CMS Price Transparency Data

Sepsis treatment (inpatient stay)

Facility: Major Hospital

Billing Code: 871 (MS-DRG)

The BaseRate · fair price high confidence
A fair price for this
$21,096
about 1.5× the $14,117 Medicare rate · typically $13,643–$37,615
modeled estimate · not a bill or quote
What this hospital charges insurers
$28,746
Above the fair price
about $7,650 over the fair price · 2.0× Medicare
Medicare pays $14,117 Fair price $21,096 This hospital $28,746 Cash price $11,837 Hospital's list price $38,184

How we calculate the fair BaseRate →

How this hospital compares to other IN hospitals

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

Cheapest $10,488 Priciest $28,746

Black dot = this hospital, among the 9 IN hospitals with a price for this procedure. Full list below.

A fair price for a Sepsis treatment (inpatient stay) is about $21,096 (about 1.5× the $14,117 Medicare rate). Major Hospital charges insurers about $28,746, or about $11,837 in cash — above the fair price. Located in Shelbyville, IN.

This price is above the fair BaseRate — you may be able to pay less

Ask the hospital for the cash / self-pay price, check whether you qualify for financial assistance, or negotiate the bill down toward the fair price of about $21,096. Many patients pay well below the first number they’re quoted — the checklists below walk you through it.

What each insurance company pays

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

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana Kaiser 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 $24,858 - $27,820 176%
Blue Cross Blue Shieldmajor $10,947 - $19,371 78%
Aetnamajor $32,075 227%
Cignamajor $37,802 268%
Humanamajor $34,423 244%
Ambetter (Centene) $30,259 214%
CareSource $28,746 204%
+ 2 smaller / regional plans $21,689 - $33,220
Excludes 2 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

Insurance Before you use insurance

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

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Facility Profile & Credentials

  • Address: 2451 Intelliplex Dr, Shelbyville, IN 46176
  • CMS Rating: ★★★★☆
  • Ownership Type: Government - Local
  • Hospital Type: Acute Care Hospitals