CMS Price Transparency Data

Sepsis treatment (inpatient stay)

Facility: Indiana University Health Paoli Hospital

Billing Code: 871 (MS-DRG)

The BaseRate · fair price medium confidence
A fair price for this
$28,698
about 2.0× the $14,117 Medicare rate · typically $11,920–$41,115
modeled estimate · not a bill or quote
What this hospital charges insurers
$39,900
Above the fair price
about $11,202 over the fair price · 2.8× Medicare
Medicare pays $14,117 Fair price $28,698 This hospital $39,900

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 $39,900

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 $28,698 (about 2.0× the $14,117 Medicare rate). Indiana University Health Paoli Hospital charges insurers about $39,900 — above the fair price. Located in Paoli, 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 $28,698. 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.

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

✓ Blue Cross Blue Shield✓ Aetna✓ Humana UnitedHealthcareCignaKaiser 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 $3,474 - $3,821 25%
Aetnamajor $3,474 25%
Humanamajor $3,474 - $3,543 25%
Ambetter (Centene) $5,732 41%
CareSource $5,211 37%
Health Net $8,685 - $39,979 62%
WellCare $3,543 25%
+ 5 smaller / regional plans $3,474 - $39,821

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: 642 W Hospital Rd, Paoli, IN 47454
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals