charges insurers about $18,189 — below the fair price — a good deal. Located in Hillsboro, WI.

What each insurance company pays

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

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

✓ Blue Cross Blue Shield UnitedHealthcareAetnaCignaHumanaKaiser 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
Blue Cross Blue Shieldmajor $15,691 - $17,830 111%
Quartz $18,189 129%
Security Health Plan $31,060 220%
+ 1 smaller / regional plan $33,630 - $35,940

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Facility Profile & Credentials

  • Address: 400 Water Ave, Hillsboro, WI 54634
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals