CMS Price Transparency Data

Sepsis treatment (inpatient stay)

Facility: Saint Joseph Hospital

Billing Code: 871 (MS-DRG)

The BaseRate · fair price high confidence
A fair price for this
$15,800
about 1.1× the $14,117 Medicare rate · typically $14,261–$16,422
modeled estimate · not a bill or quote
What this hospital charges insurers
$14,358
About the fair price
about $1,442 under the fair price · 1.0× Medicare
Medicare pays $14,117 Fair price $15,800 This hospital $14,358

How we calculate the fair BaseRate →

How this hospital compares to other KY hospitals

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

Cheapest $13,022 Priciest $14,358

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

A fair price for a Sepsis treatment (inpatient stay) is about $15,800 (about 1.1× the $14,117 Medicare rate). Saint Joseph Hospital charges insurers about $14,358 — about the fair price. Located in Lexington, KY.

What each insurance company pays

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

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Humana CignaKaiser 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 $13,707 - $29,035 97%
Blue Cross Blue Shieldmajor $14,110 - $29,543 100%
Aetnamajor $12,095 - $14,570 86%
Humanamajor $13,438 - $24,555 95%
CareSource $28,291 200%
Molina $13,707 - $14,853 97%
WellCare $13,707 - $14,146 97%

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Facility Profile & Credentials

  • Address: One Saint Joseph Drive, Lexington, KY 40504
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Church
  • Hospital Type: Acute Care Hospitals