Sepsis treatment (inpatient stay)
Facility: Centura St. Catherine-Dodge City
Billing Code: 871 (MS-DRG)
- CPT Billing Code: 871
- Insurance Median: $14,247
- Cash Discount Price: Unavailable
- vs. Medicare Baseline: 1.01x Medicare
Average discount available for prompt cash payment at this facility.
Median negotiated contract rate across all mapped commercial carriers.
Standard federal government reimbursement rate for this code.
Visual Cost Comparison vs. 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.
Commercial Insurance Negotiated Rates
Negotiated contract ranges established by major commercial carriers at this facility.
| Carrier / Plan Group | Contract Rate Range | vs. Medicare Reference |
|---|---|---|
| Humana | $14,247 | 101% |
| Kansas Health | $14,247 | 101% |
| Medicare (plans) | $14,247 | 101% |
| Cigna | $14,247 | 101% |
| Aetna | $14,247 | 101% |
| Blue Cross Blue Shield | $14,247 - $20,212 | 101% |
| Kaiser | $14,247 | 101% |
Consumer Guidance & Cost Commentary
For the procedure code 871, representing sepsis treatment during an inpatient stay at Centura St. Catherine-Dodge City in Dodge City, KS, the negotiated rates across major payers like Humana, Aetna, and Cigna average $14,247. This figure aligns closely with the state of Kansas average, as the facility's negotiated rate is identical to the median negotiated amount reported for the region. While commercial insurance contracts cap costs at this level, patients should be aware that cash-pay options may offer a lower total if their insurance negotiated rate exceeds the cash price, though specific cash rates were not reported for this service. It is important to note that Kaiser's listed rate is an internal system rate and does not reflect a typical negotiated price for out-of-network members.
To ensure you receive the most accurate pricing, always verify whether your specific plan has met its deductible before relying on insurance coverage, as high deductibles can result in paying the full negotiated amount. If you choose to pay out-of-pocket, inquire immediately about "self-pay" or "prompt-pay" discounts, which can significantly reduce the final bill by bypassing administrative claim processing fees. Furthermore, if you receive a summary bill, request a full itemized statement to check for errors such as unbundled codes or services not rendered, as over 80% of hospital bills contain discrepancies that can be corrected through a formal written audit.