CMS Price Transparency Data

Sepsis treatment (inpatient stay)

Facility: Highpoint Health-Sumner With Ascension Saint Thoma

Billing Code: 871 (MS-DRG)

The BaseRate · fair price high confidence
A fair price for this
$16,385
about 1.2× the $14,117 Medicare rate · typically $13,925–$19,668
modeled estimate · not a bill or quote
What this hospital charges insurers
$13,912
Below the fair price — a good deal
about $2,473 under the fair price · 1.0× Medicare
Medicare pays $14,117 Fair price $16,385 This hospital $13,912 Cash price $16,302 Hospital's list price $69,964

How we calculate the fair BaseRate →

How this hospital compares to other TN hospitals

On the higher side — 6 of 8 other TN hospitals charge less.

Cheapest $12,355 Priciest $14,101

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

A fair price for a Sepsis treatment (inpatient stay) is about $16,385 (about 1.2× the $14,117 Medicare rate). Highpoint Health-Sumner With Ascension Saint Thoma charges insurers about $13,912, or about $16,302 in cash — below the fair price — a good deal. Located in Gallatin, TN.

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✓ Cigna✓ Humana AetnaKaiser 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 $12,751 - $32,371 90%
Blue Cross Blue Shieldmajor $13,250 - $16,819 94%
Cignamajor $20,280 - $22,351 144%
Humanamajor $13,250 94%
Ambetter (Centene) $26,878 190%
Amerigroup $13,250 94%
Cigna HealthSpring $13,912 99%
Devoted Health $13,647 97%
Health Net $14,807 105%
+ 3 smaller / regional plans $13,250 - $14,045
Government programs also on file: Medicare, Military & VA.

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Facility Profile & Credentials

  • Address: 555 Hartsville Pike, Gallatin, TN 37066
  • CMS Rating: ★★★☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals