CMS Price Transparency Data

Sepsis treatment (inpatient stay)

Facility: Saint Thomas Highlands Hospital

Billing Code: 871 (MS-DRG)

The BaseRate · fair price high confidence
A fair price for this
$15,201
about 1.1× the $14,117 Medicare rate · typically $14,111–$21,470
modeled estimate · not a bill or quote
What this hospital charges insurers
$14,889
About the fair price
about $312 under the fair price · 1.1× Medicare
Medicare pays $14,117 Fair price $15,201 This hospital $14,889

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 $14,889

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 $15,201 (about 1.1× the $14,117 Medicare rate). Saint Thomas Highlands Hospital charges insurers about $14,889 — about the fair price. Located in Sparta, 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 - $18,292 22%
Aetnamajor $14,889 - $20,300 105%
Cignamajor $9,564 - $28,188 68%
Humanamajor $14,597 103%
Ambetter (Centene) $18,976 134%
Amerigroup $6,753 - $14,597 48%
Cigna HealthSpring $14,597 103%
Oscar Health $8,394 - $9,510 59%
+ 7 smaller / regional plans $9,156 - $27,375
Government programs also on file: Medicare.

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Facility Profile & Credentials

  • Address: 401 Sewell Dr, Sparta, TN 38583
  • CMS Rating: No CMS Rating
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals