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Simple pneumonia & pleurisy w CC

MS-DRG 194 · negotiated-rate distribution across hospitals in AL

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Hospitals
33
Min
$2,160.69
Median
$7,197.27
Max
$14,891
Range multiplier
6.9×

By payer (50 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
Blue Cross Blue Shield2156$1,947.00$7,231.21$24,63312.7×
UnitedHealthcare2143$1,288.00$7,841.56$18,84514.6×
Aetna2038$40.00$6,632.59$29,619740.5×
Cigna1431$40.00$7,897.93$23,700592.5×
Humana1924$2,160.69$6,684.38$16,0127.4×
Centene68$7,841.56$11,172$14,2161.8×
simpra77$5,216.17$7,324.18$10,3322.0×
Ambetter66$8,339.68$8,530.41$9,022.731.1×
devoted health66$5,164.52$6,997.00$7,897.931.5×
viva helath55$5,164.52$7,197.27$7,897.931.5×
Molina24$5,614.92$6,273.13$6,781.521.2×
viva24$2,703.00$5,050.86$9,458.423.5×
university of utah14$9,802.27$11,265$12,9071.3×
Multiplan44$67.00$80.00$80.001.2×
Medicare34$5,451.38$7,536.67$10,3321.9×
choicecare22$5,872.53$6,268.00$6,663.461.1×
occunet22$11,372$12,031$12,6901.1×
pehp12$12,502$13,977$15,4521.2×
aither health22$10,161$10,161$10,1611.0×
seven corners22$16,079$16,822$17,5651.1×
smarthealth22$7,076.09$7,354.01$7,631.931.1×
Bright Health22$5,254.68$6,034.46$6,814.231.3×
sterling life insurance12$1,075.00$4,165.61$7,256.226.7×
TRICARE12$5,193.32$5,193.32$5,193.321.0×
Health Net22$6,044.25$6,044.25$6,044.251.0×
First Health22$6,645.89$6,972.95$7,300.001.1×
Medicaid22$3,641.98$4,290.87$4,939.751.4×
health choice12$6,049.00$6,049.00$6,049.001.0×
viva health22$6,601.64$6,781.02$6,960.391.1×
motivhealth12$15,673$15,673$15,6731.0×
select health11$7,990.92$7,990.92$7,990.921.0×
select health er11$57.80$57.80$57.801.0×
Self-Pay (Cash)11$5,451.38$5,451.38$5,451.381.0×
southern care11$7,468.15$7,468.15$7,468.151.0×
state of utah11$6,781.52$6,781.52$6,781.521.0×
triwest healthcare alliance11$6,781.52$6,781.52$6,781.521.0×
union pacific railroad11$65.00$65.00$65.001.0×
universal healthcare11$7,391.85$7,391.85$7,391.851.0×
university of ut11$6,781.52$6,781.52$6,781.521.0×
usa managed care11$85.00$85.00$85.001.0×
vccn11$8,460.65$8,460.65$8,460.651.0×
veteran's administration11$6,781.52$6,781.52$6,781.521.0×
vista hospice11$600.00$600.00$600.001.0×
WellCare11$5,054.35$5,054.35$5,054.351.0×
aarp11$5,178.81$5,178.81$5,178.811.0×
Workers Comp11$3,356.00$3,356.00$3,356.001.0×
actin care11$8,449.64$8,449.64$8,449.641.0×
amerigroup11$7,841.56$7,841.56$7,841.561.0×
angle insurance11$8,869.12$8,869.12$8,869.121.0×
avmed empower11$14,888$14,888$14,8881.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
Hale County HospitalGreensboroAL5——$8,037.62$8,460.65$9,306.72
Providence HospitalMobileAL17——$5,054.35$8,339.68$19,155
Dch Regional Medical CenterTuscaloosaAL12——$2,493.00$8,206.38$16,079
Princeton Baptist Medical CenterBirminghamAL9——$56.00$7,937.42$14,216
Vaughan Regional Medical CenterSelmaAL12——$5,399.53$7,841.56$8,214.96
North Alabama Medical CenterFlorenceAL6$34,090$11,931$5,366.22$7,487.16$10,161
Shoals HospitalMuscle ShoalsAL6$34,090$11,931$5,366.22$7,487.16$10,161
Brookwood Baptist Medical CenterBirminghamAL12——$50.00$7,251.66$14,286
Citizens Baptist Medical CenterTalladegaAL9——$2,876.00$7,197.27$13,895
Mountain View HospitalGadsdenAL31——$40.00$7,052.78$29,619
Baptist Medical Center EastMontgomeryAL6——$6,380.36$7,024.84$19,524
Russell Medical CenterAlexander CityAL4——$6,663.46$6,663.46$6,796.73
Prattville Baptist HospitalPrattvilleAL6——$6,051.50$6,662.77$19,524
Cullman RegionalCullmanAL6——$2,300.00$6,238.47$6,601.71
Atmore Community HospitalAtmoreAL3$6,297.46$3,778.48$2,606.00$6,105.82$8,003.39
D W Mcmillan Memorial HospitalBrewtonAL3$6,297.46$3,778.48$2,606.00$6,105.82$8,003.39
St. Vincents St. ClairPell CityAL17——$1,920.00$5,451.38$8,831.24
Walker Baptist Medical CenterJasperAL11——$40.00$5,216.55$13,874
Shelby Baptist Medical CenterAlabasterAL10——$53.00$5,164.52$13,958
Washington County HospitalChatomAL5—$850.00$975.00$2,160.69$3,129.00
St. Vincents EastBirminghamAL8——$1,947.00$14,891$24,633
Fayette Medical CenterFayetteAL9——$4,046.00$10,229$17,565
Southeast Health Medical CenterDothanAL0—————
Athens LimestoneAthensAL0—————
Decatur Morgan - Decatur CampusDecaturAL0—————
Gadsden Regional Medical CenterGadsdenAL0—————
Huntsville HospitalHuntsvilleAL0—————
Helen Keller HospitalSheffieldAL0—————
Grandview Medical CenterBirminghamAL0—————
Crestwood Medical CenterHuntsvilleAL0—————
Marshall Medical Centers SouthBoazAL0—————
Red Bay HospitalRed BayAL0—————
Flowers HospitalDothanAL0—————

Median is taken across all payer × plan combinations the hospital publishes. Cash and gross are the latest snapshot values. Range multiplier (max ÷ min) is a quick way to see which hospitals or payers vary the most.