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Simple pneumonia & pleurisy w CC

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

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Hospitals
3
Min
$5,045.18
Median
$10,967
Max
$24,891
Range multiplier
4.9×

By payer (20 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
Blue Cross Blue Shield25$4,189.92$5,045.18$22,9625.5×
prime health services12$32,359$34,848$37,3371.2×
Anthem BCBS12$10,741$11,024$11,3071.1×
Centene11$24,891$24,891$24,8911.0×
geisinger11$25,389$25,389$25,3891.0×
Humana11$5,551.18$5,551.18$5,551.181.0×
presbyterian of nm: mcd11$4,020.06$4,020.06$4,020.061.0×
presbyterian of nm: mcr ppo11$3,968.34$3,968.34$3,968.341.0×
presbyterian of nm: php salud plan11$3,595.9$3,595.9$3,595.91.0×
prime health services work comp11$5,376.17$5,376.17$5,376.171.0×
provider partners health plan11$24,891$24,891$24,8911.0×
rocky mountain health plan: mcr adv11$5,551.18$5,551.18$5,551.181.0×
southwest health alliance11$11,253$11,253$11,2531.0×
umr11$10,967$10,967$10,9671.0×
UnitedHealthcare11$10,967$10,967$10,9671.0×
velocity provider ppo network11$29,870$29,870$29,8701.0×
Aetna11$24,891$24,891$24,8911.0×
vibra health plan11$24,891$24,891$24,8911.0×
albright care services11$24,891$24,891$24,8911.0×
amerihealth caritas pennsylvania11$24,891$24,891$24,8911.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
ANIMAS SURGICAL HOSPITALDURANGOCO8$11,253$3,595.9$5,045.18$11,253
PAM SPECIALTY HOSPITAL OF DENVERDENVERCO10$22,962$24,891$37,337
EAST MORGAN COUNTY HOSPITALBRUSHCO3$10,741$10,967$11,307

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.