▸ Compare · PriceTransparency
Simple pneumonia & pleurisy w CC
MS-DRG 194 · negotiated-rate distribution across hospitals in NC
Hospitals
29
Min
$76.50
Median
$8,843.69
Max
$23,599
Range multiplier
308.5×
By payer (50 payers with published rates)
| Payer | Hosp. | Rates | Min | Median | Max | Range× |
|---|---|---|---|---|---|---|
| bcbsfl | 9 | 144 | $62.00 | $70.00 | $72.00 | 1.2× |
| Blue Cross Blue Shield | 24 | 107 | $3,287.00 | $12,207 | $36,578 | 11.1× |
| Aetna | 24 | 85 | $56.90 | $80.00 | $36,578 | 642.9× |
| UnitedHealthcare | 27 | 71 | $61.30 | $9,243.76 | $22,058 | 359.8× |
| Cigna | 25 | 49 | $59.70 | $12,095 | $23,599 | 395.3× |
| Humana | 24 | 33 | $72.00 | $7,191.55 | $23,599 | 327.8× |
| WellCare | 27 | 29 | $6,989.05 | $9,279.50 | $23,599 | 3.4× |
| amerihealth | 16 | 21 | $4,080.00 | $8,272.98 | $12,794 | 3.1× |
| medcost | 10 | 19 | $72.00 | $78.00 | $19,375 | 269.1× |
| nc department of public safety | 9 | 18 | $7,801.01 | $10,589 | $20,208 | 2.6× |
| Ambetter | 11 | 17 | $5,906.46 | $9,789.98 | $13,397 | 2.3× |
| partners | 15 | 15 | $6,989.05 | $8,843.69 | $12,030 | 1.7× |
| alliance | 15 | 15 | $6,927.92 | $9,020.56 | $12,270 | 1.8× |
| trillium | 15 | 15 | $6,989.05 | $9,108.99 | $12,391 | 1.8× |
| carolina complete | 14 | 14 | $7,801.01 | $8,632.35 | $12,543 | 1.6× |
| vaya | 14 | 14 | $7,911.83 | $9,152.21 | $12,150 | 1.5× |
| healthy blue | 12 | 12 | $6,989.05 | $9,061.60 | $11,771 | 1.7× |
| carolina complete health | 11 | 11 | $6,989.05 | $9,338.75 | $11,771 | 1.7× |
| amerihealth caritas | 10 | 10 | $8,203.20 | $9,591.19 | $11,554 | 1.4× |
| three rivers provider network | 9 | 9 | $97.00 | $97.00 | $97.00 | 1.0× |
| pace of the southern piedmont | 9 | 9 | $5,145.41 | $6,870.18 | $10,104 | 2.0× |
| phcs | 9 | 9 | $75.00 | $75.00 | $90.00 | 1.2× |
| plotkin health | 9 | 9 | $60.00 | $60.00 | $60.00 | 1.0× |
| atlantic corporation dba atlantic packaging | 9 | 9 | $46.00 | $46.00 | $56.50 | 1.2× |
| liberty health | 9 | 9 | $5,402.68 | $7,213.69 | $10,609 | 2.0× |
| employers choice network | 9 | 9 | $97.00 | $97.00 | $97.00 | 1.0× |
| amps | 9 | 9 | $55.00 | $55.00 | $65.00 | 1.2× |
| Multiplan | 9 | 9 | $75.00 | $75.00 | $90.00 | 1.2× |
| CareSource | 9 | 9 | $8,864.90 | $8,864.90 | $8,864.90 | 1.0× |
| primary physician care | 8 | 8 | $74.00 | $74.00 | $88.00 | 1.2× |
| healthteam | 3 | 3 | $7,175.83 | $8,212.86 | $13,694 | 1.9× |
| liberty | 2 | 2 | $7,165.11 | $11,457 | $15,748 | 2.2× |
| Molina | 2 | 2 | $8,212.86 | $8,630.25 | $9,047.64 | 1.1× |
| prime health services | 1 | 2 | $30,678 | $33,038 | $35,398 | 1.2× |
| devoted health | 2 | 2 | $7,305.60 | $7,759.23 | $8,212.86 | 1.1× |
| beechstreet | 2 | 2 | $90.00 | $90.00 | $90.00 | 1.0× |
| health blue | 2 | 2 | $8,025.34 | $8,025.34 | $8,025.34 | 1.0× |
| wellpoint | 1 | 1 | $7,786.88 | $7,786.88 | $7,786.88 | 1.0× |
| alliance behavioral health | 1 | 1 | $9,525.52 | $9,525.52 | $9,525.52 | 1.0× |
| apex | 1 | 1 | $13,694 | $13,694 | $13,694 | 1.0× |
| apex health | 1 | 1 | $6,989.05 | $6,989.05 | $6,989.05 | 1.0× |
| bcbsnc host | 1 | 1 | $7,792.81 | $7,792.81 | $7,792.81 | 1.0× |
| cardinal | 1 | 1 | $6,989.05 | $6,989.05 | $6,989.05 | 1.0× |
| carolina caring | 1 | 1 | $19,554 | $19,554 | $19,554 | 1.0× |
| carolina complete health tailored plans | 1 | 1 | $9,525.52 | $9,525.52 | $9,525.52 | 1.0× |
| clover health | 1 | 1 | $7,786.88 | $7,786.88 | $7,786.88 | 1.0× |
| corporate benefits service | 1 | 1 | $11,519 | $11,519 | $11,519 | 1.0× |
| devoted | 1 | 1 | $13,694 | $13,694 | $13,694 | 1.0× |
| Emblem Health | 1 | 1 | $16,152 | $16,152 | $16,152 | 1.0× |
| fidelis care | 1 | 1 | $7,786.88 | $7,786.88 | $7,786.88 | 1.0× |
By hospital (top 200 by negotiated median, descending)
| Hospital | City | ST | Payers | Gross | Cash | Neg min | Neg median | Neg max |
|---|---|---|---|---|---|---|---|---|
| Atrium Health Union | Monroe | NC | 14 | — | — | $7,247.71 | $9,838.51 | $14,677 |
| Gaston Memorial Hospital | Gastonia | NC | 21 | — | — | $7,821.77 | $9,525.52 | $21,464 |
| Atrium Health Cabarrus | Concord | NC | 14 | — | — | $7,550.99 | $9,279.50 | $16,061 |
| Carolinas Medical Center | Charlotte | NC | 15 | — | — | $8,309.79 | $9,063.94 | $15,787 |
| Forsyth Memorial Hospital Inc | Winston Salem | NC | 23 | — | — | $56.50 | $90.00 | $19,342 |
| Medical Park Hospital | Winston-Salem | NC | 23 | — | — | $56.50 | $90.00 | $19,342 |
| Atrium Health Cleveland | Shelby | NC | 14 | — | — | $7,332.82 | $8,843.69 | $14,890 |
| Atrium Health Kings Mountain | Kings Mountain | NC | 14 | — | — | $7,332.82 | $8,843.69 | $14,890 |
| Thomasville Medical Center | Thomasville | NC | 22 | — | — | $56.50 | $88.00 | $20,208 |
| Brunswick Community Hospital | Bolivia | NC | 24 | — | — | $54.00 | $85.00 | $14,943 |
| Lexington Memorial Hospital Inc. | Lexington | NC | 12 | — | — | $4,697.78 | $8,389.08 | $9,645.66 |
| North Carolina Baptist Hospital | Winston-Salem | NC | 12 | — | — | $8,025.34 | $8,266.10 | $13,240 |
| High Point Medical Center | High Point | NC | 12 | — | — | $6,757.62 | $7,911.83 | $11,711 |
| Presbyterian Hospital | Charlotte | NC | 22 | — | — | $46.00 | $76.50 | $16,280 |
| Novant Health Mint Hill Medical Ctr | Charlotte | NC | 22 | — | — | $46.00 | $76.50 | $16,280 |
| Presbyterian Hospital Huntersville | Huntersville | NC | 22 | — | — | $46.00 | $76.50 | $16,280 |
| Presbyterian Hospital Matthews | Matthews | NC | 22 | — | — | $46.00 | $76.50 | $16,280 |
| Novant Health Ballantyne Medical Ctr | Charlotte | NC | 22 | — | — | $46.00 | $76.50 | $16,256 |
| Central Carolina Hospital | Sanford | NC | 4 | $54,733 | $21,893 | $2,520.84 | $7,539.98 | $22,058 |
| Columbus Regional Healthcare System | Whiteville | NC | 20 | — | — | $6,491.27 | $6,989.05 | $7,375.85 |
| Pam Specialty Hosp. Of Rocky Mount | Rocky Mount | NC | 9 | — | — | $22,891 | $23,599 | $36,578 |
| Davie Medical Center | Bermuda Run | NC | 19 | — | — | $8,025.34 | $12,270 | $15,748 |
| Wrmc Hospital Operating Corporation | North Wilkesboro | NC | 10 | — | — | $7,175.83 | $12,090 | $12,391 |
| Atrium Health Pineville | Charlotte | NC | 14 | — | — | $6,544.32 | $11,771 | $16,481 |
| New Hanover Regional Medical Center | Wilmington | NC | 13 | — | $2,726.00 | $60.00 | $11,215 | $21,885 |
| Atrium Health Stanly | Albemarle | NC | 13 | — | — | $7,230.76 | $10,849 | $14,518 |
| Atrium Health Lincoln | Lincolnton | NC | 12 | — | — | $8,067.74 | $10,791 | $11,115 |
| Atrium Health Anson | Wadesboro | NC | 12 | — | — | $9,917.19 | $10,685 | $12,227 |
| Harris Regional Hospital | Sylva | NC | 0 | $53,243 | $21,297 | — | — | — |
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.