▸ Compare · PriceTransparency
Simple pneumonia & pleurisy w CC
MS-DRG 194 · negotiated-rate distribution across hospitals in IA
Hospitals
23
Min
$71.25
Median
$6,871.9
Max
$16,457
Range multiplier
231.0×
By payer (50 payers with published rates)
| Payer | Hosp. | Rates | Min | Median | Max | Range× |
|---|---|---|---|---|---|---|
| UnitedHealthcare | 19 | 46 | $71.39 | $8,973.26 | $21,967 | 307.7× |
| Aetna | 16 | 32 | $69.22 | $8,320.54 | $17,212 | 248.7× |
| Blue Cross Blue Shield | 17 | 29 | $57 | $6,081.2 | $18,523 | 325.0× |
| amerigroup | 16 | 19 | $3,627 | $6,404.23 | $22,406 | 6.2× |
| Humana | 17 | 19 | $71.25 | $6,260.06 | $9,092.4 | 127.6× |
| medica | 3 | 15 | $91 | $96 | $19,386 | 213.0× |
| medica exchange insure | 14 | 14 | $12,331 | $12,331 | $12,331 | 1.0× |
| Molina | 13 | 14 | $69.22 | $6,265.53 | $15,833 | 228.7× |
| medica exchange inspire | 13 | 13 | $11,066 | $11,066 | $11,066 | 1.0× |
| iowa total care | 12 | 12 | $5,258.62 | $6,279.29 | $6,584.17 | 1.3× |
| health partners open network | 10 | 10 | $7,380 | $7,953.59 | $9,548.9 | 1.3× |
| amerivantage | 10 | 10 | $71.25 | $6,257.04 | $7,843.72 | 110.1× |
| midlands choice | 3 | 6 | $96 | $96 | $15,480 | 161.3× |
| millard public schools | 3 | 6 | $96 | $96 | $14,701 | 153.1× |
| one world | 3 | 6 | $96 | $96 | $14,701 | 153.1× |
| greater omaha packing | 3 | 6 | $96 | $96 | $14,701 | 153.1× |
| Centene | 3 | 5 | $3,524 | $5,173.44 | $22,406 | 6.4× |
| bc illinois community | 2 | 4 | $4,545.53 | $5,121.5 | $5,697.47 | 1.3× |
| common ground | 1 | 3 | $15,085 | $15,085 | $15,085 | 1.0× |
| amps | 3 | 3 | $7,599 | $8,708 | $14,507 | 1.9× |
| great plains | 3 | 3 | $3,627 | $4,156 | $6,924.01 | 1.9× |
| iamolina | 3 | 3 | $5,274.88 | $12,106 | $22,846 | 4.3× |
| Multiplan | 3 | 3 | $85 | $98 | $98 | 1.2× |
| pace | 3 | 3 | $3,454 | $3,958 | $6,594.29 | 1.9× |
| phcs | 3 | 3 | $71 | $98 | $98 | 1.4× |
| quiktrip | 3 | 3 | $60 | $96 | $96 | 1.6× |
| timpte | 3 | 3 | $96 | $96 | $14,701 | 153.1× |
| wisconsin physician service | 1 | 3 | $16,457 | $17,323 | $17,323 | 1.1× |
| Ambetter | 2 | 2 | $7,589.44 | $9,423.35 | $11,257 | 1.5× |
| health alliance | 2 | 2 | $5,954.79 | $7,393.71 | $8,832.62 | 1.5× |
| meridian health plan | 2 | 2 | $6,129.93 | $7,611.17 | $9,092.4 | 1.5× |
| providence health plan | 1 | 2 | $7,582.01 | $11,134 | $14,686 | 1.9× |
| healthpartners | 1 | 2 | $13,484 | $14,463 | $15,442 | 1.1× |
| Cigna | 2 | 2 | $16,523 | $17,282 | $18,040 | 1.1× |
| Anthem BCBS | 1 | 2 | $15,105 | $17,498 | $19,890 | 1.3× |
| coordinated care | 1 | 2 | $11,665 | $12,576 | $13,487 | 1.2× |
| todays options | 1 | 1 | $6,726.18 | $6,726.18 | $6,726.18 | 1.0× |
| total care | 1 | 1 | $11,873 | $11,873 | $11,873 | 1.0× |
| trilogy | 1 | 1 | $16,787 | $16,787 | $16,787 | 1.0× |
| quartz group | 1 | 1 | $17,655 | $17,655 | $17,655 | 1.0× |
| quartz health | 1 | 1 | $5,961.96 | $5,961.96 | $5,961.96 | 1.0× |
| quartz one | 1 | 1 | $15,088 | $15,088 | $15,088 | 1.0× |
| first choice | 1 | 1 | $16,623 | $16,623 | $16,623 | 1.0× |
| health payment systems | 1 | 1 | $15,170 | $15,170 | $15,170 | 1.0× |
| hs technology | 1 | 1 | $16,844 | $16,844 | $16,844 | 1.0× |
| everpointe elite | 1 | 1 | $14,212 | $14,212 | $14,212 | 1.0× |
| creighton university employees | 1 | 1 | $13,915 | $13,915 | $13,915 | 1.0× |
| wellpoint iowa, inc. | 1 | 1 | $7,298.53 | $7,298.53 | $7,298.53 | 1.0× |
| Kaiser Permanente | 1 | 1 | $7,290.39 | $7,290.39 | $7,290.39 | 1.0× |
| community health plan of washington | 1 | 1 | $8,019.43 | $8,019.43 | $8,019.43 | 1.0× |
By hospital (top 200 by negotiated median, descending)
| Hospital | City | ST | Payers | Gross | Cash | Neg min | Neg median | Neg max |
|---|---|---|---|---|---|---|---|---|
| CHI HEALTH MERCY CORNING | CORNING | IA | 18 | — | — | $60 | $97 | $22,846 |
| CHI HEALTH - MISSOURI VALLEY | MISSOURI VALLEY | IA | 19 | — | — | $57 | $96 | $12,106 |
| TRINITY MUSCATINE | MUSCATINE | IA | 12 | — | — | $4,545.53 | $9,092.4 | $12,331 |
| UNITYPOINT HEALTH-MARSHALLTOWN | MARSHALLTOWN | IA | 10 | — | — | $5,949.7 | $7,731.67 | $12,331 |
| OTTUMWA REGIONAL HEALTH CENTER | OTTUMWA | IA | 4 | $29,139 | $11,655 | $5,297.17 | $7,210.55 | $7,379.94 |
| TRINITY REGIONAL MEDICAL CENTER | FORT DODGE | IA | 8 | — | — | $6,303.23 | $7,200.81 | $12,331 |
| IOWA LUTHERAN HOSPITAL | DES MOINES | IA | 8 | — | — | $69.22 | $71.25 | $12,331 |
| IOWA METHODIST MEDICAL CENTER | DES MOINES | IA | 11 | — | — | $6,404.23 | $7,013.87 | $12,331 |
| TRINITY BETTENDORF | BETTENDORF | IA | 12 | — | — | $5,954.79 | $6,871.9 | $12,331 |
| ALLEN MEMORIAL HOSPITAL | WATERLOO | IA | 11 | — | — | $5,846.23 | $6,652.2 | $12,331 |
| GRUNDY COUNTY MEM. HOSPITAL | GRUNDY CENTER | IA | 11 | — | — | $5,846.23 | $6,652.2 | $12,331 |
| THE FINLEY HOSPITAL | DUBUQUE | IA | 15 | — | — | $4,545.53 | $6,407.96 | $12,331 |
| ST. LUKES METHODIST HOSPITAL | CEDAR RAPIDS | IA | 11 | — | — | $5,906.38 | $6,265.92 | $12,331 |
| COMMUNITY MEM. HOSPT. SUMMER | SUMNER | IA | 11 | — | — | $5,538.84 | $5,701.75 | $12,331 |
| ST. LUKES REGL MEDICAL CENTER | SIOUX CITY | IA | 11 | — | — | $5,538.84 | $5,701.75 | $12,331 |
| GRINNELL REGIONAL MEDICAL CENTER | GRINNELL | IA | 11 | — | — | $5,538.84 | $5,701.75 | $12,331 |
| WASHINGTON COUNTY HOSPITAL | WASHINGTON | IA | 16 | — | — | $12,331 | $16,457 | $19,890 |
| CHI HEALTH MERCY COUNCIL BLUFFS | COUNCIL BLUFFS | IA | 20 | — | — | $60 | $12,784 | $19,386 |
| JONES REGIONAL MEDICAL CTR | ANAMOSA | IA | 2 | — | — | $11,066 | $11,698 | $12,331 |
| AVERA HOLY FAMILY HEALTH | ESTHERVILLE | IA | 13 | — | — | $75 | $11,665 | $19,266 |
| SPENCER MUNICIPAL HOSPITAL | SPENCER | IA | 0 | $17,297 | $12,972 | — | — | — |
| STEWART MEMORIAL HOSPITAL | LAKE CITY | IA | 0 | $19,368 | $15,494 | — | — | — |
| MERCY HOSPITAL IOWA CITY | IOWA CITY | IA | 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.