CMS Price Transparency Data

Sepsis treatment (inpatient stay)

Facility: Physicians Regional Medical Center

Billing Code: 871 (MS-DRG)

The BaseRate · fair price high confidence
A fair price for this
$14,810
about 1.0× the $14,117 Medicare rate · typically $13,872–$15,472
modeled estimate · not a bill or quote
What this hospital charges insurers
$13,935
About the fair price
about $875 under the fair price · 1.0× Medicare
Medicare pays $14,117 Fair price $14,810 This hospital $13,935

How we calculate the fair BaseRate →

How this hospital compares to other TN hospitals

On the higher side — 7 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 $14,810 (about 1.0× the $14,117 Medicare rate). Physicians Regional Medical Center charges insurers about $13,935 — about the fair price. Located in Powell, 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✓ Aetna✓ Humana CignaKaiser 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 $1,459 - $15,357 10%
Blue Cross Blue Shieldmajor $4,017 - $18,036 28%
Aetnamajor $13,935 - $18,576 99%
Humanamajor $13,498 - $13,530 96%
Ambetter (Centene) $26,845 190%
Amerigroup $6,586 - $14,205 47%
Cigna HealthSpring $13,935 99%
Devoted Health $14,540 103%
WellCare $14,288 101%
+ 6 smaller / regional plans $12,370 - $26,845
Government programs also on file: Medicare, Medicaid.
Excludes 4 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 7565 Dannaher Way Powell, Powell, TN 37849
  • CMS Rating: ★★★☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals