CMS Price Transparency Data

Sepsis treatment (inpatient stay)

Facility: Dekalb Community Hospital

Billing Code: 871 (MS-DRG)

The BaseRate · fair price high confidence
A fair price for this
$17,235
about 1.2× the $14,117 Medicare rate · typically $14,182–$23,127
modeled estimate · not a bill or quote
What this hospital charges insurers
$13,865
Below the fair price — a good deal
about $3,370 under the fair price · 1.0× Medicare
Medicare pays $14,117 Fair price $17,235 This hospital $13,865

How we calculate the fair BaseRate →

How this hospital compares to other TN hospitals

A typical price — 3 charge more and 5 charge less, among the 9 TN hospitals compared.

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 $17,235 (about 1.2× the $14,117 Medicare rate). Dekalb Community Hospital charges insurers about $13,865 — below the fair price — a good deal. Located in Smithville, 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 $11,485 - $15,974 81%
Blue Cross Blue Shieldmajor $3,131 - $18,832 22%
Aetnamajor $13,865 - $20,300 98%
Cignamajor $8,001 - $28,188 57%
Humanamajor $13,593 96%
Ambetter (Centene) $17,671 125%
Amerigroup $6,753 - $13,593 48%
Cigna HealthSpring $13,593 96%
Oscar Health $8,394 - $8,436 59%
+ 7 smaller / regional plans $9,156 - $27,375
Government programs also on file: Medicare.

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Facility Profile & Credentials

  • Address: 520 W Main St, Smithville, TN 37166
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Church
  • Hospital Type: Acute Care Hospitals