CMS Price Transparency Data

Sepsis treatment (inpatient stay)

Facility: Tristar Horizon Medical Center

Billing Code: 871 (MS-DRG)

The BaseRate · fair price high confidence
A fair price for this
$15,599
about 1.1× the $14,117 Medicare rate · typically $14,079–$18,299
modeled estimate · not a bill or quote
What this hospital charges insurers
$15,619
About the fair price
about $20 over the fair price · 1.1× Medicare
Medicare pays $14,117 Fair price $15,599 This hospital $15,619

How we calculate the fair BaseRate →

How this hospital compares to other TN hospitals

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

Cheapest $12,355 Priciest $15,619

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 $15,599 (about 1.1× the $14,117 Medicare rate). Tristar Horizon Medical Center charges insurers about $15,619 — about the fair price. Located in Dickson, TN.

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 $2,625 - $15,312 19%
Blue Cross Blue Shieldmajor $6,144 - $29,106 44%
Aetnamajor $15,466 - $33,486 110%
Cignamajor $34,595 - $39,312 245%
Humanamajor $15,312 - $24,413 108%
Ambetter (Centene) $13,737 - $14,287 97%
Amerigroup $15,312 108%
Bright Health $15,159 - $20,657 107%
Cigna HealthSpring $15,619 111%
Devoted Health $15,619 111%
Oscar Health $22,335 158%
WellCare $15,772 112%
+ 11 smaller / regional plans $1,893 - $16,844
Excludes 2 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 111 Highway 70 East, Dickson, TN 37055
  • CMS Rating: ★★★☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals