CMS Price Transparency Data

Sepsis treatment (inpatient stay)

Facility: Tj Health Columbia

Billing Code: 871 (MS-DRG)

The BaseRate · fair price high confidence

A fair price for this

$16,688

about 1.2× the $14,117 Medicare rate · typically $13,476–$17,735

modeled estimate · not a bill or quote

What this hospital charges insurers

$13,564

Below the fair price — a good deal

about $3,124 under the fair price · 1.0× Medicare

Medicare pays $14,117 Fair price $16,688 This hospital $13,564 Cash price $11,031 Hospital's list price $16,971

How we calculate the fair BaseRate →

How this hospital compares to other KY hospitals

A typical price — 5 charge more and 3 charge less, among the 9 KY hospitals compared.

Cheapest $13,022 Priciest $14,152

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 $16,688 (about 1.2× the $14,117 Medicare rate). Tj Health Columbia charges insurers about $13,564, or about $11,031 in cash — below the fair price — a good deal. Located in Columbia, 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	$13,390	95%
Blue Cross Blue Shieldmajor	$11,934 - $16,971	85%
Aetnamajor	$10,741	76%
Humanamajor	$11,934 - $13,429	85%
CareSource	$16,971	120%
Devoted Health	$14,101	100%
Molina	$12,292 - $16,971	87%
+ 2 smaller / regional plans	$9,334 - $13,564

Excludes 2 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

Tell the billing desk you want to be billed as self-pay — not through insurance — before your visit.
Ask for the cash / prompt-pay discount in writing, with the exact price (about 11,031), before you agree to anything.
Get it in writing that they won’t also bill your insurance, so the cash price is what you owe.
Check the MS-DRG code on your bill matches exactly: 871.

Insurance Before you use insurance

Call your insurance company to confirm Tj Health Columbia is in-network.
Ask your insurer whether prior approval is required for MS-DRG code 871.
Confirm the doctor or provider is in-network too — not just the hospital building.
Check your Explanation of Benefits against the hospital’s final itemized bill.

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

How you’d pay

Deductible left to meet ($)

Your coinsurance (%)

Enter your details and press estimate to compare.

Other Procedures at Tj Health Columbia

Compare: Sepsis treatment (inpatient stay) at other KY hospitals

Murray-Calloway County Hospital · Murray $13,022
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
Clark Regional Medical Center · Winchester $14,036
Harrison Memorial Hospital · Cynthiana $14,152

Insurance negotiated median for the same procedure, sorted lowest first.