CMS Price Transparency Data

Sepsis treatment (inpatient stay)

Facility: Carilion Giles Community Hospital

Billing Code: 871 (MS-DRG)

The BaseRate · fair price high confidence

A fair price for this

$18,494

about 1.3× the $14,117 Medicare rate · typically $11,319–$31,148

modeled estimate · not a bill or quote

Medicare pays $14,117 Fair price $18,494 Cash price $13,114 Hospital's list price $37,470

How we calculate the fair BaseRate →

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	$18,772 - $30,628	133%
Blue Cross Blue Shieldmajor	$46,692 - $51,878	331%
Aetnamajor	$19,072 - $24,880	135%
Cignamajor	$25,255 - $26,978	179%
Humanamajor	$49,508	351%
Sentara	$23,231	165%
+ 8 smaller / regional plans	$23,231 - $35,596

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 13,114), 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 Carilion Giles Community Hospital 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 Carilion Giles Community Hospital

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

Childrens Hospital of the Kings Daughters Inc · Norfolk $10,776
Sentara Rmh Medical Center · Harrisonburg $14,559
Lewisgale Hospital Alleghany · Low Moor $14,635
Buchanan General Hospital · Grundy $14,876
Sentara Halifax Regional Hospital · South Boston $15,094
Sovah Health Danville · Danville $15,113
Lewisgale Hospital Pulaski · Pulaski $15,216
Clinch Valley Medical Center · Richlands $15,240

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