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Simple pneumonia & pleurisy w CC

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

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Hospitals
2
Min
$5,328.17
Median
$8,019.95
Max
$8,019.95
Range multiplier
1.5×

By payer (7 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
healthpartners [3081368]25$9,430$9,455.3$9,455.31.0×
Blue Cross Blue Shield24$5,328.17$6,674.06$8,019.951.5×
UnitedHealthcare22$5,328.17$6,626.85$7,925.531.5×
Medicare22$5,328.17$6,626.85$7,925.531.5×
Humana22$5,328.17$6,689.71$8,051.251.5×
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×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
MONUMENT HEALTH RAPID CITY HOSPITALRAPID CITYSD7$27,341$27,341$7,667.85$8,019.95$9,455.3
MONUMENT HEALTH SPEARFISH HOSPITALSPEARFISHSD5$19,078$19,078$5,328.17$5,328.17$9,430

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.