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Simple pneumonia & pleurisy w CC

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

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Hospitals
4
Min
$7,730.58
Median
$25,143
Max
$25,143
Range multiplier
3.3×

By payer (24 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
Blue Cross Blue Shield18$2,105$11,438$17,5968.4×
UnitedHealthcare13$4,804.85$15,566$17,2963.6×
Aetna23$4,900$20,475$25,1435.1×
prime health services12$32,685$35,200$37,7141.2×
Humana22$4,900$14,770$24,6405.0×
facility billing - op11$4,757.28$4,757.28$4,757.281.0×
healthspring mcr replacement11$4,852.43$4,852.43$4,852.431.0×
ilumed aco reach11$25,143$25,143$25,1431.0×
Medicare11$4,757.28$4,757.28$4,757.281.0×
occunet11$10,704$10,704$10,7041.0×
Oscar Health11$7,611.65$7,611.65$7,611.651.0×
palm beach aco reach11$24,388$24,388$24,3881.0×
simply healthcare11$25,143$25,143$25,1431.0×
smarthealth11$4,804.85$4,804.85$4,804.851.0×
sunshine state health plan11$25,143$25,143$25,1431.0×
triwest11$4,757.28$4,757.28$4,757.281.0×
velocity provider ppo network11$30,171$30,171$30,1711.0×
WellCare11$4,757.28$4,757.28$4,757.281.0×
aarp mcr hmo11$4,757.28$4,757.28$4,757.281.0×
wellmed11$25,143$25,143$25,1431.0×
alignment health11$25,143$25,143$25,1431.0×
Ambetter11$7,849.51$7,849.51$7,849.511.0×
blue mcr replacement11$4,757.28$4,757.28$4,757.281.0×
Cigna11$11,580$11,580$11,5801.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
EMERALD COAST BEHAVIORAL HOSPITALPANAMA CITYFL16$2,105$7,730.58$20,475
PAM SPECIALTY HOSPITAL OF SARASOTASARASOTAFL10$24,388$25,143$37,714
WELLINGTON REGL MEDICAL CENTERWEST PALM BEACHFL0
LAKEWOOD RANCH MEDICAL CENTERBRADENTONFL0

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.