Sepsis treatment (inpatient stay)
Facility: Highpoint Health-Riverview With Ascension Saint Th
Billing Code: 871 (MS-DRG)
This hospital's typical commercial price is $13,179 compared to the $18,684 fair price benchmark.
4-Star CMS clinical quality rating paired with 0.71× fair market pricing.
A typical price — 5 charge more and 3 charge less, among the 9 TN hospitals compared.
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 $18,684 (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
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% |
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.
Other Procedures at Highpoint Health-Riverview With Ascension Saint Th
Compare: Sepsis treatment (inpatient stay) at other TN hospitals
- Unity Medical Center · Manchester $6,298
- Ascension Saint Thomas Hospital · Nashville $12,160
- Saint Thomas Hospital for Spinal Surgery · Nashville $12,355
- Southern Tennessee Regional Health System Winchest · Winchester $13,619
- Dekalb Community Hospital · Smithville $13,865
- Highpoint Health-Sumner With Ascension Saint Thoma · Gallatin $13,912
- Physicians Regional Medical Center · Powell $13,935
- Tennova Healthcare-Jefferson Memorial Hospital · Jefferson City $14,101
Insurance negotiated median for the same procedure, sorted lowest first.
Audit a Bill or Quote at Highpoint Health-Riverview With Ascension Saint Th (Zero PHI Required)
Statutory 501(r) AGB Cap Limits Bill to $20,731
At 274% FPL (201%–400% FPL tier), 26 U.S.C. § 501(r)(5) caps FAP-eligible bills at Amounts Generally Billed (36.3% of gross = $20,731).
Self-Pay Cash Rate ($18,618) Beats Your Bill
Highpoint Health-Riverview With Ascension Saint Th's published 45 CFR § 180 self-pay cash rate is $18,618 (vs. $13,179 commercial insurer median). Ask billing to reclassify the visit to prompt-pay self-pay if it beats your deductible.
Negotiate Toward $18,684 Fair BaseRate ($14,117 Medicare)
Your bill ($57,111) is $38,427 above the denoised Fair BaseRate ($18,684) and 4.0× the $14,117 Medicare rate.
Clinical Quality, Patient Experience & Infection Benchmarks
Source: CMS Hospital Care Compare. Clinical quality metrics summarize historical facility-wide cohorts and are not medical advice for individual care decisions.
How to Pay Less Nearby: Freestanding Centers, Insurer Leverage & Outpatient Savings
Verify the Raw Data: Official Hospital MRF, CMS Medicare.gov & Federal Filings
Safe-Harbor Data Corrections: Parsed directly from public 45 CFR § 180 hospital filings, CMS Care Compare, and CMS HCRIS cost reports. Hospital compliance officers may submit updated MRF URLs or rate tables for verification.