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Simple pneumonia & pleurisy w CC

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

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Hospitals
61
Min
$64.70
Median
$7,037.37
Max
$21,723
Range multiplier
335.7×

By payer (50 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
Blue Cross Blue Shield45143$40.60$8,507.89$22,207547.0×
UnitedHealthcare44110$72.20$8,566.13$16,883233.8×
Aetna4294$25.40$7,037.05$16,457647.9×
Humana2947$5,359.03$7,105.38$18,9573.5×
Cigna2644$57.30$10,241$21,212370.2×
Molina2828$5,519.80$7,581.27$13,3062.4×
Medicare1025$5,359.03$6,702.26$8,418.891.6×
Ambetter1717$8,596.74$13,091$15,0101.7×
WellCare1415$6,398.22$7,059.07$8,088.411.3×
meridian1212$3,641.98$6,989.18$8,088.412.2×
health alliance plan610$6,334.87$7,477.00$14,5512.3×
hstechnology99$17,335$17,335$17,3351.0×
Multiplan89$75.00$90.00$16,247216.6×
healthlink99$73.40$11,726$15,238207.6×
Medicare Advantage19$5,734.65$5,734.65$6,308.111.1×
Oscar Health99$13,543$13,543$13,5431.0×
smarthealth77$7,502.64$9,383.16$11,7711.6×
Bright Health66$6,698.79$8,377.83$8,377.831.3×
caterpillar66$11,040$11,842$21,7232.0×
cox health systems insurance company [220]26$55.00$55.00$65.001.2×
healthlink [225]26$48.50$65.00$75.501.6×
allied benefits [498]26$58.00$74.30$16,457283.7×
First Health55$74.30$100.00$10,352139.3×
Anthem BCBS14$10,022$14,430$21,7882.2×
amerivantage44$6,639.55$6,791.54$7,013.871.1×
phcs [244]24$75.00$77.50$80.001.1×
TRICARE44$6,702.26$6,702.26$6,702.261.0×
unicare [568]24$65.00$70.25$75.501.2×
consociate [478]24$9,488.58$10,201$10,9131.2×
Medicaid44$2,632.99$3,441.10$3,641.981.4×
med-pay [480]24$65.00$70.00$75.001.2×
medica exchange inspire44$11,066$11,066$11,0661.0×
medica exchange insure44$12,331$12,331$12,3311.0×
iowa total care44$5,095.92$5,846.23$6,404.231.3×
health partners open network44$7,610.42$8,815.82$9,151.201.2×
amerigroup33$5,846.23$5,846.23$6,404.231.1×
zing33$7,206.32$8,194.33$10,3521.4×
phcs33$70.00$75.70$6,044.2586.3×
oscar33$7,656.05$9,300.89$10,4771.4×
osfdan33$80.00$80.00$10,710133.9×
meridian health plan23$6,497.49$6,497.49$6,943.521.1×
community partners health plan (cphp)33$10,779$10,779$13,5831.3×
illinicare22$3,641.98$3,641.98$3,641.981.0×
alliance22$14,461$14,663$14,8651.0×
illinicare health plan22$8,526.46$8,526.46$8,526.461.0×
hfn [563]22$80.00$80.00$80.001.0×
hope trust [806]22$58.00$58.00$58.001.0×
essence healthcare [221]22$5,673.01$6,354.87$7,036.721.2×
essence healthcare22$8,194.33$9,273.17$10,3521.3×
hfn12$57.70$67.85$78.001.4×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
Advocate Sherman HospitalElginIL9$6,737.12$9,803.92$17,545
Saint Francis Medical CenterPeoriaIL12$57.10$9,726.41$18,258
Hardin County General HospitalRosiclareIL9$4,117.34$9,126.82$13,741
Valley West Community HospitalSandwichIL9$24,888$17,421$25.40$87.50$22,207
Memorial Hospital EastShilohIL36$26,038$15,623$48.50$87.00$16,457
Alton Memorial HospitalAltonIL35$29,324$17,594$48.50$86.00$16,457
Osf Saint Luke Medical CenterKewaneeIL2$80.00$84.95$89.90
Ingalls Memorial HospitalHarveyIL11$5,611.48$8,194.33$11,202
Vista Medical Center - EastWaukeganIL6$62,046$62,046$3,240.22$8,104.62$11,786
Carle Foundation HospitalUrbanaIL9$8,088.41$8,088.41$17,730
Red Bud Regional HospitalRed BudIL2$7,454.58$7,842.62$8,230.66
Little Company Of MaryEvergreen ParkIL13$90.00$7,318.54$13,216
St. Mary Medical CenterGalesburgIL13$90.00$7,318.54$13,216
Osf Holy Family Med CtrMonmouthIL2$68.00$73.40$73.90
Osf Saint Anthonys Health CenterAltonIL11$70.00$7,197.71$31,118
Ottawa Regional Hospital & HealthcarOttawaIL12$57.30$7,181.30$13,702
Presence Saint Francis HospitalEvanstonIL9$6,702.26$7,037.37$10,858
Presence Saint Joseph Hosp-ChicagoChicagoIL9$6,702.26$7,037.37$10,858
Presence Saint Joseph Hospital ElginElginIL9$6,702.26$7,037.37$10,858
Presence St. Marys HospitalKankakeeIL9$6,702.26$7,037.37$10,858
Carle Bromenn Medical CenterNormalIL10$7,015.59$7,015.59$16,247
Methodist Medical Ctr Of IllinoisPeoriaIL11$6,404.23$7,013.87$12,331
Osf Sacred Heart Medical CenterDanvilleIL10$64.00$6,989.18$13,920
Osf Heart Of Mary Medical CenterUrbanaIL10$64.00$6,989.18$13,920
Saint Anthony Medical CenterRockfordIL17$56.30$6,966.11$14,461
Trinity Rock IslandRock IslandIL14$4,545.53$6,943.52$12,331
St. Joseph Medical CenterBloomingtonIL13$40.60$6,905.24$13,098
Pekin Memorial HospitalPekinIL11$5,846.23$6,652.20$12,331
Proctor HospitalPeoriaIL11$5,846.23$6,652.20$12,331
Heartland Regional Medical CenterMarionIL16$6,172.62$6,594.95$18,518
Osf Saint Clare Medical CenterPrincetonIL2$54.10$64.70$72.30
Saint James HospitalPontiacIL10$70.00$6,398.22$14,551
Mendota Community HospitalMendotaIL2$5,252.05$6,254.19$7,256.32
Swedishamerican HospitalRockfordIL12$45,351$7,256.23$5,734.65$5,734.65$16,209
St. Alexius Medical CenterHoffman EstatesIL17$1,920.00$5,451.38$8,831.24
Alexian Brothers Medical CenterElk Grove VillageIL18$1,920.00$5,359.03$8,681.63
Alexian Brothers Behavioral HealthHoffman EstatesIL3$1,920.00$3,641.98$3,641.98
Richland Memorial HospitalOlneyIL1$3,553.21$3,553.21$3,553.21
Hoopeston Community Memorial HospitaHoopsetonIL1$3,553.21$3,553.21$3,553.21
Warner Hospital And Health ServicesClintonIL17$25,556$25,556$4,400.00$21,723$25,045
Presence Saints Mary & Elizabeth MedChicagoIL15$6,048.09$15,027$21,788
Advocate Lutheran General HospitalPark RidgeIL8$9,005.24$13,518$18,022
Advocate Good Samaritan HospitalDowners GroveIL8$9,005.24$13,379$17,545
Advocate Christ HospitalOak LawnIL8$9,005.24$13,379$17,831
Advocate Southland HospitalChicagoIL8$9,005.24$13,379$17,545
South Suburban HospitalHazelcrestIL4$13,091$13,317$17,335
Good Shepherd HospitalBarringtonIL8$8,063.06$13,286$17,545
Advocate Northside Health SystemChicagoIL8$9,005.24$13,091$17,545
Condell Medical CenterLibertyvilleIL8$8,186.06$10,799$17,545
Carle Eureka HospitalEurekaIL7$7,967.63$10,455$16,247
University Of Chicago HospitalsChicagoIL16$33.00$10,352$16,687
Community Hospital Of StauntonStauntonIL0
Board Of Trustees Of The UniversityChicagoIL0$36,117$25,282
Decatur Memorial HospitalDecaturIL0
Anderson HospitalMaryvilleIL0
Gateway RegionalGranite CityIL0$46,246$27,748
Memorial Medical CenterSpringfieldIL0
Thorek Memorial HospitalChicagoIL0
St. Bernard HospitalChicagoIL0
Jacksonville Memorial HospitalJacksonvilleIL0
Jacksonville Memorial HospitalJacksonvilleIL0

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.