CMS Price Transparency Data

Sepsis treatment (inpatient stay)

Facility: Carilion Stonewall Jackson Hospital

Billing Code: 871 (MS-DRG)

The BaseRate · fair price medium confidence
A fair price for this
$19,256
about 1.4× the $14,117 Medicare rate · typically $9,669–$33,923
modeled estimate · not a bill or quote
What this hospital charges insurers
$27,552
Above the fair price
about $8,296 over the fair price · 2.0× Medicare
Medicare pays $14,117 Fair price $19,256 This hospital $27,552 Cash price $10,373 Hospital's list price $29,638

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 $27,552

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 $19,256 (about 1.4× the $14,117 Medicare rate). Carilion Stonewall Jackson Hospital charges insurers about $27,552, or about $10,373 in cash — above the fair price. Located in Lexington, VA.

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 $19,256. 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 $14,848 - $24,226 105%
Blue Cross Blue Shieldmajor $5,596 - $6,216 40%
Aetnamajor $15,086 - $19,679 107%
Cignamajor $23,740 168%
Humanamajor $49,508 351%
Sentara $18,375 130%
+ 9 smaller / regional plans $18,375 - $28,156
Excludes 1 rental-network / third-party entry (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.

Enter your details and press estimate to compare.

Facility Profile & Credentials

  • Address: 1 Health Circle, Lexington, VA 24450
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals