Sepsis treatment (inpatient stay)
Facility: Rehabilitation Hospital Of Overland Park
Billing Code: 871 (MS-DRG)
- CPT Billing Code: 871
- Insurance Median: $8,544
- Cash Discount Price: Unavailable
- vs. Medicare Baseline: 0.61x 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 |
|---|---|---|
| Aetna | $8,544 | 61% |
| Healthy Blue Kansas | $8,544 | 61% |
| Medicaid / KanCare | $8,544 | 61% |
| United | $8,544 | 61% |
Consumer Guidance & Cost Commentary
For the procedure "Sepsis treatment (inpatient stay)" at the Rehabilitation Hospital Of Overland Park, the negotiated rates for in-network payers like Aetna, Healthy Blue Kansas, Medicaid/KanCare, and United are all set at $8,544. This amount is significantly lower than the Medicare benchmark of $14,116.91, reflecting the typical administrative markup found in commercial contracts. While cash-pay options are not listed for this specific service, patients should note that commercial negotiated rates often exceed cash prices; if you have a high-deductible plan, paying out-of-pocket or requesting a "self-pay" discount before your visit could result in a lower total cost. Always verify the "self-pay" or "prompt-pay" rates directly with the hospital, as these upfront discounts can bypass the higher administrative costs embedded in insurance billing cycles.
It is important to understand that the $8,544 rate represents a contractual ceiling for in-network members, meaning the facility cannot bill you more than this amount even if your insurance allows a higher figure. However, if you are an out-of-network patient or if specific ancillary services (such as certain lab tests or physician services) are billed separately, you may face balance billing for the difference between the facility's full chargemaster and the amount your insurer pays. Under the No Surprises Act, balance billing is generally prohibited for emergency care and non-emergency services from out-of-network providers at in-network facilities, but unexpected charges can still occur if you do not review your itemized bill. If you receive a summary bill, request a full itemized CPT-coded statement to identify any unbundled codes or services not rendered, and