CMS Price Transparency Data

Sepsis treatment (inpatient stay)

Facility: Highpoint Health-Riverview With Ascension Saint Th

Billing Code: 871 (MS-DRG)

The BaseRate · fair price high confidence

A fair price for this

$17,762

about 1.3× the $14,117 Medicare rate · typically $10,482–$26,547

modeled estimate · not a bill or quote

What this hospital charges insurers

$13,179

Below the fair price — a good deal

about $4,583 under the fair price · 0.9× Medicare

Medicare pays $14,117 Fair price $17,762 This hospital $13,179 Cash price $18,618 Hospital's list price $57,111

How we calculate the fair BaseRate →

How this hospital compares to other TN hospitals

One of the lower prices — 6 of 8 other TN hospitals charge more for the same procedure.

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 $17,762 (about 1.3× the $14,117 Medicare rate). Highpoint Health-Riverview With Ascension Saint Th charges insurers about $13,179, or about $18,618 in cash — below the fair price — a good deal. Located in Carthage, 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	$2,060 - $2,990	15%
Blue Cross Blue Shieldmajor	$2,060 - $13,732	15%
Aetnamajor	$2,060	15%
Humanamajor	$2,060	15%
Amerigroup	$2,060	15%
Cigna HealthSpring	$2,060	15%
WellCare	$2,060	15%

Government programs also on file: Medicare, Military & VA.

Self-Pay How to get the cash price

Tell the billing desk you want to be billed as self-pay — not through insurance — before your visit.
Ask for the cash / prompt-pay discount in writing, with the exact price (about 18,618), before you agree to anything.
Get it in writing that they won’t also bill your insurance, so the cash price is what you owe.
Check the MS-DRG code on your bill matches exactly: 871.

Insurance Before you use insurance

Call your insurance company to confirm Highpoint Health-Riverview With Ascension Saint Th is in-network.
Ask your insurer whether prior approval is required for MS-DRG code 871.
Confirm the doctor or provider is in-network too — not just the hospital building.
Check your Explanation of Benefits against the hospital’s final itemized bill.

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

How you’d pay

Deductible left to meet ($)

Your coinsurance (%)

Enter your details and press estimate to compare.

Other Procedures at Highpoint Health-Riverview With Ascension Saint Th

Compare: Sepsis treatment (inpatient stay) at other TN hospitals

Insurance negotiated median for the same procedure, sorted lowest first.