▸ Compare · PriceTransparency
Simple pneumonia & pleurisy w CC
MS-DRG 194 · negotiated-rate distribution across hospitals in KY
Hospitals
15
Min
$5,972.54
Median
$7,149.32
Max
$11,024
Range multiplier
1.8×
By payer (27 payers with published rates)
| Payer | Hosp. | Rates | Min | Median | Max | Range× |
|---|---|---|---|---|---|---|
| Anthem BCBS | 13 | 39 | $5,473.76 | $10,741 | $11,307 | 2.1× |
| UnitedHealthcare | 11 | 20 | $4,697.78 | $6,960.35 | $10,967 | 2.3× |
| Aetna | 9 | 19 | $5,181.64 | $6,612.33 | $8,452.00 | 1.6× |
| WellCare | 9 | 17 | $4,707.43 | $6,960.35 | $9,854.69 | 2.1× |
| Humana | 8 | 16 | $5,473.76 | $6,933.80 | $7,149.32 | 1.3× |
| optum ccn region 2 | 7 | 7 | $6,960.35 | $6,960.35 | $7,149.32 | 1.0× |
| Molina | 7 | 7 | $5,583.23 | $5,583.23 | $7,099.56 | 1.3× |
| optum ccn region 1 | 7 | 7 | $6,960.35 | $6,960.35 | $7,149.32 | 1.0× |
| caresoure kentucky | 5 | 5 | $11,693 | $11,693 | $12,011 | 1.0× |
| Blue Cross Blue Shield | 1 | 4 | $6,005.68 | $8,637.88 | $9,645.66 | 1.6× |
| umr | 2 | 2 | $10,967 | $10,967 | $10,967 | 1.0× |
| amerihealth | 1 | 2 | $5,158.62 | $6,773.85 | $8,389.08 | 1.6× |
| the health plan | 1 | 2 | $5,747.44 | $6,353.90 | $6,960.35 | 1.2× |
| trillium | 1 | 1 | $8,640.76 | $8,640.76 | $8,640.76 | 1.0× |
| alliance coal | 1 | 1 | $8,958.81 | $8,958.81 | $8,958.81 | 1.0× |
| va community care network | 1 | 1 | $5,972.54 | $5,972.54 | $5,972.54 | 1.0× |
| vaya | 1 | 1 | $8,472.98 | $8,472.98 | $8,472.98 | 1.0× |
| amerigroup | 1 | 1 | $5,972.54 | $5,972.54 | $5,972.54 | 1.0× |
| alliance | 1 | 1 | $8,556.86 | $8,556.86 | $8,556.86 | 1.0× |
| Ambetter | 1 | 1 | $5,906.46 | $5,906.46 | $5,906.46 | 1.0× |
| beacon health | 1 | 1 | $5,454.36 | $5,454.36 | $5,454.36 | 1.0× |
| CareSource | 1 | 1 | $8,062.93 | $8,062.93 | $8,062.93 | 1.0× |
| carolina complete | 1 | 1 | $8,389.08 | $8,389.08 | $8,389.08 | 1.0× |
| christian county health dept-cchd | 1 | 1 | $5,454.36 | $5,454.36 | $5,454.36 | 1.0× |
| Cigna | 1 | 1 | $5,972.54 | $5,972.54 | $5,972.54 | 1.0× |
| healthy blue | 1 | 1 | $8,389.08 | $8,389.08 | $8,389.08 | 1.0× |
| partners | 1 | 1 | $8,389.08 | $8,389.08 | $8,389.08 | 1.0× |
By hospital (top 200 by negotiated median, descending)
| Hospital | City | ST | Payers | Gross | Cash | Neg min | Neg median | Neg max |
|---|---|---|---|---|---|---|---|---|
| Baptist Health Lexington | Lexington | KY | 12 | — | — | $4,697.78 | $8,389.08 | $9,645.66 |
| Hazard Arh | Hazard | KY | 9 | — | — | $6,561.90 | $7,149.32 | $12,011 |
| Middlesboro Arh | Middlesboro | KY | 9 | — | — | $5,200.07 | $6,960.35 | $11,693 |
| Harlan Arh | Harlan | KY | 9 | — | — | $5,200.07 | $6,960.35 | $11,693 |
| Whitesburg Arh | Whitesburg | KY | 9 | — | — | $4,707.43 | $6,960.35 | $11,693 |
| Highlands Regional Medical Center | Prestonsburg | KY | 8 | — | — | $5,200.07 | $6,960.35 | $10,113 |
| Tug Valley Arh | South Williamson | KY | 10 | — | — | $5,200.07 | $6,960.35 | $11,693 |
| Paintsville Arh Hospital | Paintsville | KY | 8 | — | — | $6,264.31 | $6,960.35 | $11,307 |
| Jennie Stuart Medical Center | Hopkinsville | KY | 12 | — | — | $5,181.64 | $5,972.54 | $9,854.69 |
| Mary Breckinridge Hospital | Hyden | KY | 1 | — | — | $10,741 | $11,024 | $11,307 |
| Our Lady Of The Way | Martin | KY | 1 | — | — | $10,741 | $11,024 | $11,307 |
| Barbourville Arh Hospital | Barbourville | KY | 1 | — | — | $10,741 | $11,024 | $11,307 |
| Morgan Co. Arh | West Liberty | KY | 3 | — | — | $10,741 | $10,967 | $11,307 |
| Mcdowell Arh | Mcdowell | KY | 3 | — | — | $10,741 | $10,967 | $11,307 |
| Spring View Hospital | Lebanon | KY | 0 | $36,214 | $14,485 | — | — | — |
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.