CMS Price Transparency Data

Sepsis treatment (inpatient stay)

Facility: Knox Community Hospital

Billing Code: 871 (MS-DRG)

The BaseRate · fair price high confidence
A fair price for this
$15,764
about 1.1× the $14,117 Medicare rate · typically $13,633–$20,006
modeled estimate · not a bill or quote
What this hospital charges insurers
$13,875
Below the fair price — a good deal
about $1,889 under the fair price · 1.0× Medicare
Medicare pays $14,117 Fair price $15,764 This hospital $13,875

How we calculate the fair BaseRate →

How this hospital compares to other OH hospitals

Highest price of the 9 OH hospitals we have prices for — worth calling around.

Cheapest $8,741 Priciest $13,875

Black dot = this hospital, among the 9 OH hospitals with a price for this procedure. Full list below.

A fair price for a Sepsis treatment (inpatient stay) is about $15,764 (about 1.1× the $14,117 Medicare rate). Knox Community Hospital charges insurers about $13,875 — below the fair price — a good deal. Located in Mount Vernon, OH.

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 $13,944 99%
Blue Cross Blue Shieldmajor $14,082 100%
Aetnamajor $13,806 98%
Humanamajor $13,806 98%
CareSource $14,496 103%
Medical Mutual $11,735 83%
Molina $13,806 98%
+ 1 smaller / regional plan $13,944

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Facility Profile & Credentials

  • Address: 1330 Coshocton Road, Mount Vernon, OH 43050
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Acute Care Hospitals