CMS Price Transparency Data

Sepsis treatment (inpatient stay)

Facility: West Tennessee Healthcare Milan Hospital

Billing Code: 871 (MS-DRG)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 871
  • Insurance Median: $16,651
  • Cash Discount Price: Unavailable
  • vs. Medicare Baseline: 1.18x Medicare
The contracted insurance negotiated median rate for a Sepsis treatment (inpatient stay) at West Tennessee Healthcare Milan Hospital is $16,651. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is unavailable. Compared to the federal Medicare reimbursement reference rate of $14,116.91, this hospital’s rate is 1.18x the Medicare baseline. Located in 4039 Highland St, Milan, TN.
Cash / Self-Pay
Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median
$16,651

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$14,116.91

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $14,116.91 (100%)
Insurance Median: $16,651 (118%)
Ins. Median: $16,651 (118% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $14,116.91 as the cost baseline. Rates below the baseline represent excellent value. In-network commercial rates commonly hover around 150% - 250% of Medicare, while rates exceeding 300% are elevated. Hover over the green and blue markers to view detailed calculations.

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Input your details and click calculate to compare out-of-pocket costs.

Commercial Insurance Negotiated Rates

Negotiated contract ranges established by major commercial carriers at this facility.

Carrier / Plan Group Contract Rate Range vs. Medicare Reference
River Valley Plan $9,891 70%
Veterans Affairs $12,483 88%
Blue Cross Blue Shield $12,858 - $19,079 91%
Cigna $12,951 92%
Aetna $16,651 118%
Celtic Insurance Company $19,349 137%
Oscar $22,418 159%
UnitedHealthcare $33,120 235%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 4039 Highland St, Milan, TN 38358
  • CMS Rating: No CMS Rating
  • Ownership Type: Government - Local
  • Hospital Type: Acute Care Hospitals