▸ Compare · PriceTransparency
Simple pneumonia & pleurisy w CC
MS-DRG 194 · negotiated-rate distribution across hospitals in OH
Hospitals
38
Min
$50.67
Median
$7,577.38
Max
$11,570
Range multiplier
228.3×
By payer (50 payers with published rates)
| Payer | Hosp. | Rates | Min | Median | Max | Range× |
|---|---|---|---|---|---|---|
| Aetna | 34 | 81 | $50.67 | $9,681.74 | $19,191 | 378.8× |
| UnitedHealthcare | 33 | 79 | $50.67 | $7,469.07 | $18,063 | 356.5× |
| medical mutual of ohio | 24 | 57 | $50.67 | $10,567 | $17,250 | 340.4× |
| Blue Cross Blue Shield | 19 | 50 | $98.00 | $9,339.82 | $16,221 | 165.5× |
| Cigna | 24 | 44 | $50.67 | $6,679.03 | $16,934 | 334.2× |
| Anthem BCBS | 17 | 43 | $50.67 | $9,138.08 | $13,888 | 274.1× |
| Molina | 29 | 34 | $50.67 | $7,176.61 | $14,778 | 291.6× |
| Humana | 31 | 32 | $50.00 | $6,762.67 | $10,270 | 205.4× |
| CareSource | 28 | 31 | $91.21 | $7,916.69 | $18,206 | 199.6× |
| the health plan | 21 | 30 | $50.67 | $9,620.31 | $13,936 | 275.0× |
| summacare | 17 | 25 | $50.67 | $10,114 | $14,483 | 285.8× |
| devoted health | 22 | 22 | $50.67 | $6,855.89 | $10,270 | 202.7× |
| Medicare | 2 | 20 | $3,223.00 | $3,223.00 | $9,688.56 | 3.0× |
| aultcare | 14 | 18 | $39.00 | $9,880.18 | $13,189 | 338.2× |
| WellCare | 15 | 15 | $50.67 | $6,458.02 | $10,114 | 199.6× |
| paramount | 13 | 13 | $52.19 | $6,362.38 | $10,418 | 199.6× |
| primetime health plan | 13 | 13 | $50.67 | $6,177.07 | $10,114 | 199.6× |
| perennial advantage of ohio | 13 | 13 | $53.20 | $6,485.92 | $10,620 | 199.6× |
| transplants-case rates [5750] | 1 | 13 | $60.00 | $3,223.00 | $83,173 | 1386.2× |
| valor health plans | 13 | 13 | $53.20 | $6,485.92 | $10,620 | 199.6× |
| medigold | 13 | 13 | $6,008.60 | $7,114.46 | $10,270 | 1.7× |
| Ambetter | 13 | 13 | $91.21 | $11,119 | $18,206 | 199.6× |
| medical mutual | 6 | 11 | $65.00 | $6,713.59 | $17,090 | 262.9× |
| jp farley | 10 | 10 | $9,001.96 | $10,978 | $11,570 | 1.3× |
| university health employee plan (contigo) | 10 | 10 | $7,773.60 | $7,773.60 | $9,636.64 | 1.2× |
| allwell | 9 | 9 | $6,008.60 | $7,114.46 | $10,270 | 1.7× |
| buckeye | 4 | 7 | $2,669.00 | $8,154.19 | $11,479 | 4.3× |
| custom design benefits | 3 | 6 | $16,341 | $17,485 | $20,504 | 1.3× |
| First Health | 2 | 6 | $78.00 | $82.40 | $82.40 | 1.1× |
| medben | 3 | 5 | $18,201 | $19,755 | $22,800 | 1.3× |
| healthsmart | 1 | 4 | $55.00 | $85.00 | $85.00 | 1.5× |
| Medicaid | 1 | 4 | $5,111.04 | $5,315.48 | $5,622.14 | 1.1× |
| buckeye health plan | 2 | 3 | $6,900.03 | $7,956.69 | $11,730 | 1.7× |
| oscar | 3 | 3 | $7,515.02 | $8,017.09 | $9,292.83 | 1.2× |
| buckeye community health plan | 2 | 3 | $7,238.75 | $15,155 | $15,155 | 2.1× |
| imagine health | 3 | 3 | $15,932 | $16,451 | $18,987 | 1.2× |
| essence healthcare | 3 | 3 | $6,642.88 | $6,859.25 | $7,916.69 | 1.2× |
| optum | 3 | 3 | $6,642.88 | $6,859.25 | $7,916.69 | 1.2× |
| commercial-contracted [8000] | 1 | 2 | $75.00 | $1,119.00 | $2,163.00 | 28.8× |
| amish church fund | 1 | 2 | $50.00 | $52.50 | $55.00 | 1.1× |
| care source | 1 | 1 | $7,383.53 | $7,383.53 | $7,383.53 | 1.0× |
| TRICARE | 1 | 1 | $6,284.11 | $6,284.11 | $6,284.11 | 1.0× |
| valor health | 1 | 1 | $7,577.38 | $7,577.38 | $7,577.38 | 1.0× |
| valor health plan | 1 | 1 | $6,900.03 | $6,900.03 | $6,900.03 | 1.0× |
| gateway health | 1 | 1 | $7,383.53 | $7,383.53 | $7,383.53 | 1.0× |
| medishare | 1 | 1 | $85.00 | $85.00 | $85.00 | 1.0× |
| mi amish medical board | 1 | 1 | $6,963.65 | $6,963.65 | $6,963.65 | 1.0× |
| custom design benefits inc. | 1 | 1 | $16,214 | $16,214 | $16,214 | 1.0× |
| mount carmel health plan | 1 | 1 | $7,956.69 | $7,956.69 | $7,956.69 | 1.0× |
| ohio health choice | 1 | 1 | $70.00 | $70.00 | $70.00 | 1.0× |
By hospital (top 200 by negotiated median, descending)
| Hospital | City | ST | Payers | Gross | Cash | Neg min | Neg median | Neg max |
|---|---|---|---|---|---|---|---|---|
| Bethesda Hospital | Cincinnati | OH | 17 | — | — | $6,859.25 | $9,721.32 | $19,755 |
| Uh Ahuja Medical Center | Beachwood | OH | 20 | — | — | $6,177.07 | $9,239.76 | $13,016 |
| Grant Medical Center | Columbus | OH | 12 | — | — | $9,182.90 | $9,182.90 | $18,147 |
| Adams County Regional Medical Center | Seaman | OH | 10 | $20,187 | $12,112 | $53.10 | $90.76 | $83,173 |
| Adena Regional Medical Center | Chillicothe | OH | 12 | — | — | $7,238.75 | $8,934.85 | $19,907 |
| Twin City Hospital | Dennison | OH | 15 | — | — | $39.00 | $85.00 | $2,669.00 |
| Madison Health | London | OH | 10 | — | — | $7,956.69 | $8,115.82 | $12,731 |
| Uh Elyria Medical Center | Elyria | OH | 20 | — | — | $6,126.33 | $7,773.60 | $11,624 |
| Grady Memorial Hospital | Delaware | OH | 10 | — | — | $7,767.04 | $7,767.04 | $8,077.72 |
| Alliance Community Hospital | Alliance | OH | 11 | — | — | $69.00 | $7,577.38 | $15,155 |
| Mccullough-Hyde Memorial Hospital | Oxford | OH | 15 | — | — | $6,642.88 | $7,515.02 | $18,201 |
| Aultman Orrville Hospital | Orrville | OH | 9 | — | — | $50.00 | $75.45 | $13,542 |
| Riverside Methodist Hospital | Columbus | OH | 12 | — | — | $7,469.07 | $7,469.07 | $18,147 |
| Dublin Methodist Hospital | Dublin | OH | 12 | — | — | $7,114.46 | $7,114.46 | $18,147 |
| Berger Hospital | Circleville | OH | 10 | — | — | $6,811.75 | $6,811.75 | $17,211 |
| Marion General Hospital | Marion | OH | 10 | — | — | $6,713.59 | $6,713.59 | $6,982.13 |
| Uh Samaritan Medical Center | Ashland | OH | 17 | — | — | $6,458.02 | $6,458.02 | $11,624 |
| Medcentral Health System | Mansfield | OH | 8 | — | — | $6,388.05 | $6,388.05 | $6,643.57 |
| Uh Parma Medical Center | Parma | OH | 19 | — | — | $5,941.72 | $6,244.47 | $12,373 |
| St. Lukes Hospital | Maumee | OH | 6 | $20,356 | $10,178 | $5,483.69 | $6,153.73 | $9,688.56 |
| Lake Hospital System | Concord | OH | 19 | — | — | $5,802.26 | $6,092.37 | $10,660 |
| Uh Portage Medical Center | Ravenna | OH | 19 | — | — | $5,802.26 | $6,092.37 | $13,647 |
| Obleness Memorial Hospital | Athens | OH | 12 | — | — | $6,008.60 | $6,008.60 | $6,068.69 |
| Uh Geauga Medical Center | Chardon | OH | 17 | — | — | $50.67 | $50.67 | $91.21 |
| Uh Regional Hospitals | Richmond Heights | OH | 17 | — | — | $50.67 | $50.67 | $91.21 |
| Fulton County Health Center | Wauseon | OH | 1 | — | — | $3,626.55 | $3,626.55 | $3,626.55 |
| Uh Cleveland Medical Center | Cleveland | OH | 20 | — | — | $9,636.64 | $11,570 | $18,206 |
| University Hospitals Rehab Hospital | Beachwood | OH | 20 | — | — | $9,636.64 | $11,570 | $18,206 |
| University Hospitals Avon Rehab Hosp | Avon | OH | 20 | — | — | $9,636.64 | $11,570 | $18,206 |
| Fort Hamilton Hospital | Hamilton | OH | 14 | — | — | $6,900.03 | $10,511 | $17,254 |
| Doctors Hospital | Columbus | OH | 11 | — | — | $10,270 | $10,270 | $19,191 |
| Uh Geneva Medical Center | Geneva | OH | 7 | — | — | $7,104.48 | $10,219 | $10,978 |
| Uh Conneaut Medical Center | Conneaut | OH | 7 | — | — | $7,485.78 | $10,219 | $13,000 |
| Rainbow Babies & Childrens Hospital | Cleveland | OH | 15 | — | — | $10,114 | $10,114 | $10,620 |
| Uh St. John Medical Center | Westlake | OH | 20 | — | — | $5,125.00 | $10,058 | $18,104 |
| Good Samaritan Hospital | Cincinnati | OH | 17 | — | — | $7,916.69 | $10,007 | $22,800 |
| Wilson Memorial Hospital | Sidney | OH | 0 | $24,044 | $12,022 | — | — | — |
| Wayne Hospital Company | Greenville | OH | 0 | $28,468 | $21,351 | — | — | — |
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.