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CMS Price Transparency Data Hospital file updated: 12/15/2025

Sepsis treatment (inpatient stay)

Facility: Carilion Tazewell Community Hospital

Billing Code: 871 (MS-DRG)

Pillar 1 · The BaseRate™ CompositeHow 1.00× Fair BaseRate Works: Raw price averages unfairly penalize hospitals in high-wage cities or trauma centers treating sicker patients. We adjust for local CMS hospital wage levels and patient complexity first. A 1.00× score means right at the fair price average, 0.85× means 15% cheaper than fair market, and 1.30× means 30% above fair market.Near Fair BaseRate Benchmark
$17,960Fair BaseRate (1.05× Market)
Position vs. 1.00× Fair Price+5% Above Fair Price 1.00× (center of the bar) is the U.S. fair price average after accounting for local hospital wages and patient complexity. Left of center (<1.00×) is below fair price; right of center (>1.00×) is above fair price.

This hospital's typical commercial price is $18,850 compared to the $17,960 fair price benchmark.

Pillar 2 · VeriRate™ Data TrustHow VeriRate™ (0–100) Works: Hospitals are legally required to publish machine-readable price files, but some bury fake $0.01 numbers or omit cash discounts. VeriRate audits each file across 5 checks (hover any badge below to see what it tests).86/100 · Verified
86/100Hover Any Check Below to See How Prices Were Audited
File Completeness90Provenance (File Completeness): Checks whether the hospital published a complete, up-to-date machine-readable price file with valid CPT and MS-DRG billing codes instead of leaving blanks.
Price Logic88Coherence (Price Logic): Checks whether the hospital’s numbers make basic sense — e.g., self-pay cash price is lower than gross list price, with no fake $0.01 or $999,999 placeholder numbers.
Peer Alignment86Concordance (Peer Alignment): Checks whether reported prices sit in a realistic range compared to Medicare and nearby hospitals rather than wild 100× unit errors.
Clean Billing83Regularity (Clean Billing): Checks whether rates are structured consistently across procedures without erratic statistical spikes or hidden unbundled facility fees.
Real Cash Discount84Cash Honesty (Real Cash Discount): Checks whether the hospital offers a genuine self-pay cash discount that beats or matches commercial insurance rates instead of billing full sticker price.
Pillar 3 · Clinical Quality & ER SpeedChecks whether higher hospital prices actually buy better clinical quality — combining CMS Star Ratings, hospital safety scores, and emergency room wait times.Regional Value Leader
CMS Star RatingNot RatedOfficial CMS Overall Hospital Quality Star Rating (1 to 5 stars) summarizing mortality, safety of care, readmissions, and patient experience.
Safety ScoreNot ScoredComposite patient safety score (0–100) derived from CMS hospital-acquired infection rates (CLABSI, CAUTI, MRSA, C. diff), surgical complications, and HCAHPS surveys.
Typical ER WaitNo ER DataMedian minutes patients spent in the emergency department before leaving from the visit, as reported to CMS Timely and Effective Care.

Balances commercial hospital prices against CMS clinical safety, infection control, and patient experience.

The BaseRate · fair price high confidence
A fair price for this
$17,960
about 1.3× the $14,117 Medicare rate · typically $15,466–$19,948
modeled estimate · not a bill or quote
What this hospital charges insurers
$18,850
About the fair price
about $890 over the fair price · 1.3× Medicare
Medicare pays $14,117 Fair price $17,960 This hospital $18,850 Cash price $12,940 Hospital's list price $36,972

How we calculate the fair BaseRate →

How this hospital compares to other VA hospitals

Highest price of the 9 VA hospitals we have prices for — worth calling around.

Cheapest $10,776 Priciest $18,850

Black dot = this hospital, among the 9 VA hospitals with a price for this procedure. Full list below.

A fair price for a Sepsis treatment (inpatient stay) is about $17,960 (about 1.3× the $14,117 Medicare rate). Carilion Tazewell Community Hospital charges insurers about $18,850, or about $12,940 in cash — about the fair price. Located in Tazewell, VA.

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

UnitedHealthcareBlue Cross Blue ShieldAetnaCignaHumana 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 $18,523 - $30,221 131%
Blue Cross Blue Shieldmajor $4,904 - $18,850 35%
Aetnamajor $17,372 - $24,549 123%
Cignamajor $23,477 - $25,030 166%
Humanamajor $18,111 - $49,508 128%
Sentara $19,405 - $22,922 137%
+ 11 smaller / regional plans $18,481 - $35,493

Self-Pay How to get the cash price

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Facility Profile & Credentials

  • Address: 388 Ben Bolt Avenue, Tazewell, VA 24651
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Acute Care Hospitals

Other Procedures at Carilion Tazewell Community Hospital

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

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

Inline Bill X-Ray & 501(r) Calculator 501(c)(3) Nonprofit · Free Care ≤200% FPL · AGB Cap 36.3%

Audit a Bill or Quote at Carilion Tazewell Community Hospital (Zero PHI Required)

CMS CCN: 490117
MS-DRG 871
Fair BaseRate™ $17,960
Medicare Rate $14,117
Self-Pay Cash $12,940
Insurer Median $18,850
Pre-filled with Carilion Tazewell Community Hospital’s charged/list benchmark
Screened against 2026 HHS Federal Poverty Guidelines
2026 FPL: $15,650 + $5,500 per additional person
Step 1 · 501(r) Charity Care Check 501(r) AGB Cap: $13,421 (274% FPL)

Statutory 501(r) AGB Cap Limits Bill to $13,421

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 = $13,421).

Step 2 · Cash vs. Insurance Arbitrage Save $24,032 Paying Cash

Self-Pay Cash Rate ($12,940) Beats Your Bill

Carilion Tazewell Community Hospital's published 45 CFR § 180 self-pay cash rate is $12,940 (vs. $18,850 commercial insurer median). Ask billing to reclassify the visit to prompt-pay self-pay if it beats your deductible.

Step 3 · Fair BaseRate Target +$19,012 Above Fair BaseRate

Negotiate Toward $17,960 Fair BaseRate ($14,117 Medicare)

Your bill ($36,972) is $19,012 above the denoised Fair BaseRate ($17,960) and 2.6× the $14,117 Medicare rate.

1-Click Factual Dispute Summary: Copy a citation-backed benchmark memo (with CMS CCN, MS-DRG code, Medicare reference, Fair BaseRate, and 26 U.S.C. § 501(r) calculations) to paste into patient-portal messages or billing appeals.
Care-Setting Arbitrage, Bilateral SVD Insurer Leverage & Regional Alternatives

How to Pay Less Nearby: Freestanding Centers, Insurer Leverage & Outpatient Savings

45 CFR § 180 Primary-Source Lineage & Federal Verification Verified CMS CCN 490117

Verify the Raw Data: Official Hospital MRF, CMS Medicare.gov & Federal Filings

MRF Portal Indexed (546074580_Carilion-Tazewell-Community-Hospital_StandardCharges.csv) Verify on CMS Medicare.gov (CCN 490117) ↗ CMS HCRIS Cost Reports ↗
Published MRF File546074580_Carilion-Tazewell-Community-Hospital_StandardCharges.csv
Publication / Vintage12/15/2025 · 19.87 MB
Validated Rate Rows157,715 (CMS v3.0.0)
File Integrity Digest98fe9796d69a4a8b627d…

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.

Submit MRF Update Correction Policy