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Simple pneumonia & pleurisy w CC

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

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Hospitals
17
Min
$6,155.87
Median
$7,175.29
Max
$15,978
Range multiplier
2.6×

By payer (50 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
UnitedHealthcare1552$5,599.96$10,006$35,8116.4×
Cigna1340$85.00$9,881.14$24,104283.6×
Blue Cross Blue Shield1338$25.00$12,018$34,9991400.0×
Aetna1434$90.00$7,809.17$22,585250.9×
Humana1525$5,473.76$7,898.40$36,1476.6×
WellCare1012$5,364.28$6,943.19$9,029.441.7×
allwell612$6,600.80$6,965.25$7,175.291.1×
health choice612$6,600.80$8,604.26$10,9061.7×
Medicare58$5,889.35$22,023$37,2316.3×
Molina88$5,583.23$6,965.25$9,210.031.6×
devoted health77$6,525.23$6,926.04$7,175.291.1×
Health Net27$97.00$13,327$19,323199.2×
scan desert health plan66$6,600.80$6,965.25$7,175.291.1×
Ambetter66$9,241.12$9,751.35$10,0451.1×
azpc66$6,600.80$6,965.25$7,175.291.1×
banner66$6,600.80$6,965.25$7,175.291.1×
banner university health plan66$6,600.80$6,965.25$7,175.291.1×
Oscar Health66$7,564.18$7,564.18$7,564.181.0×
triwest66$6,600.80$6,965.25$7,175.291.1×
az health advantage55$6,600.80$7,004.46$7,175.291.1×
mercy care plan55$6,600.80$6,926.04$7,175.291.1×
gold kidney of arizona55$6,896.54$7,004.46$7,175.291.0×
Bright Health44$7,477.36$7,628.92$13,4701.8×
commercial | az foundation | pos44$18,435$19,149$23,6381.3×
Anthem BCBS14$5,473.76$8,850.78$11,3072.1×
commercial | connected care | intel44$11,912$12,097$17,8691.5×
First Health23$95.00$6,155.87$65,192686.2×
la care health plan12$9,029.44$10,384$11,7381.3×
the health plan12$5,747.44$6,353.90$6,960.351.2×
Kaiser Permanente11$9,029.44$9,029.44$9,029.441.0×
banner health11$6,155.87$6,155.87$6,155.871.0×
monarch health plan11$9,029.44$9,029.44$9,029.441.0×
optum ccn region 111$6,960.35$6,960.35$6,960.351.0×
optum ccn region 211$6,960.35$6,960.35$6,960.351.0×
ameriben solutions11$12,067$12,067$12,0671.0×
rural arizona network11$6,155.87$6,155.87$6,155.871.0×
arizona medical network11$6,155.87$6,155.87$6,155.871.0×
scan health plan11$9,029.44$9,029.44$9,029.441.0×
wellpoint11$9,029.44$9,029.44$9,029.441.0×
caresoure kentucky11$11,693$11,693$11,6931.0×
caremore11$9,029.44$9,029.44$9,029.441.0×
central health plan11$9,932.38$9,932.38$9,932.381.0×
commercial | azfmc | pos11$20,432$20,432$20,4321.0×
Empire BCBS11$9,029.44$9,029.44$9,029.441.0×
bridgeway health solutions11$6,155.87$6,155.87$6,155.871.0×
health choice pathway11$6,155.87$6,155.87$6,155.871.0×
health management network11$6,155.87$6,155.87$6,155.871.0×
brandman centers11$9,029.44$9,029.44$9,029.441.0×
brand new day11$9,029.44$9,029.44$9,029.441.0×
imperial health11$7,175.29$7,175.29$7,175.291.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
Carondelet Holy Cross HospitalNogalesAZ19$9,029.44$9,932.38$65,192
Canyon Vista Medical CenterSierra VistaAZ4$26,956$10,782$8,144.13$8,394.74$12,067
Honorhealth John C. Lincoln Med CtrPhoenixAZ21$7,175.29$7,175.29$17,602
Honorhealth Sonoran Crossing Med CtrPhoenixAZ19$7,056.40$7,056.40$17,602
Honorhealth Scottsdale Thompson PeakScottsdaleAZ20$7,004.46$7,004.46$17,602
Santa Cruz Valley Regional HospitalGreen ValleyAZ10$5,200.07$6,960.35$11,693
Honorhealth Scottsdale Osborn Med CtScottsdaleAZ19$6,926.04$6,926.04$17,602
Honorhealth Deer Valley Med CtrPhoenixAZ20$6,896.54$6,896.54$17,602
Honorhealth Scottsdale Shea Med CtrScottsdaleAZ19$6,600.80$6,600.80$17,602
Yavapai Regional Medical CenterPrescottAZ16$25.00$6,155.87$35,811
St. Josephs Hospital & Medical CtrPhoenixAZ9$6,647.98$15,978$34,999
Arizona General HospitalLaveenAZ8$7,477.36$15,260$37,231
Carondelet St. Joseph HospitalTucsonAZ8$6,379.90$12,043$25,049
Chandler Regional Medical CenterChandlerAZ9$5,708.17$11,994$24,946
Mercy Gilbert Medical CenterGilbertAZ9$5,599.96$11,953$24,946
Mt. Graham Regional Medical CenterSaffordAZ0$24,719
Abrazo West CampusGoodyearAZ0$47,281$10,402

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.