Sepsis treatment (inpatient stay)
Facility: Clark Regional Medical Center
Billing Code: 871 (MS-DRG)
This hospital's typical commercial price is $14,036 compared to the $15,255 fair price benchmark.
3-Star CMS clinical quality rating paired with 0.92× fair market pricing.
On the higher side — 7 of 8 other KY hospitals charge less.
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 $15,255 (about 1.1× the $14,117 Medicare rate). Clark Regional Medical Center charges insurers about $14,036, or about $37,521 in cash — about the fair price. Located in Winchester, KY.
What each insurance company pays
Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.
5 of 6 major insurers have a published price at this hospital
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 | $3,196 | 23% |
| Blue Cross Blue Shieldmajor | $14,457 - $21,673 | 102% |
| Aetnamajor | $14,457 | 102% |
| Cignamajor | $14,036 | 99% |
| Humanamajor | $1,972 - $14,036 | 14% |
| Cigna HealthSpring | $14,036 | 99% |
| Medical Mutual | $14,036 | 99% |
| MVP Health Care | $14,036 | 99% |
| UniCare | $14,036 | 99% |
| WellCare | $14,036 | 99% |
| + 7 smaller / regional plans | $1,794 - $14,316 |
Self-Pay How to get the cash price
Insurance Before you use insurance
Estimate your out-of-pocket cost
A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.
Other Procedures at Clark Regional Medical Center
Compare: Sepsis treatment (inpatient stay) at other KY hospitals
- Three Rivers Medical Center · Louisa $12,233
- Rockcastle County Hospital, Inc. · Mount Vernon $13,311
- Taylor Regional Hospital · Campbellsville $13,436
- Tristar Greenview Regional Hospital · Bowling Green $13,533
- Georgetown Community Hospital · Georgetown $13,659
- Bourbon Community Hospital · Paris $13,828
- Saint Joseph London · London $14,008
- Harrison Memorial Hospital · Cynthiana $14,152
Insurance negotiated median for the same procedure, sorted lowest first.
Audit a Bill or Quote at Clark Regional Medical Center (Zero PHI Required)
Statutory 501(r) AGB Cap Limits Bill to $34,050
At 274% FPL (201%–400% FPL tier), 26 U.S.C. § 501(r)(5) caps FAP-eligible bills at Amounts Generally Billed (36.3% of gross = $34,050).
Self-Pay Cash Rate ($37,521) Beats Your Bill
Clark Regional Medical Center's published 45 CFR § 180 self-pay cash rate is $37,521 (vs. $14,036 commercial insurer median). Ask billing to reclassify the visit to prompt-pay self-pay if it beats your deductible.
Negotiate Toward $15,255 Fair BaseRate ($14,117 Medicare)
Your bill ($93,802) is $78,547 above the denoised Fair BaseRate ($15,255) and 6.6× the $14,117 Medicare rate.
Clinical Quality, Patient Experience & Infection Benchmarks
Source: CMS Hospital Care Compare. Clinical quality metrics summarize historical facility-wide cohorts and are not medical advice for individual care decisions.
How to Pay Less Nearby: Freestanding Centers, Insurer Leverage & Outpatient Savings
Verify the Raw Data: Official Hospital MRF, CMS Medicare.gov & Federal Filings
Safe-Harbor Data Corrections: Parsed directly from public 45 CFR § 180 hospital filings, CMS Care Compare, and CMS HCRIS cost reports. Hospital compliance officers may submit updated MRF URLs or rate tables for verification.