CMS Price Transparency Data

Sepsis treatment (inpatient stay)

Facility: Saint Joseph East

Billing Code: 871 (MS-DRG)

The BaseRate · fair price high confidence
A fair price for this
$15,639
about 1.1× the $14,117 Medicare rate · typically $14,049–$16,014
modeled estimate · not a bill or quote
What this hospital charges insurers
$15,607
About the fair price
about $32 under the fair price · 1.1× Medicare
Medicare pays $14,117 Fair price $15,639 This hospital $15,607

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 $15,607

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 $15,639 (about 1.1× the $14,117 Medicare rate). Saint Joseph East charges insurers about $15,607 — 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 $14,900 - $31,735 106%
Blue Cross Blue Shieldmajor $15,338 - $29,435 109%
Aetnamajor $13,147 - $15,838 93%
Humanamajor $14,607 - $24,555 103%
CareSource $30,752 218%
Molina $14,900 - $16,145 106%
WellCare $14,900 - $15,376 106%

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Facility Profile & Credentials

  • Address: 150 North Eagle Creek Drive, Lexington, KY 40509
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals