CMS Price Transparency Data

Sepsis treatment (inpatient stay)

Facility: Murray-Calloway County Hospital

Billing Code: 871 (MS-DRG)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 871
Insurance Median: $14,156
Cash Discount Price: $30,992
vs. Medicare Baseline: 1.00x Medicare

The contracted insurance negotiated median rate for a Sepsis treatment (inpatient stay) at Murray-Calloway County Hospital is $14,156. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $30,992. Compared to the federal Medicare reimbursement reference rate of $14,116.91, this hospital’s rate is 1.00x the Medicare baseline. Located in 803 Poplar Street, Murray, KY.

Cash / Self-Pay

$30,992

Average discount available for prompt cash payment at this facility.

Insurance Median

$14,156

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: $30,992 (220%)

Insurance Median: $14,156 (100%)

Cash: $30,992 (220% of Medicare)

Ins. Median: $14,156 (100% 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
Bluegrass - All Plans	$7,850	56%
Aetna	$12,149	86%
Wellcare Health Plan Inc	$12,149	86%
Blue Cross Blue Shield	$12,788 - $14,901	91%
Coventry Cares Of Ky - All Plans	$12,788	91%
Humana	$12,788 - $31,283	91%
Medicaid / KanCare	$12,788	91%
Passport Health - All Plans	$12,788	91%
Tricare	$13,022	92%
Triwest - All Plans	$13,022	92%
Wellcare Mcr Adv	$13,283	94%
Health Cost Solutions - All Plans	$19,534	138%
Medben Mcch Employees	$22,138	157%
Occunet - All Plans	$22,789	161%
Ambetter / Centene	$24,091	171%
UnitedHealthcare	$24,412	173%
Medben City Of Murray - All Other Plans	$28,608	203%
Center Care - All Plans	$34,330	243%
Three Rivers - All Plans	$38,144	270%
First Health - All Plans	$42,912	304%
Healthsmart - All Plans	$42,912	304%
Multiplan - All Plans	$42,912	304%
Corvel Corporation - All Plans	$47,680	338%

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 $30,992.
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 Murray-Calloway 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.