CMS Price Transparency Data

Sepsis treatment (inpatient stay)

Facility: Clinton Memorial Hospital

Billing Code: 871 (MS-DRG)

The BaseRate · fair price high confidence
A fair price for this
$16,163
about 1.1× the $14,117 Medicare rate · typically $14,233–$20,428
modeled estimate · not a bill or quote
What this hospital charges insurers
$14,838
About the fair price
about $1,325 under the fair price · 1.1× Medicare
Medicare pays $14,117 Fair price $16,163 This hospital $14,838

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 $14,838

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 $16,163 (about 1.1× the $14,117 Medicare rate). Clinton Memorial Hospital charges insurers about $14,838 — about the fair price. Located in Wilmington, OH.

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana Kaiser 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 $14,838 - $29,792 105%
Blue Cross Blue Shieldmajor $14,838 105%
Aetnamajor $14,838 - $33,978 105%
Cignamajor $14,838 - $19,036 105%
Humanamajor $14,838 105%
CareSource $14,838 - $19,289 105%
Molina $14,838 105%
Oscar Health $14,838 105%
+ 3 smaller / regional plans $14,838 - $21,514

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Facility Profile & Credentials

  • Address: 610 West Main Street, Wilmington, OH 45177
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Government - Local
  • Hospital Type: Acute Care Hospitals