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Simple pneumonia & pleurisy w CC

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

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Hospitals
13
Min
$2,696.82
Median
$8,190.69
Max
$14,891
Range multiplier
5.5×

By payer (34 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
Blue Cross Blue Shield942$75.1$10,747$25,104334.3×
UnitedHealthcare1232$90$13,037$22,150246.1×
Aetna1024$85$13,440$25,001294.1×
Medicare217$4,643.9$5,409.64$5,680.121.2×
Cigna316$75.9$10,395$23,700312.3×
transplants-case rates [5750]114$60$5,409.64$83,1731386.2×
smarthealth49$6,501.46$8,190.69$11,0551.7×
Humana69$2,900$10,866$25,6658.8×
Medicaid25$4,939.75$5,315.48$5,622.141.1×
First Health15$59.28$59.28$59.281.0×
commercial-contracted [8000]14$75$6,993.17$8,655.42115.4×
kancare sunflower33$5,028.19$5,028.19$5,028.191.0×
Ambetter23$3,520$3,520$7,894.632.2×
celtic insurance company13$3,200$3,520$3,5201.1×
kancare amerigroup33$5,076.54$5,076.54$5,076.541.0×
kancare healthy blue33$5,028.19$5,028.19$5,028.191.0×
sunflower state13$3,200$3,520$4,433.61.4×
Medicare Advantage12$4,643.9$4,667.12$4,690.341.0×
wppa22$1,200$1,200$1,2001.0×
Centene22$5,257.76$7,262.36$9,266.951.8×
healthchoice of ok22$9,746$9,746$9,7461.0×
medica22$10,731$10,731$10,7311.0×
triwest11$79.56$79.56$79.561.0×
avmed empower11$14,888$14,888$14,8881.0×
va11$4,643.9$4,643.9$4,643.91.0×
vc hope11$4,643.9$4,643.9$4,643.91.0×
healthy blue kansas11$5,257.76$5,257.76$5,257.761.0×
via christi research11$4,643.9$4,643.9$4,643.91.0×
healthy blue11$4,433.6$4,433.6$4,433.61.0×
WellCare11$3,200$3,200$3,2001.0×
health partners11$90$90$901.0×
northwell direct11$20,000$20,000$20,0001.0×
saint lukes health systems11$4,643.9$4,643.9$4,643.91.0×
corizon11$5,804.88$5,804.88$5,804.881.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
STORMONT-VAIL REGIONAL HEALTH CENTERTOPEKAKS5$6,346.46$9,266.95$23,036
MERCY REGIONAL HEALTH CENTERMANHATTANKS7$4,834.8$8,190.69$10,154
VIA CHRISTI HOSPITAL PITTSBURG INC.PITTSBURGKS7$4,834.8$8,190.69$10,154
VIA CHRISTI HOSP. WICHITA ST. TERESAWICHITAKS15$4,643.9$5,804.88$25,665
ST. LUKES SOUTHOVERLAND PARKKS10$52,583$31,550$59.28$5,601$83,173
REHABILITATION HOSP OF OVERLAND PARKOVERLAND PARKKS4$5,257.76$5,257.76$5,257.76
WAMEGO HOSPITAL ASSOCIATIONWAMEGOKS6$4,834.8$5,076.54$12,314
NINNESCAH VALLEY HEALTH SYSTEMSKINGMANKS13$79.56$3,200$8,907.41
SCOTT COUNTY HOSPITAL INC.SCOTT CITYKS2$1,200$2,696.82$4,193.64
GREAT PLAINS OF OTTAWA COUNTY INCMINNEAPOLISKS8$1,947$14,891$24,633
VIA CHRISTI REHAB CENTER INCWICHITAKS7$1,275.15$11,738$25,665
KEARNY COUNTY HOSPITALLAKINKS1$10,711$10,711$10,711$10,711
CHILDRENS MERCY HOSPITAL KANSASOVERLAND PARKKS0

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.