▸ Compare · PriceTransparency
Simple pneumonia & pleurisy w CC
MS-DRG 194 · negotiated-rate distribution across hospitals in GA
Hospitals
15
Min
$6,155.87
Median
$11,409
Max
$18,106
Range multiplier
2.9×
By payer (50 payers with published rates)
| Payer | Hosp. | Rates | Min | Median | Max | Range× |
|---|---|---|---|---|---|---|
| healthpartners | 3 | 47 | $7,905.62 | $18,106 | $25,601 | 3.2× |
| Blue Cross Blue Shield | 11 | 42 | $25 | $12,024 | $24,768 | 990.7× |
| Aetna | 11 | 31 | $90 | $13,337 | $20,160 | 224.0× |
| UnitedHealthcare | 10 | 27 | $5,104.89 | $11,677 | $35,811 | 7.0× |
| Cigna | 11 | 27 | $85 | $11,689 | $23,445 | 275.8× |
| Humana | 11 | 20 | $3,210.42 | $13,714 | $21,249 | 6.6× |
| WellCare | 7 | 8 | $5,054.35 | $8,287.16 | $12,039 | 2.4× |
| Oscar Health | 7 | 7 | $8,086.96 | $11,375 | $15,180 | 1.9× |
| devoted health | 6 | 6 | $5,847.62 | $10,166 | $12,027 | 2.1× |
| Ambetter | 5 | 5 | $8,339.68 | $20,221 | $22,884 | 2.7× |
| Kaiser Permanente | 4 | 4 | $5,847.62 | $10,166 | $10,794 | 1.8× |
| optum | 4 | 4 | $5,847.62 | $10,166 | $10,794 | 1.8× |
| clover health | 4 | 4 | $6,140 | $10,675 | $11,334 | 1.8× |
| sonder health plans | 4 | 4 | $6,140 | $10,675 | $11,334 | 1.8× |
| va community care network | 4 | 4 | $5,847.62 | $10,166 | $10,794 | 1.8× |
| First Health | 2 | 3 | $95 | $6,155.87 | $7,300 | 76.8× |
| TRICARE | 2 | 3 | $5,193.32 | $5,193.32 | $6,342.81 | 1.2× |
| CareSource | 1 | 3 | $12,039 | $12,039 | $20,434 | 1.7× |
| sonder health plan | 1 | 2 | $12,273 | $12,273 | $12,273 | 1.0× |
| peach state | 1 | 2 | $7,898.24 | $9,968.7 | $12,039 | 1.5× |
| riverwood behavioral health | 1 | 2 | $11,677 | $11,683 | $11,689 | 1.0× |
| Health Net | 1 | 2 | $97 | $3,126.44 | $6,155.87 | 63.5× |
| occunet | 1 | 1 | $11,372 | $11,372 | $11,372 | 1.0× |
| pcc employee | 1 | 1 | $10,815 | $10,815 | $10,815 | 1.0× |
| prime health services | 1 | 1 | $7,739.54 | $7,739.54 | $7,739.54 | 1.0× |
| provider select | 1 | 1 | $7,899.12 | $7,899.12 | $7,899.12 | 1.0× |
| rural arizona network | 1 | 1 | $6,155.87 | $6,155.87 | $6,155.87 | 1.0× |
| smarthealth | 1 | 1 | $7,076.09 | $7,076.09 | $7,076.09 | 1.0× |
| ubh optum | 1 | 1 | $11,689 | $11,689 | $11,689 | 1.0× |
| united mine workers of america | 1 | 1 | $6,155.87 | $6,155.87 | $6,155.87 | 1.0× |
| three rivers | 1 | 1 | $7,739.54 | $7,739.54 | $7,739.54 | 1.0× |
| americas choice provider network | 1 | 1 | $7,739.54 | $7,739.54 | $7,739.54 | 1.0× |
| arizona medical network | 1 | 1 | $6,155.87 | $6,155.87 | $6,155.87 | 1.0× |
| banner health | 1 | 1 | $6,155.87 | $6,155.87 | $6,155.87 | 1.0× |
| blue mcr replacement | 1 | 1 | $5,054.35 | $5,054.35 | $5,054.35 | 1.0× |
| bridgeway health solutions | 1 | 1 | $6,155.87 | $6,155.87 | $6,155.87 | 1.0× |
| centurion | 1 | 1 | $17,515 | $17,515 | $17,515 | 1.0× |
| clear spring health plan | 1 | 1 | $11,677 | $11,677 | $11,677 | 1.0× |
| corvel | 1 | 1 | $7,579.96 | $7,579.96 | $7,579.96 | 1.0× |
| employer direct healthcare | 1 | 1 | $15,180 | $15,180 | $15,180 | 1.0× |
| facility billing - op | 1 | 1 | $5,054.35 | $5,054.35 | $5,054.35 | 1.0× |
| georgia workers’ compensation | 1 | 1 | $7,978.91 | $7,978.91 | $7,978.91 | 1.0× |
| health choice pathway | 1 | 1 | $6,155.87 | $6,155.87 | $6,155.87 | 1.0× |
| health management network | 1 | 1 | $6,155.87 | $6,155.87 | $6,155.87 | 1.0× |
| healthspring mcr replacement | 1 | 1 | $5,155.44 | $5,155.44 | $5,155.44 | 1.0× |
| imperial insurance | 1 | 1 | $6,463.67 | $6,463.67 | $6,463.67 | 1.0× |
| Medicare | 1 | 1 | $11,677 | $11,677 | $11,677 | 1.0× |
| Medicare Advantage | 1 | 1 | $5,054.35 | $5,054.35 | $5,054.35 | 1.0× |
| Multiplan | 1 | 1 | $7,739.54 | $7,739.54 | $7,739.54 | 1.0× |
| naphcare | 1 | 1 | $18,099 | $18,099 | $18,099 | 1.0× |
By hospital (top 200 by negotiated median, descending)
| Hospital | City | ST | Payers | Gross | Cash | Neg min | Neg median | Neg max |
|---|---|---|---|---|---|---|---|---|
| ST. JOSEPHS OF ATLANTA | ATLANTA | GA | 14 | — | — | $5,847.62 | $9,916.02 | $17,409 |
| ST. MARYS SACRED HEART HOSPITAL | LAVONIA | GA | 17 | — | — | $5,054.35 | $8,339.68 | $19,155 |
| WEST CENTRAL GA REGIONAL HOSPITAL | COLUMBUS | GA | 17 | — | — | $25 | $6,155.87 | $35,811 |
| NORTHEAST GEORGIA MEDICAL CENTER | GAINESVILLE | GA | 6 | — | — | $7,905.62 | $18,106 | $25,601 |
| EMORY LONG TERM ACUTE CARE | DECATUR | GA | 5 | — | — | $11,375 | $15,854 | $16,375 |
| NGMC LUMPKIN LLC | DAHLONEGA | GA | 6 | — | — | $7,905.62 | $15,652 | $25,601 |
| NGMC BARROW | WINDER | GA | 6 | — | — | $7,905.62 | $15,652 | $24,768 |
| SOUTHERN REGIONAL MEDICAL CENTER | RIVERDALE | GA | 28 | — | $11,676 | $3,210.42 | $11,677 | $20,434 |
| EMORY UNIVERSITY HOSPITAL | ATLANTA | GA | 14 | — | — | $8,457 | $11,409 | $22,884 |
| EMORY UNIVERSITY HOSPITAL MIDTOWN | ATLANTA | GA | 14 | — | — | $8,457 | $11,409 | $22,884 |
| EMORY DECATUR | DECATUR | GA | 14 | — | — | $8,457 | $10,743 | $20,221 |
| MEMORIAL HOSPITAL | BAINBRIDGE | GA | 0 | — | — | — | — | — |
| SOUTHWELL MEDICAL | ADEL | GA | 0 | — | — | — | — | — |
| CHATUGE REGIONAL HOSPITAL | HIWASSEE | GA | 0 | — | — | — | — | — |
| UNION GENERAL HOSPITAL | BLAIRSVILLE | GA | 0 | — | — | — | — | — |
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.