▸ Compare · PriceTransparency
Simple pneumonia & pleurisy w CC
MS-DRG 194 · negotiated-rate distribution across hospitals in OK
Hospitals
4
Min
$92.00
Median
$5,674.50
Max
$6,007.76
Range multiplier
65.3×
By payer (37 payers with published rates)
| Payer | Hosp. | Rates | Min | Median | Max | Range× |
|---|---|---|---|---|---|---|
| Blue Cross Blue Shield | 4 | 15 | $2,284.00 | $14,329 | $19,974 | 8.7× |
| Aetna | 4 | 11 | $85.00 | $6,781.00 | $11,033 | 129.8× |
| UnitedHealthcare | 4 | 8 | $68.00 | $5,539.11 | $16,493 | 242.5× |
| Humana | 3 | 7 | $3,466.89 | $5,505.13 | $7,361.09 | 2.1× |
| community care | 2 | 6 | $7,622.80 | $7,741.64 | $8,377.95 | 1.1× |
| healthcare highways | 3 | 6 | $25.00 | $61.00 | $9,158.13 | 366.3× |
| Cigna | 3 | 5 | $90.00 | $5,585.30 | $6,262.65 | 69.6× |
| Medicare | 2 | 4 | $5,505.13 | $5,545.22 | $5,585.30 | 1.0× |
| preferred community choice | 3 | 3 | $92.00 | $7,570.94 | $7,581.98 | 82.4× |
| First Health | 2 | 3 | $85.00 | $90.00 | $11,000 | 129.4× |
| webtpa hobby lobby hch | 2 | 2 | $53.00 | $53.00 | $53.00 | 1.0× |
| Ambetter | 2 | 2 | $7,707.18 | $7,763.30 | $7,819.42 | 1.0× |
| GEHA | 2 | 2 | $5,505.13 | $5,539.11 | $5,573.09 | 1.0× |
| global health | 2 | 2 | $7,003.27 | $7,003.27 | $7,003.27 | 1.0× |
| healthscope | 2 | 2 | $9,358.72 | $9,426.87 | $9,495.01 | 1.0× |
| medica | 2 | 2 | $5,355.00 | $6,827.50 | $8,300.00 | 1.5× |
| Medicare Advantage | 2 | 2 | $5,670.28 | $5,711.57 | $5,752.86 | 1.0× |
| Multiplan | 2 | 2 | $80.00 | $80.00 | $80.00 | 1.0× |
| Oscar Health | 2 | 2 | $9,358.72 | $9,426.87 | $9,495.01 | 1.0× |
| phcs | 2 | 2 | $8,268.53 | $8,268.53 | $8,268.53 | 1.0× |
| sana benefits | 2 | 2 | $7,059.68 | $7,059.68 | $7,059.68 | 1.0× |
| the kempton group | 2 | 2 | $9,909.23 | $9,981.39 | $10,054 | 1.0× |
| ufcw | 2 | 2 | $7,059.68 | $7,059.68 | $7,059.68 | 1.0× |
| va ccn | 2 | 2 | $5,505.13 | $5,545.22 | $5,585.30 | 1.0× |
| webtpa chickasaw nation hch | 2 | 2 | $47.00 | $47.00 | $47.00 | 1.0× |
| va community care network | 1 | 1 | $2,110.00 | $2,110.00 | $2,110.00 | 1.0× |
| communitycare (standard) | 1 | 1 | $2,734.80 | $2,734.80 | $2,734.80 | 1.0× |
| healthsmart | 1 | 1 | $94.00 | $94.00 | $94.00 | 1.0× |
| friday health plan | 1 | 1 | $7,076.25 | $7,076.25 | $7,076.25 | 1.0× |
| kempton group administrators | 1 | 1 | $2,284.00 | $2,284.00 | $2,284.00 | 1.0× |
| communitycare (select) | 1 | 1 | $2,734.80 | $2,734.80 | $2,734.80 | 1.0× |
| connect health benefit | 1 | 1 | $4,568.00 | $4,568.00 | $4,568.00 | 1.0× |
| smarthealth | 1 | 1 | $1,506.00 | $1,506.00 | $1,506.00 | 1.0× |
| community care - st john network senior - govt | 1 | 1 | $2,284.00 | $2,284.00 | $2,284.00 | 1.0× |
| oklahoma health network (ohn) | 1 | 1 | $80.00 | $80.00 | $80.00 | 1.0× |
| TRICARE | 1 | 1 | $1,982.00 | $1,982.00 | $1,982.00 | 1.0× |
| osma health | 1 | 1 | $90.00 | $90.00 | $90.00 | 1.0× |
By hospital (top 200 by negotiated median, descending)
| Hospital | City | ST | Payers | Gross | Cash | Neg min | Neg median | Neg max |
|---|---|---|---|---|---|---|---|---|
| Jefferson County Hospital | Waurika | OK | 13 | — | $2,486.25 | $57.00 | $92.00 | $19,974 |
| Oklahoma Heart Hospital | Oklahoma City | OK | 23 | — | $6,152.67 | $25.00 | $6,007.76 | $10,054 |
| Nowata Health Center | Nowata | OK | 13 | — | — | $1,506.00 | $5,674.50 | $18,736 |
| Oklahoma Heart Hospital South | Oklahoma City | OK | 23 | — | $12,951 | $25.00 | $5,670.28 | $9,909.23 |
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.