▸ Compare · PriceTransparency
Simple pneumonia & pleurisy w CC
MS-DRG 194 · negotiated-rate distribution across hospitals in MA
Hospitals
17
Min
$7,433.58
Median
$8,174.94
Max
$26,805
Range multiplier
3.6×
By payer (50 payers with published rates)
| Payer | Hosp. | Rates | Min | Median | Max | Range× |
|---|---|---|---|---|---|---|
| Blue Cross Blue Shield | 8 | 29 | $5,570.00 | $10,511 | $20,920 | 3.8× |
| UnitedHealthcare | 8 | 25 | $7,079.60 | $8,644.81 | $22,181 | 3.1× |
| mgb hlth partners [11110] | 4 | 22 | $12,396 | $23,674 | $52,140 | 4.2× |
| Cigna | 6 | 13 | $2,759.00 | $7,807.74 | $20,424 | 7.4× |
| Aetna | 5 | 11 | $3,709.00 | $8,174.94 | $26,608 | 7.2× |
| mgb connectorcare [10506] | 2 | 8 | $14,491 | $23,522 | $45,340 | 3.1× |
| institution [10406] | 4 | 7 | $758.07 | $7,641.81 | $10,373 | 13.7× |
| tufts [11201] | 4 | 6 | $2,759.00 | $6,958.00 | $7,654.00 | 2.8× |
| correctional care [11003] | 3 | 6 | $7,448.40 | $9,237.74 | $11,646 | 1.6× |
| senior whole health [10110] | 4 | 4 | $7,969.79 | $8,487.74 | $8,644.81 | 1.1× |
| amerihealth | 2 | 4 | $6,757.62 | $12,510 | $21,543 | 3.2× |
| fallon connectorcare [10503] | 4 | 4 | $4,921.00 | $11,218 | $17,515 | 3.6× |
| fallon mcaid carelon hlth [29] | 4 | 4 | $1,252.97 | $1,939.47 | $2,064.74 | 1.6× |
| hsno/free care [10801] | 4 | 4 | $7,641.81 | $9,079.48 | $10,373 | 1.4× |
| Medicare | 4 | 4 | $7,641.81 | $10,373 | $26,805 | 3.5× |
| mgb mcr [10124] | 4 | 4 | $7,785.66 | $8,152.02 | $8,483.22 | 1.1× |
| tufts connectorcare [10507] | 4 | 4 | $7,641.81 | $10,373 | $10,845 | 1.4× |
| wellpoint [11112] | 4 | 4 | $7,053.24 | $8,527.23 | $10,001 | 1.4× |
| medical mutual | 1 | 3 | $7,079.60 | $13,911 | $17,090 | 2.4× |
| Humana | 3 | 3 | $7,079.60 | $7,732.66 | $8,539.62 | 1.2× |
| tufts dual [10111] | 3 | 3 | $7,641.81 | $10,373 | $10,373 | 1.4× |
| fallon mcr [10105] | 3 | 3 | $8,174.94 | $8,483.22 | $8,483.22 | 1.0× |
| commonwealth care mcr [10115] | 3 | 3 | $7,820.82 | $8,483.22 | $8,483.22 | 1.1× |
| eternalhealth mcr replace [10116] | 2 | 2 | $8,483.22 | $8,483.22 | $8,483.22 | 1.0× |
| fallon mcr supp [20202] | 2 | 2 | $7,820.82 | $7,997.88 | $8,174.94 | 1.0× |
| geisinger | 1 | 2 | $7,807.74 | $8,739.27 | $9,670.80 | 1.2× |
| harvard pilgrim mcr supp [20203] | 2 | 2 | $8,483.22 | $8,483.22 | $8,483.22 | 1.0× |
| hne [11108] | 2 | 2 | $3,685.00 | $3,685.00 | $3,685.00 | 1.0× |
| Medicaid | 2 | 2 | $2,759.32 | $2,759.32 | $2,759.32 | 1.0× |
| CareSource | 1 | 2 | $7,079.60 | $9,010.56 | $10,942 | 1.5× |
| WellCare | 2 | 2 | $7,911.83 | $12,453 | $16,994 | 2.1× |
| Molina | 1 | 2 | $7,433.58 | $11,453 | $15,472 | 2.1× |
| pennsylvania health and wellness | 1 | 2 | $7,882.81 | $8,097.43 | $8,312.05 | 1.1× |
| qualcare inc | 1 | 2 | $6,640.00 | $6,803.00 | $6,966.00 | 1.0× |
| buckeye health plan | 1 | 2 | $7,079.60 | $9,557.46 | $12,035 | 1.7× |
| wellpoint | 1 | 2 | $1,885.00 | $5,212.31 | $8,539.62 | 4.5× |
| tufts mcr [10112] | 2 | 2 | $7,820.82 | $7,997.88 | $8,174.94 | 1.0× |
| tufts mcr supp [20209] | 2 | 2 | $8,483.22 | $8,483.22 | $8,483.22 | 1.0× |
| fallon carelon hlth [28] | 2 | 2 | $1,252.60 | $1,637.86 | $2,023.12 | 1.6× |
| vibra | 1 | 1 | $7,657.59 | $7,657.59 | $7,657.59 | 1.0× |
| medigold | 1 | 1 | $7,079.60 | $7,079.60 | $7,079.60 | 1.0× |
| carolina complete | 1 | 1 | $7,833.49 | $7,833.49 | $7,833.49 | 1.0× |
| elder health | 1 | 1 | $9,008.93 | $9,008.93 | $9,008.93 | 1.0× |
| Emblem Health | 1 | 1 | $16,152 | $16,152 | $16,152 | 1.0× |
| alliance | 1 | 1 | $7,990.16 | $7,990.16 | $7,990.16 | 1.0× |
| naphcare | 1 | 1 | $11,261 | $11,261 | $11,261 | 1.0× |
| optum | 1 | 1 | $7,079.60 | $7,079.60 | $7,079.60 | 1.0× |
| partners | 1 | 1 | $7,833.49 | $7,833.49 | $7,833.49 | 1.0× |
| upmc health plan | 1 | 1 | $7,882.81 | $7,882.81 | $7,882.81 | 1.0× |
| perennial advantage | 1 | 1 | $7,433.58 | $7,433.58 | $7,433.58 | 1.0× |
By hospital (top 200 by negotiated median, descending)
| Hospital | City | ST | Payers | Gross | Cash | Neg min | Neg median | Neg max |
|---|---|---|---|---|---|---|---|---|
| Marlborough Hospital | Marlborough | MA | 22 | $75,944 | $75,944 | $758.07 | $8,887.19 | $52,140 |
| Umass Memorial Medical Center | Worcester | MA | 22 | $75,944 | $75,944 | $758.07 | $8,887.19 | $52,140 |
| Harrington Memorial Hospital | Southbridge | MA | 20 | $30,000 | $30,000 | $1,252.60 | $8,174.94 | $44,605 |
| High Point Hospital | Middleborough | MA | 12 | — | — | $6,757.62 | $7,911.83 | $11,711 |
| Chestnut Hill Benevolent Association | Chestnut Hill | MA | 17 | — | — | $7,376.40 | $7,882.81 | $16,337 |
| Healthalliance-Clinton | Leominster | MA | 23 | $48,748 | $48,748 | $758.07 | $7,820.82 | $44,605 |
| Hospital For Behavioral Medicine | Worcester | MA | 16 | — | — | $7,079.60 | $7,433.58 | $17,254 |
| Whittier Hospital-Bradford | Bradford | MA | 1 | — | — | $26,805 | $26,805 | $26,805 |
| Beth Israel Deaconess - Plymouth | Plymouth | MA | 13 | — | $3,470.00 | $60.00 | $15,261 | $26,608 |
| Baystate Medical Center | Springfield | MA | 0 | — | — | — | — | — |
| Berkshire Medical Center | Pittsfield | MA | 0 | — | — | — | — | — |
| Fairview Hospital | Great Barrington | MA | 0 | — | — | — | — | — |
| North Shore Medical Center | Salem | MA | 0 | — | — | — | — | — |
| Baystate Wing Hospital & Medical Ctr | Palmer | MA | 0 | — | — | — | — | — |
| North Adams Regional Hospital | North Adams | MA | 0 | — | — | — | — | — |
| Baystate Franklin Medical Center | Greenfield | MA | 0 | — | — | — | — | — |
| Baystate Noble Hospital | Westfield | MA | 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.