CMS Price Transparency Data

Sepsis treatment (inpatient stay)

Facility: Harrison County Hospital

Billing Code: 871 (MS-DRG)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 871
Insurance Median: $15,663
Cash Discount Price: $11,693
vs. Medicare Baseline: 1.11x Medicare

The contracted insurance negotiated median rate for a Sepsis treatment (inpatient stay) at Harrison County Hospital is $15,663. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $11,693. Compared to the federal Medicare reimbursement reference rate of $14,116.91, this hospital’s rate is 1.11x the Medicare baseline. Located in 245 Atwood Street, Corydon, IN.

Cash / Self-Pay

$11,693

Average discount available for prompt cash payment at this facility.

Insurance Median

$15,663

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate

$14,116.91

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $14,116.91 (100%)

Cash / Self-Pay: $11,693 (83%)

Insurance Median: $15,663 (111%)

Cash: $11,693 (83% of Medicare)

Ins. Median: $15,663 (111% of 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.

Billing Status

Remaining Deductible ($)

Your Coinsurance Rate (%)

Input your details and click calculate to compare out-of-pocket costs.

Commercial Insurance Negotiated Rates

Negotiated contract ranges established by major commercial carriers at this facility.

Carrier / Plan Group	Contract Rate Range	vs. Medicare Reference
First Health-All Plans	$4,284	30%
Aetna	$5,000 - $15,663	35%
Blue Cross Blue Shield	$5,587 - $15,663	40%
Caresource Mcaid Hhw	$5,587	40%
Mdwise Mcaid Hhw/Hcc - All Other Plans	$5,587	40%
Mhs Mcaid Hhw/Hcc	$5,587	40%
UnitedHealthcare	$5,587 - $15,663	40%
Humana	$7,215 - $15,663	51%
Siho One Southern	$9,744	69%
Tricare	$14,410	102%
Encore Encircle	$15,590	110%
Sagamore-All Plans	$15,590	110%
Siho Ppo/Hmo - All Other Plans	$15,590	110%
Caresource Mcaid Hip	$15,663	111%
Caresource Mcr Adv	$15,663	111%
Mdwise Mcaid Hip	$15,663	111%
Mhs Exchange-All Other Plans	$15,663	111%
Mhs Mcaid Hip	$15,663	111%
Passport Mcaid-All Other Plans	$15,663	111%
Passport Mcr Adv	$15,663	111%
Mhs Mcr Adv	$15,820	112%
Communicare Adv-All Plans	$15,976	113%
Siho Exchange	$16,133	114%
Multiplan-All Plans	$16,351	116%
Beech Street Comm-All Plans	$16,565	117%
Cigna	$17,539	124%
Encore Ppo - All Other Plans	$17,539	124%
Caresource Exchange-All Other Plans	$20,362	144%
Buckeye Exchange-All Plans	$26,627	189%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $11,693.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify MS-DRG Code matches exactly: 871.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Harrison County Hospital is fully in-network.
Ask your insurer if "Prior Authorization" is required for MS-DRG code 871.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.