CMS Price Transparency Data

Sepsis treatment (inpatient stay)

Facility: Tristar Southern Hills Medical Center

Billing Code: 871 (MS-DRG)

The BaseRate · fair price high confidence
A fair price for this
$15,630
about 1.1× the $14,117 Medicare rate · typically $14,090–$18,821
modeled estimate · not a bill or quote
What this hospital charges insurers
$19,257
Above the fair price
about $3,627 over the fair price · 1.4× Medicare
Medicare pays $14,117 Fair price $15,630 This hospital $19,257

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 $19,257

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 $15,630 (about 1.1× the $14,117 Medicare rate). Tristar Southern Hills Medical Center charges insurers about $19,257 — above the fair price. Located in Nashville, 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 $15,630. 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

✓ 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 $2,625 - $18,879 19%
Blue Cross Blue Shieldmajor $8,680 - $31,686 61%
Aetnamajor $19,068 - $33,486 135%
Cignamajor $34,595 - $39,312 245%
Humanamajor $18,879 - $24,413 134%
Ambetter (Centene) $13,737 - $14,287 97%
Amerigroup $18,879 134%
Bright Health $15,322 - $20,657 109%
Cigna HealthSpring $19,257 136%
Devoted Health $19,257 136%
Oscar Health $22,335 158%
WellCare $19,446 138%
+ 12 smaller / regional plans $1,893 - $20,767
Excludes 3 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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.

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Facility Profile & Credentials

  • Address: 391 Wallace Rd, Nashville, TN 37211
  • CMS Rating: ★★★★☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals