Sepsis treatment (inpatient stay)
Facility: Claiborne Medical Center
Billing Code: 871 (MS-DRG)
This hospital's typical commercial price is $20,598 compared to the $16,608 fair price benchmark.
Balances commercial hospital prices against CMS clinical safety, infection control, and patient experience.
Highest price of the 9 TN hospitals we have prices for — worth calling around.
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 $16,608 (about 1.2× the $14,117 Medicare rate). Claiborne Medical Center charges insurers about $20,598 — above the fair price. Located in Tazewell, TN.
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 $16,608. 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.
5 of 6 major insurers have a published price at this hospital
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 | $6,987 - $31,059 | 49% |
| Blue Cross Blue Shieldmajor | $6,460 - $20,598 | 46% |
| Aetnamajor | $3,597 - $20,598 | 25% |
| Cignamajor | $2,386 - $20,598 | 17% |
| Humanamajor | $20,205 | 143% |
| Ambetter (Centene) | $2,720 | 19% |
| Cigna HealthSpring | $20,598 | 146% |
| Devoted Health | $20,598 | 146% |
| WellCare | $20,598 | 146% |
| + 1 smaller / regional plan | $20,401 |
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.
Other Procedures at Claiborne Medical Center
Compare: Sepsis treatment (inpatient stay) at other TN hospitals
- Unity Medical Center · Manchester $6,298
- Ascension Saint Thomas Hospital · Nashville $12,160
- Saint Thomas Hospital for Spinal Surgery · Nashville $12,355
- Highpoint Health-Riverview With Ascension Saint Th · Carthage $13,179
- Southern Tennessee Regional Health System Winchest · Winchester $13,619
- Dekalb Community Hospital · Smithville $13,865
- Highpoint Health-Sumner With Ascension Saint Thoma · Gallatin $13,912
- Physicians Regional Medical Center · Powell $13,935
Insurance negotiated median for the same procedure, sorted lowest first.
Audit a Bill or Quote at Claiborne Medical Center (Zero PHI Required)
Statutory 501(r) AGB Cap Limits Bill to $17,945
At 274% FPL (201%–400% FPL tier), 26 U.S.C. § 501(r)(5) caps FAP-eligible bills at Amounts Generally Billed (36.3% of gross = $17,945).
Compare Prompt-Pay Cash Rate Against Remaining Deductible
Ask Claiborne Medical Center's billing desk for their written 45 CFR § 180 discounted self-pay cash price and Good Faith Estimate under the No Surprises Act.
Negotiate Toward $16,608 Fair BaseRate ($14,117 Medicare)
Your bill ($49,435) is $32,827 above the denoised Fair BaseRate ($16,608) and 3.5× the $14,117 Medicare rate.
How to Pay Less Nearby: Freestanding Centers, Insurer Leverage & Outpatient Savings
Verify the Raw Data: Official Hospital MRF, CMS Medicare.gov & Federal Filings
Safe-Harbor Data Corrections: Parsed directly from public 45 CFR § 180 hospital filings, CMS Care Compare, and CMS HCRIS cost reports. Hospital compliance officers may submit updated MRF URLs or rate tables for verification.