CMS Price Transparency Data

Sepsis treatment (inpatient stay)

Facility: Taylor Regional Hospital

Billing Code: 871 (MS-DRG)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 871
Insurance Median: $13,571
Cash Discount Price: $16,688
vs. Medicare Baseline: 0.96x Medicare

The contracted insurance negotiated median rate for a Sepsis treatment (inpatient stay) at Taylor Regional Hospital is $13,571. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $16,688. Compared to the federal Medicare reimbursement reference rate of $14,116.91, this hospital’s rate is 0.96x the Medicare baseline. Located in 1700 Old Lebanon Road, Campbellsville, KY.

Cash / Self-Pay

$16,688

Average discount available for prompt cash payment at this facility.

Insurance Median

$13,571

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: $16,688 (118%)

Insurance Median: $13,571 (96%)

Cash: $16,688 (118% of Medicare)

Ins. Median: $13,571 (96% 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
Medicaid / KanCare	$8,986 - $12,376	64%
Aetna	$10,920 - $22,362	77%
Humana	$12,133 - $13,436	86%
UnitedHealthcare	$12,376 - $15,554	88%
Blue Cross Blue Shield	$12,740 - $24,435	90%
Medicare (plans)	$13,436	95%
Cigna	$15,019	106%
Caresource Mcr Adv-All Plans	$22,573	160%
Coventry-First Health-All Other Plans	$23,363	165%
Siho Network-All Plans	$25,032	177%
Multiplan-All Plans	$27,702	196%

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 $16,688.
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 Taylor Regional 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.