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Simple pneumonia & pleurisy w CC

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

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Hospitals
11
Min
$1,743.42
Median
$8,019.95
Max
$28,079
Range multiplier
16.1×

By payer (42 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
UnitedHealthcare59$3,773.00$7,836.57$19,4605.2×
Medicare56$6,979.35$7,824.05$8,113.771.2×
Humana55$5,969.54$7,571.15$28,0794.7×
Aetna55$1,743.42$7,571.15$28,07916.1×
Blue Cross Blue Shield25$6,906.06$8,019.95$13,9592.0×
silver summit24$8,067.67$20,010$31,4493.9×
Anthem BCBS44$6,842.50$7,819.41$28,0794.1×
imperial insurance companies13$12,102$12,102$14,9251.2×
healthpartners [3081368]13$9,455.30$9,455.30$9,455.301.0×
TRICARE23$7,236.79$7,416.35$8,067.671.1×
imperial health12$29,483$32,291$35,0991.2×
ubh12$6,906.06$7,509.92$8,113.771.2×
pa health & wellness12$6,906.06$8,321.29$9,736.521.4×
intermountain healthcare (hcp)12$8,067.67$10,085$12,1021.5×
health partners plan12$6,906.06$8,127.25$9,348.441.4×
prime health services12$36,503$39,311$42,1191.2×
naphcare22$12,505$12,541$12,5761.0×
employer direct healthcare22$10,488$10,518$10,5481.0×
Molina22$8,067.67$19,477$30,8873.8×
va black hills health care system 12115 [3081206]11$7,667.85$7,667.85$7,667.851.0×
va ccn optum [3081339]11$7,667.85$7,667.85$7,667.851.0×
velocity provider ppo network11$33,695$33,695$33,6951.0×
6 degrees health11$14,360$14,360$14,3601.0×
worker compensation11$18,236$18,236$18,2361.0×
alignment11$8,229.02$8,229.02$8,229.021.0×
alignment health11$28,079$28,079$28,0791.0×
Auto Insurance11$8,925.15$8,925.15$8,925.151.0×
carelon health of nevada11$28,079$28,079$28,0791.0×
Cigna11$10,655$10,655$10,6551.0×
health services coalition11$12,102$12,102$12,1021.0×
healthchoice11$28,079$28,079$28,0791.0×
hometown health11$28,079$28,079$28,0791.0×
ilumed aco reach11$28,079$28,079$28,0791.0×
keystone11$7,182.30$7,182.30$7,182.301.0×
luminary11$8,687.82$8,687.82$8,687.821.0×
national healthcare solutions, inc11$12,908$12,908$12,9081.0×
nevada health partners11$13,224$13,224$13,2241.0×
providers partner health plan11$8,357.18$8,357.18$8,357.181.0×
renal payor solutions11$8,067.67$8,067.67$8,067.671.0×
scan health plan11$28,079$28,079$28,0791.0×
spartan11$8,519.46$8,519.46$8,519.461.0×
triwest11$7,986.99$7,986.99$7,986.991.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
North Vista HospitalNorth Las VegasNV18$8,067.00$3,773.00$8,229.02$14,925
Mt. Grant General HospitalHawthorneNV17$8,113.00$5,969.54$8,113.77$18,236
Orthopedic Specialty HospitalLas VegasNV7$27,341$27,341$7,667.85$8,019.95$9,455.30
St. Rose Dominican - DelimaHendersonNV5$7,571.15$7,571.15$19,460
St. Rose Dominican - San MartinLas VegasNV5$6,842.50$6,842.50$19,460
Pam Specialty Hospital Of Las VegasLas VegasNV14$28,079$28,079$42,119
Horizon Spec Hospital-Las VegasLas VegasNV1$1,743.42$1,743.42$1,743.42
Spring Valley Hospital Medical CntrLas VegasNV0
Summerlin Hospital Medical CenterLas VegasNV0
Henderson HospitalHendersonNV0
Valley Hospital Medical CenterLas VegasNV0

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.