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Simple pneumonia & pleurisy w CC

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

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Hospitals
3
Min
$7,202.98
Median
$8,325.25
Max
$9,696.90
Range multiplier
1.3×

By payer (10 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
UnitedHealthcare39$7,202.98$9,696.90$15,8942.2×
Aetna36$7,365.05$14,461$19,0062.6×
commonwealth care alliance36$7,202.98$8,325.25$9,696.901.3×
Blue Cross Blue Shield35$6,631.70$7,202.98$8,325.251.3×
neighborhood health plan - ri34$7,202.98$9,011.08$9,790.491.4×
tufts health plan33$7,202.98$8,325.25$9,696.901.3×
Cigna33$7,202.98$8,325.25$9,696.901.3×
va community care33$7,202.98$8,325.25$9,696.901.3×
WellCare33$7,202.98$8,325.25$9,696.901.3×
harvard pilgrim health care11$8,325.25$8,325.25$8,325.251.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
Memorial Hospital Of Rhode IslandPawtucketRI9$7,994.52$9,696.90$19,006
The Miriam HospitalProvidenceRI10$6,631.70$8,325.25$19,006
Newport HospitalNewportRI9$6,853.98$7,202.98$19,006

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.