CMS Price Transparency Data

Sepsis treatment (inpatient stay)

Facility: Adena Regional Medical Center

Billing Code: 871 (MS-DRG)

The BaseRate · fair price high confidence
A fair price for this
$16,986
about 1.2× the $14,117 Medicare rate · typically $14,860–$20,674
modeled estimate · not a bill or quote
What this hospital charges insurers
$20,671
Above the fair price
about $3,685 over the fair price · 1.5× Medicare
Medicare pays $14,117 Fair price $16,986 This hospital $20,671

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 $20,671

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 $16,986 (about 1.2× the $14,117 Medicare rate). Adena Regional Medical Center charges insurers about $20,671 — above the fair price. Located in Chillicothe, OH.

This price is above the fair BaseRate — you may be able to pay less

Ask the hospital for the cash / self-pay price, check whether you qualify for financial assistance, or negotiate the bill down toward the fair price of about $16,986. Many patients pay well below the first number they’re quoted — the checklists below walk you through it.

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 $15,932 - $34,201 113%
Blue Cross Blue Shieldmajor $25,091 - $33,232 178%
Aetnamajor $15,932 113%
Humanamajor $15,932 113%
Medical Mutual $15,932 - $41,277 113%
Molina $15,932 - $26,288 113%
+ 6 smaller / regional plans $15,932 - $43,814

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.

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Facility Profile & Credentials

  • Address: 272 Hospital Road, Chillicothe, OH 45601
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals