CMS Price Transparency Data

Sepsis treatment (inpatient stay)

Facility: Saint Joseph Mount Sterling

Billing Code: 871 (MS-DRG)

The BaseRate · fair price high confidence
A fair price for this
$16,138
about 1.1× the $14,117 Medicare rate · typically $15,750–$16,206
modeled estimate · not a bill or quote
What this hospital charges insurers
$16,213
About the fair price
about $75 over the fair price · 1.1× Medicare
Medicare pays $14,117 Fair price $16,138 This hospital $16,213

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 $16,213

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 $16,138 (about 1.1× the $14,117 Medicare rate). Saint Joseph Mount Sterling charges insurers about $16,213 — about the fair price. Located in Mount Sterling, 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 $15,478 - $20,084 110%
Blue Cross Blue Shieldmajor $15,933 - $21,328 113%
Aetnamajor $13,657 - $16,452 97%
Humanamajor $15,174 - $19,269 107%
CareSource $31,946 226%
Molina $15,478 - $16,772 110%
WellCare $15,478 - $15,973 110%

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Facility Profile & Credentials

  • Address: 225 Falcon Drive, Mount Sterling, KY 40353
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals