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Sepsis (hospital stay): what insurers pay

A hospital stay for sepsis without a ventilator over 96 hours (MS-DRG 871 with MCC). Commercial negotiated rates by hospital and market, next to Medicare for the same code.

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MS-DRG 871: Septicemia Or Severe Sepsis Without Mv >96 Hours With McC

1606 hospitals in 83 markets. National Medicare rate $14,135.

MarketHospitals25th pctMedian75th pctLow–high
Alabama (statewide)22$16,560$19,701$22,488$13,015–$46,717
Alaska (statewide)4———$17,118–$64,884
Arizona (statewide)29$22,817$32,570$38,398$9,317–$46,232
Arkansas (statewide)12$16,558$18,092$19,867$11,574–$22,805
Atlanta GA9$35,412$36,683$37,201$35,412–$57,772
Austin TX13$12,253$18,729$22,630$9,063–$27,434
Boston MA15$16,884$17,968$22,486$13,775–$40,301
California (statewide)55$21,960$26,747$34,186$12,441–$112,760
Charlotte NC8$29,874$32,354$37,974$21,791–$37,974
Chicago IL10$24,348$28,216$32,314$18,637–$36,130
Cleveland OH11$24,054$25,075$27,142$16,980–$35,686
Colorado (statewide)16$24,014$37,246$44,917$11,901–$61,074
Columbus OH3———$39,483–$52,053
Connecticut (statewide)6$27,873$37,148$38,663$16,238–$41,477
Dallas-Fort Worth TX15$17,906$21,973$25,256$16,673–$44,134
Delaware (statewide)2———$29,953–$40,786
Denver CO15$18,258$19,202$38,583$16,217–$51,228
Detroit MI17$26,609$26,910$36,004$19,215–$43,119
Florida (statewide)89$18,814$22,086$39,227$14,229–$58,346
Georgia (statewide)43$26,524$36,942$39,060$15,814–$57,772
Hawaii (statewide)11$36,562$40,815$45,770$33,508–$49,628
Houston TX19$20,034$24,462$30,449$17,754–$44,905
Idaho (statewide)15$27,998$34,040$41,322$17,986–$47,845
Illinois (statewide)46$18,690$21,395$27,635$13,075–$41,571
Indiana (statewide)55$16,362$26,376$32,640$10,566–$42,462
Indianapolis IN6$15,001$25,280$41,916$14,482–$44,035
Iowa (statewide)27$18,543$21,897$27,414$12,293–$64,796
Kansas (statewide)33$16,692$17,529$22,581$7,942–$41,548
Kentucky (statewide)41$17,324$23,957$26,162$11,934–$45,256
Las Vegas NV2———$32,140–$37,426
Los Angeles CA18$32,400$34,492$37,147$25,979–$45,678
Louisiana (statewide)25$15,009$18,202$20,480$11,994–$45,259
Maine (statewide)14$36,537$52,676$58,068$10,303–$58,733
Maryland (statewide)1———$15,240–$15,240
Massachusetts (statewide)8$22,030$25,308$26,758$13,849–$36,229
Miami-Fort Lauderdale FL3———$19,360–$25,107
Michigan (statewide)39$21,440$25,442$31,210$11,838–$40,404
Minneapolis-St. Paul MN15$28,380$32,914$33,701$20,998–$36,642
Minnesota (statewide)25$24,764$24,788$33,701$10,664–$49,179
Mississippi (statewide)20$18,825$20,150$20,747$12,357–$32,181
Missouri (statewide)35$16,852$20,399$24,904$9,064–$48,550
Montana (statewide)8$23,020$34,908$44,606$9,366–$66,122
Nashville TN8$15,923$16,734$22,123$15,385–$37,672
Nebraska (statewide)15$32,884$34,535$39,727$22,970–$46,393
Nevada (statewide)6$24,690$25,508$34,605$22,093–$38,579
New Hampshire (statewide)8$22,382$26,504$32,505$19,222–$45,688
New Jersey (statewide)21$31,775$37,371$44,275$18,340–$56,270
New Mexico (statewide)11$15,443$19,478$29,204$9,222–$59,090
New York (statewide)48$22,330$26,051$34,325$14,093–$62,923
New York City8$35,284$36,922$42,754$17,488–$59,810
North Carolina (statewide)35$17,360$21,597$34,868$12,134–$46,839
North Dakota (statewide)7$21,934$24,936$25,572$20,270–$35,429
Ohio (statewide)57$25,075$29,293$36,160$12,478–$52,272
Oklahoma (statewide)28$12,429$15,344$19,955$9,142–$37,988
Oregon (statewide)14$31,826$34,308$39,866$17,330–$52,272
Pennsylvania (statewide)62$23,065$29,223$34,689$14,785–$55,738
Philadelphia PA11$33,304$35,633$40,230$32,141–$56,270
Phoenix AZ11$32,333$32,333$34,924$31,164–$37,694
Pittsburgh PA7$23,996$25,480$28,502$19,289–$32,734
Portland OR9$39,466$41,572$49,096$39,174–$49,108
Research Triangle NC9$25,270$26,477$26,546$17,335–$29,958
Rhode Island (statewide)7$22,203$31,441$39,060$19,592–$42,061
Richmond VA7$20,575$41,655$45,482$20,372–$48,527
Rio Grande Valley TX6$20,556$22,832$23,797$18,952–$25,162
Salt Lake City UT9$30,114$30,114$30,114$29,870–$30,114
San Antonio TX3———$18,086–$42,297
San Diego CA8$23,018$26,284$29,164$22,352–$32,376
San Francisco Bay Area CA2———$23,848–$36,864
Seattle-Tacoma WA16$38,769$43,133$45,581$38,082–$54,828
South Carolina (statewide)31$32,570$36,552$44,784$12,282–$58,868
South Dakota (statewide)4———$21,368–$31,595
St. Louis MO7$24,673$25,534$25,534$9,926–$32,734
Tampa FL11$38,314$39,661$40,100$30,031–$43,083
Tennessee (statewide)33$16,201$18,408$20,598$12,231–$37,672
Texas (statewide)89$17,756$21,973$29,540$8,721–$51,020
Utah (statewide)6$30,309$35,992$42,338$14,249–$42,754
Vermont (statewide)3———$24,530–$54,223
Virginia (statewide)34$23,096$37,004$40,332$17,630–$60,383
Washington (statewide)14$31,934$37,118$40,851$16,093–$82,745
Washington DC11$28,349$38,469$39,654$20,372–$40,901
West Virginia (statewide)14$10,372$10,990$32,849$8,774–$46,787
Wisconsin (statewide)54$24,238$36,268$39,974$11,622–$46,723
Wyoming (statewide)2———$30,837–$44,053

Lowest and highest 12 hospital medians

HospitalMarketMedian across insurers× MedicareInsurersFile date
Mcpherson Hospital IncKansas (statewide)$7,9420.6×32026-06-08
Memorial Medical CenterTexas (statewide)$8,7210.6×12026-09-14
Wetzel County HospitalWest Virginia (statewide)$8,7740.7×22026-07-10
Stormont Vail Health Flint Hills, LlcKansas (statewide)$8,8920.7×32025-12-19
Dell Seton Med Center At The University Of TxAustin TX$9,0630.7×12026-01-01
Ascension Seton Highland LakesTexas (statewide)$9,0630.7×12026-01-01
Ascension Seton Edgar B DavisTexas (statewide)$9,0630.7×12026-01-01
Dell Children'S Medical CenterTexas (statewide)$9,0630.7×12026-01-01
Cedar Park Regional Medical CenterAustin TX$9,0630.7×12026-01-01
Ascension Seton SmithvilleTexas (statewide)$9,0630.7×12026-01-01
Lafayette Regional Health CenterMissouri (statewide)$9,0640.7×42026-09-01
Cordell Memorial HospitalOklahoma (statewide)$9,1420.7×52026-06-24
Children'S Hospital ColoradoColorado (statewide)$60,0964.1×42026-04-17
Carilion New River Valley Medical CenterVirginia (statewide)$60,3834.5×12025-12-15
Intermountain Health St. Mary'S Regional HospitalColorado (statewide)$61,0744.2×42026-03-22
Montefiore Mount Vernon HospitalNew York (statewide)$62,9233.6×102026-04-01
Guthrie County HospitalIowa (statewide)$64,7964.9×12026-09-26
Providence Alaska Medical CenterAlaska (statewide)$64,8844.2×42026-04-01
Providence St Joseph Medical CenterMontana (statewide)$66,1224.7×12026-04-01
Lac/Olive View-Ucla Medical CenterCalifornia (statewide)$71,9814.0×12026-03-12
Lac/Harbor-Ucla Med CenterCalifornia (statewide)$75,8654.2×12026-03-12
Providence Centralia HospitalWashington (statewide)$82,7455.3×22026-04-01
Loma Linda University Children'S HospitalCalifornia (statewide)$86,3044.8×22026-09-02
Lac/Rancho Los Amigos National Rehabilitation CtrCalifornia (statewide)$112,7606.2×12026-03-12

Every hospital is on its state's page (linked in the market table) and in the interactive explorer.

MS-DRG 872: Septicemia Or Severe Sepsis Without Mv >96 Hours Without McC

1603 hospitals in 83 markets. National Medicare rate $7,446.

MarketHospitals25th pctMedian75th pctLow–high
Alabama (statewide)22$8,768$10,620$12,928$5,310–$24,548
Alaska (statewide)4———$9,249–$34,090
Arizona (statewide)29$14,872$18,354$23,437$7,345–$36,447
Arkansas (statewide)12$8,706$9,531$10,466$6,097–$12,014
Atlanta GA10$18,605$19,461$19,782$18,605–$30,353
Austin TX13$6,663$10,942$12,418$6,411–$14,432
Boston MA15$8,894$9,566$10,549$7,257–$17,091
California (statewide)54$12,205$14,732$18,363$6,537–$49,044
Charlotte NC8$15,697$17,000$20,004$11,479–$20,004
Chicago IL10$12,801$14,826$16,990$9,792–$19,033
Cleveland OH11$13,270$14,158$14,646$12,581–$18,150
Colorado (statewide)16$12,650$19,712$23,662$6,270–$32,174
Columbus OH3———$20,800–$27,421
Connecticut (statewide)6$19,133$20,452$23,965$16,238–$24,980
Dallas-Fort Worth TX15$10,619$11,920$13,607$9,274–$23,190
Delaware (statewide)2———$13,534–$20,773
Denver CO15$10,136$10,312$20,326$9,352–$26,958
Detroit MI17$13,767$14,017$17,794$10,787–$19,937
Florida (statewide)89$11,224$13,429$20,726$7,696–$30,737
Georgia (statewide)41$14,462$19,823$26,088$9,158–$30,353
Hawaii (statewide)11$35,530$36,650$40,791$17,652–$46,126
Houston TX19$11,050$14,853$16,484$9,818–$28,981
Idaho (statewide)16$15,304$17,728$22,373$9,382–$25,141
Illinois (statewide)44$9,474$11,264$14,859$6,888–$21,900
Indiana (statewide)54$12,271$14,773$17,195$5,566–$22,369
Indianapolis IN6$14,799$16,866$22,081$13,700–$23,197
Iowa (statewide)26$10,105$11,599$14,866$8,783–$23,096
Kansas (statewide)33$9,102$10,017$12,810$4,702–$23,800
Kentucky (statewide)41$9,020$12,611$13,782$6,270–$27,586
Las Vegas NV1———$16,888–$16,888
Los Angeles CA18$17,139$18,690$19,545$13,686–$24,000
Louisiana (statewide)25$8,454$9,583$10,761$6,844–$42,491
Maine (statewide)14$19,199$27,750$30,571$7,890–$30,940
Maryland (statewide)1———$9,643–$9,643
Massachusetts (statewide)8$11,639$13,332$14,607$7,296–$18,164
Miami-Fort Lauderdale FL3———$10,913–$13,226
Michigan (statewide)39$11,140$13,403$15,617$7,704–$21,285
Minneapolis-St. Paul MN15$14,822$17,339$17,706$11,223–$19,303
Minnesota (statewide)25$12,600$13,058$17,706$5,618–$25,839
Mississippi (statewide)21$10,233$10,305$11,292$5,365–$16,953
Missouri (statewide)35$8,962$10,496$12,863$5,366–$20,729
Montana (statewide)9$13,820$20,548$25,214$4,922–$51,309
Nashville TN8$9,568$10,465$13,794$9,006–$19,795
Nebraska (statewide)15$17,278$18,193$21,319$12,070–$24,439
Nevada (statewide)5$13,677$15,750$20,323$11,609–$20,554
New Hampshire (statewide)8$11,778$13,925$17,111$10,024–$24,068
New Jersey (statewide)21$17,418$20,060$22,821$9,742–$30,282
New Mexico (statewide)11$8,874$10,770$16,471$4,846–$31,046
New York (statewide)48$11,763$13,774$18,705$7,424–$33,060
New York City9$19,191$19,710$29,808$9,188–$32,294
North Carolina (statewide)35$9,224$10,657$18,368$6,376–$29,794
North Dakota (statewide)7$11,664$13,102$13,464$10,650–$18,615
Ohio (statewide)57$13,303$16,496$19,436$6,573–$28,200
Oklahoma (statewide)28$7,018$9,232$11,232$4,345–$20,012
Oregon (statewide)14$16,762$19,507$21,585$9,129–$27,486
Pennsylvania (statewide)62$12,120$15,440$18,986$7,625–$31,852
Philadelphia PA11$17,968$19,316$22,432$16,953–$30,282
Phoenix AZ11$17,033$18,118$21,234$17,033–$23,437
Pittsburgh PA7$12,450$13,182$14,722$9,954–$17,130
Portland OR9$21,786$23,551$25,787$20,736–$26,505
Research Triangle NC9$10,564$13,530$13,712$9,109–$15,782
Rhode Island (statewide)7$13,647$16,516$20,576$10,611–$22,158
Richmond VA7$13,206$20,128$22,621$11,827–$24,621
Rio Grande Valley TX6$11,720$12,816$13,443$11,296–$15,750
Salt Lake City UT9$12,787$12,787$12,787$12,660–$12,787
San Antonio TX3———$10,104–$31,058
San Diego CA7$12,754$14,642$16,471$12,230–$17,609
San Francisco Bay Area CA2———$12,784–$19,368
Seattle-Tacoma WA16$21,505$22,664$23,750$20,436–$29,257
South Carolina (statewide)31$18,172$19,256$28,170$6,447–$31,011
South Dakota (statewide)4———$11,256–$16,644
St. Louis MO7$13,407$13,407$15,002$5,229–$17,196
Tampa FL11$20,157$20,840$21,124$17,762–$22,696
Tennessee (statewide)33$8,555$10,021$11,954$6,325–$19,795
Texas (statewide)91$9,713$12,164$17,092$4,401–$27,586
Utah (statewide)6$13,647$16,774$17,847$7,506–$18,022
Vermont (statewide)3———$12,890–$28,492
Virginia (statewide)34$13,324$19,468$21,247$9,735–$31,809
Washington (statewide)14$16,668$19,515$21,484$8,553–$43,298
Washington DC11$16,840$20,214$20,836$10,721–$21,547
West Virginia (statewide)13$5,597$6,030$17,552$4,740–$24,647
Wisconsin (statewide)55$13,109$19,049$20,985$9,359–$24,613
Wyoming (statewide)2———$16,245–$22,884

Lowest and highest 12 hospital medians

HospitalMarketMedian across insurers× MedicareInsurersFile date
Cordell Memorial HospitalOklahoma (statewide)$4,3450.6×42026-06-24
Weatherford Regional Hospital, Inc Of WeatherfordOklahoma (statewide)$4,3450.6×42026-06-24
Memorial Medical CenterTexas (statewide)$4,4010.6×12026-09-14
Mcpherson Hospital IncKansas (statewide)$4,7020.7×32026-06-08
Wetzel County HospitalWest Virginia (statewide)$4,7400.7×22026-07-10
Los Alamos Medical CenterNew Mexico (statewide)$4,8460.7×32026-07-10
Mccone County Health CenterMontana (statewide)$4,9220.7×12026-01-01
Sabetha Community HospitalKansas (statewide)$5,0600.8×22026-08-04
Mercy Hospital SouthSt. Louis MO$5,2290.7×12026-06-10
Stormont Vail Health Flint Hills, LlcKansas (statewide)$5,2690.8×32025-12-19
Flowers HospitalAlabama (statewide)$5,3100.8×12026-04-01
Simpson General Hospital CahMississippi (statewide)$5,3650.8×22025-04-30
Page HospitalArizona (statewide)$36,4474.7×12026-03-02
Straub Clinic And HospitalHawaii (statewide)$36,6504.2×22026-02-12
Kohala HospitalHawaii (statewide)$40,7914.7×12026-06-15
Samuel Mahelona Memorial HospitalHawaii (statewide)$40,7914.7×12026-06-15
Honoka'A Hospital And Skilled NursingHawaii (statewide)$40,7914.7×12026-06-15
Bayou Bend Health SystemLouisiana (statewide)$42,4916.5×12026-09-15
Providence Centralia HospitalWashington (statewide)$43,2985.3×22026-04-01
Kauai Veterans Memorial HospitalHawaii (statewide)$43,8795.0×12026-06-15
Wilcox Memorial HospitalHawaii (statewide)$46,1265.3×12026-02-12
Lac/Harbor-Ucla Med CenterCalifornia (statewide)$48,4005.1×12026-03-12
Lac/Olive View-Ucla Medical CenterCalifornia (statewide)$49,0445.1×12026-03-12
Billings Clinic BroadwaterMontana (statewide)$51,3096.9×12025-12-11

Every hospital is on its state's page (linked in the market table) and in the interactive explorer.

Questions

How much do commercial insurers pay hospitals for sepsis (hospital stay)?

Across 1606 hospitals in 83 markets (metro areas and statewide) that post a usable dollar rate, the median commercial rate for inpatient stay (MS-DRG 871) is $26,434, 1.9× the same hospital's local Medicare base rate. The middle half of hospitals runs $19,468 to $36,598. Figures are each hospital's median across insurers, from its federal price-transparency file.

What does Medicare pay for sepsis (hospital stay)?

Medicare's national inpatient base rate for MS-DRG 871 is $14,135, before local wage adjustment.

Which hospitals post the lowest and highest commercial rates for sepsis (hospital stay)?

Lowest medians: Mcpherson Hospital Inc ($7,942), Memorial Medical Center ($8,721), Wetzel County Hospital ($8,774). Highest: Lac/Rancho Los Amigos National Rehabilitation Ctr ($112,760), Loma Linda University Children'S Hospital ($86,304), Providence Centralia Hospital ($82,745). Coverage: every hospital whose price file we could read.