▸ Compare · PriceTransparency
Simple pneumonia & pleurisy w CC
MS-DRG 194 · negotiated-rate distribution across hospitals in PA
Hospitals
63
Min
$5,969.60
Median
$7,635.93
Max
$14,637
Range multiplier
2.5×
By payer (50 payers with published rates)
| Payer | Hosp. | Rates | Min | Median | Max | Range× |
|---|---|---|---|---|---|---|
| Blue Cross Blue Shield | 35 | 189 | $1,114.12 | $10,179 | $36,218 | 32.5× |
| upmc health plan | 33 | 70 | $5,780.29 | $7,842.98 | $12,160 | 2.1× |
| Aetna | 32 | 58 | $5,758.40 | $7,761.16 | $23,869 | 4.1× |
| UnitedHealthcare | 30 | 50 | $5,840.04 | $7,536.95 | $18,867 | 3.2× |
| Cigna | 22 | 35 | $5,797.05 | $8,059.72 | $23,174 | 4.0× |
| upmc work partners | 23 | 24 | $9,223.57 | $10,293 | $17,047 | 1.8× |
| pa health & wellness | 23 | 23 | $2,315.52 | $6,974.81 | $8,747.43 | 3.8× |
| amerihealth caritas | 18 | 18 | $2,208.32 | $6,887.66 | $8,747.43 | 4.0× |
| geisinger | 16 | 18 | $5,797.05 | $10,497 | $35,933 | 6.2× |
| keystone health plan | 6 | 12 | $5,521.00 | $12,230 | $21,688 | 3.9× |
| Humana | 10 | 10 | $5,521.00 | $6,991.03 | $9,584.43 | 1.7× |
| health plan of upper ohio valley | 3 | 7 | $5,757.15 | $6,627.22 | $8,716.92 | 1.5× |
| Multiplan | 4 | 4 | $16,656 | $16,656 | $19,822 | 1.2× |
| naphcare | 3 | 4 | $10,621 | $13,936 | $14,377 | 1.4× |
| keystone autism services | 4 | 4 | $8,833.60 | $9,643.63 | $12,281 | 1.4× |
| Medicare | 1 | 3 | $6,678.92 | $8,435.10 | $8,603.81 | 1.3× |
| ibc | 1 | 3 | $19,988 | $19,988 | $28,358 | 1.4× |
| Oscar Health | 3 | 3 | $14,329 | $14,329 | $14,329 | 1.0× |
| innovage | 3 | 3 | $8,603.81 | $9,776.12 | $9,776.12 | 1.1× |
| gateway health plan | 3 | 3 | $6,540.67 | $10,351 | $10,351 | 1.6× |
| Medicare Advantage | 1 | 3 | $8,543.32 | $8,856.86 | $9,700.37 | 1.1× |
| elder health | 2 | 2 | $11,501 | $11,501 | $11,501 | 1.0× |
| health partners plans | 2 | 2 | $10,787 | $10,787 | $10,787 | 1.0× |
| senior life | 2 | 2 | $6,497.27 | $6,497.27 | $6,497.27 | 1.0× |
| qualcare jcc | 1 | 2 | $20,300 | $29,064 | $37,828 | 1.9× |
| intergroup service corp | 1 | 2 | $11,167 | $11,308 | $11,448 | 1.0× |
| keystone first | 2 | 2 | $10,064 | $10,064 | $10,064 | 1.0× |
| clover health | 2 | 2 | $10,160 | $10,160 | $10,160 | 1.0× |
| pennsylvania health and wellness | 2 | 2 | $10,543 | $10,543 | $10,543 | 1.0× |
| prime health services | 2 | 2 | $13,223 | $13,223 | $13,223 | 1.0× |
| city of washington | 2 | 2 | $10,396 | $10,396 | $10,396 | 1.0× |
| wtc health program | 1 | 1 | $12,779 | $12,779 | $12,779 | 1.0× |
| allwell pa health_wellness ma | 1 | 1 | $9,278.61 | $9,278.61 | $9,278.61 | 1.0× |
| Ambetter | 1 | 1 | $8,850.67 | $8,850.67 | $8,850.67 | 1.0× |
| Anthem BCBS | 1 | 1 | $3,732.12 | $3,732.12 | $3,732.12 | 1.0× |
| bravo | 1 | 1 | $8,099.47 | $8,099.47 | $8,099.47 | 1.0× |
| devoted health participation | 1 | 1 | $8,856.86 | $8,856.86 | $8,856.86 | 1.0× |
| fidelis | 1 | 1 | $7,406.47 | $7,406.47 | $7,406.47 | 1.0× |
| geisinger health plan | 1 | 1 | $30,628 | $30,628 | $30,628 | 1.0× |
| ibc employee benefit | 1 | 1 | $10,544 | $10,544 | $10,544 | 1.0× |
| ibc main line health | 1 | 1 | $10,544 | $10,544 | $10,544 | 1.0× |
| independent health | 1 | 1 | $7,499.05 | $7,499.05 | $7,499.05 | 1.0× |
| inspira life | 1 | 1 | $8,435.10 | $8,435.10 | $8,435.10 | 1.0× |
| intergroup | 1 | 1 | $3,704.00 | $3,704.00 | $3,704.00 | 1.0× |
| jefferson health plan aca qhp exchange | 1 | 1 | $8,092.85 | $8,092.85 | $8,092.85 | 1.0× |
| keystone first vip choice | 1 | 1 | $8,772.51 | $8,772.51 | $8,772.51 | 1.0× |
| occunet | 1 | 1 | $1,500.00 | $1,500.00 | $1,500.00 | 1.0× |
| optum va ccn | 1 | 1 | $8,435.10 | $8,435.10 | $8,435.10 | 1.0× |
| perennial | 1 | 1 | $9,784.72 | $9,784.72 | $9,784.72 | 1.0× |
| point of comfort refugee resettlement | 1 | 1 | $8,435.10 | $8,435.10 | $8,435.10 | 1.0× |
By hospital (top 200 by negotiated median, descending)
| Hospital | City | ST | Payers | Gross | Cash | Neg min | Neg median | Neg max |
|---|---|---|---|---|---|---|---|---|
| Upmc Shadyside | Pittsburgh | PA | 8 | — | — | $7,980.54 | $9,995.88 | $33,150 |
| Thomas Jefferson Univ. Hospital | Philadelphia | PA | 27 | — | $10,077 | $6,678.92 | $9,742.55 | $37,828 |
| Memorial Hospital | York | PA | 10 | — | — | $5,973.16 | $9,653.60 | $18,939 |
| Upmc Hanover | Hanover | PA | 11 | — | — | $5,465.79 | $9,222.29 | $22,989 |
| Upmc Mercy Hospital | Pittsburgh | PA | 7 | — | — | $8,099.47 | $8,747.43 | $17,155 |
| Upmc Mckeesport | Mckeesport | PA | 6 | — | — | $7,860.05 | $8,746.86 | $15,095 |
| Titusville Area Hospital | Titusville | PA | 5 | — | — | $5,213.91 | $8,446.89 | $11,663 |
| Upmc St Margaret | Pittsburgh | PA | 4 | — | — | $6,775.18 | $8,301.17 | $28,169 |
| Curahealth Heritage Valley | Beaver | PA | 7 | $15,264 | $6,540.67 | $5,129.95 | $8,086.02 | $11,448 |
| Upmc Carlisle | Carlisle | PA | 11 | — | — | $1,114.12 | $8,056.85 | $20,308 |
| Upmc Hamot | Erie | PA | 12 | — | — | $7,365.93 | $7,961.59 | $19,313 |
| Upmc Pinnacle Hospitals | Harrisburg | PA | 9 | — | — | $7,131.66 | $7,635.93 | $19,444 |
| Community General Osteopathic Hosp. | Harrisburg | PA | 9 | — | — | $7,131.66 | $7,635.93 | $19,444 |
| Altoona Regional Health System | Altoona | PA | 9 | — | — | $6,632.12 | $7,494.30 | $12,087 |
| Upmc Childrens Hospital Of Pgh | Pittsburgh | PA | 9 | — | — | $6,632.12 | $7,494.30 | $12,087 |
| The Childrens Home Of Pittsburgh | Pittsburgh | PA | 9 | — | — | $6,632.12 | $7,494.30 | $12,087 |
| Upmc Magee-Womens Hospital | Pittsburgh | PA | 9 | — | — | $6,632.12 | $7,494.30 | $12,087 |
| Lock Haven Hospital | Lock Haven | PA | 9 | — | — | $6,487.61 | $7,174.41 | $16,656 |
| Divine Providence Hospital | Williamsport | PA | 9 | — | — | $6,487.61 | $7,174.41 | $16,656 |
| Williamsport Hospital & Medical Ctr | Williamsport | PA | 9 | — | — | $6,487.61 | $7,174.41 | $16,656 |
| Charles Cole Memorial Hospital | Coudersport | PA | 3 | — | — | $4,926.12 | $7,147.72 | $8,703.73 |
| The Washington Hospital | Washington | PA | 9 | — | — | $6,046.36 | $7,016.40 | $10,396 |
| Whs - Greene | Waynesburg | PA | 9 | — | — | $6,046.36 | $7,016.40 | $10,396 |
| Upmc Horizon Hospital | Greenville | PA | 9 | — | — | $3,732.12 | $6,974.17 | $10,565 |
| Upmc East Hospital | Monroeville | PA | 8 | — | — | $6,296.76 | $6,926.44 | $28,525 |
| Upmc Bedford Memorial Hospital | Everett | PA | 8 | — | — | $6,274.87 | $6,776.86 | $10,972 |
| Upmc Jameson | New Castle | PA | 10 | — | — | $1,500.00 | $6,737.90 | $17,047 |
| Upmc Northwest Hospital | Seneca | PA | 8 | — | — | $3,704.00 | $6,673.15 | $10,604 |
| Upmc Passavant | Pittsburgh | PA | 9 | — | — | $5,757.15 | $6,563.15 | $28,782 |
| Meadville Medical Center | Meadville | PA | 1 | — | — | $5,969.60 | $5,969.60 | $5,969.60 |
| American Oncologic Hospial | Philadelphia | PA | 5 | — | — | $6,946.86 | $14,637 | $20,429 |
| Wellsboro | Wellsboro | PA | 3 | — | — | $11,605 | $12,907 | $13,754 |
| Muncy Valley Hospital | Muncy | PA | 5 | — | — | $2,208.32 | $12,563 | $15,254 |
| Upmc Lititz | Lititz | PA | 9 | — | — | $7,599.16 | $12,281 | $18,939 |
| Jeanes Hospital | Philadelphia | PA | 17 | — | — | $9,584.43 | $11,290 | $35,933 |
| Temple University Hospital | Philadelphia | PA | 18 | — | — | $9,584.43 | $11,144 | $36,218 |
| Armstrong County Memorial | Kittanning | PA | 0 | — | — | — | — | — |
| Butler Memorial Hospital | Butler | PA | 0 | — | — | — | — | — |
| Wayne Memorial Hospital | Honesdale | PA | 0 | $37,713 | $26,399 | — | — | — |
| Pottstown Memorial Medical Center | Pottstown | PA | 0 | — | — | — | — | — |
| Lankenau Medical Center | Wynnewood | PA | 0 | — | — | — | — | — |
| Windber Hospital Inc. | Windber | PA | 0 | — | — | — | — | — |
| Doylestown Hospital | Doylestown | PA | 0 | $20,515 | $20,515 | — | — | — |
| Hospital Of The Univ Of Penna | Philadelphia | PA | 0 | — | — | — | — | — |
| Riddle Hospital | Media | PA | 0 | — | — | — | — | — |
| Presbyterian Medical Center | Philadelphia | PA | 0 | — | — | — | — | — |
| Pennsylvania Hospital Of Uphs | Philadelphia | PA | 0 | — | — | — | — | — |
| St. Joseph Medical Center | Reading | PA | 0 | — | — | — | — | — |
| Milton S. Hershey Medical Center | Hershey | PA | 0 | — | — | — | — | — |
| Clarion Hospital | Clarion | PA | 0 | — | — | — | — | — |
| Hampden Medical Center | Enola | PA | 0 | — | — | — | — | — |
| Meyersdale Community Hospital | Meyersdale | PA | 0 | $8,720.65 | $3,488.26 | — | — | — |
| Reading Hospital And Medical Center | Reading | PA | 0 | — | — | — | — | — |
| Miners Hospital | Hastings | PA | 0 | $19,094 | $7,637.55 | — | — | — |
| Uniontown Hospital | Uniontown | PA | 0 | — | — | — | — | — |
| Penn State Hershey Rehabilitation Ll | Hummelstown | PA | 0 | — | — | — | — | — |
| Chestnut Hill Hospital | Philadelphia | PA | 0 | — | — | — | — | — |
| St Christophers Hospital For Childr | Philadelphia | PA | 0 | — | — | — | — | — |
| Miners Hospital | Hastings | PA | 0 | $19,094 | $7,637.55 | — | — | — |
| Holy Spirit Hospital | Camp Hill | PA | 0 | — | — | — | — | — |
| Bryn Mawr Hospital | Bryn Mawr | PA | 0 | — | — | — | — | — |
| Phoenixville Hospital | Phoenixville | PA | 0 | — | — | — | — | — |
| Paoli Hospital | Paoli | PA | 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.