▸ Compare · PriceTransparency
Simple pneumonia & pleurisy w CC
MS-DRG 194 · negotiated-rate distribution across hospitals in TN
Hospitals
20
Min
$5,731.80
Median
$8,870.51
Max
$11,835
Range multiplier
2.1×
By payer (50 payers with published rates)
| Payer | Hosp. | Rates | Min | Median | Max | Range× |
|---|---|---|---|---|---|---|
| Cigna | 17 | 146 | $2,294.00 | $10,527 | $16,559 | 7.2× |
| Blue Cross Blue Shield | 19 | 141 | $1,215.00 | $7,131.34 | $18,832 | 15.5× |
| UnitedHealthcare | 17 | 130 | $1,147.00 | $11,915 | $15,974 | 13.9× |
| Aetna | 18 | 45 | $3,426.00 | $9,126.82 | $20,300 | 5.9× |
| amerigroup mcaid replacement | 7 | 35 | $3,457.05 | $3,585.98 | $4,384.87 | 1.3× |
| smart health | 8 | 30 | $6,857.02 | $9,536.72 | $10,900 | 1.6× |
| health 2 business | 7 | 21 | $10,999 | $11,654 | $12,646 | 1.1× |
| Humana | 12 | 21 | $4,897.87 | $6,275.82 | $11,794 | 2.4× |
| Medicare | 8 | 15 | $4,897.87 | $5,531.05 | $8,361.39 | 1.7× |
| Oscar Health | 8 | 14 | $8,150.00 | $8,394.50 | $9,991.00 | 1.2× |
| Ambetter | 11 | 11 | $2,628.00 | $6,847.97 | $12,503 | 4.8× |
| wellpoint | 3 | 9 | $5,411.57 | $6,071.78 | $6,498.38 | 1.2× |
| Medicare Advantage | 8 | 9 | $4,897.87 | $5,639.42 | $7,889.87 | 1.6× |
| community plan | 8 | 8 | $3,930.46 | $3,930.46 | $3,930.46 | 1.0× |
| point comfort underwriters | 7 | 7 | $4,408.08 | $5,075.48 | $5,517.74 | 1.3× |
| nhc advantage | 7 | 7 | $4,897.87 | $5,639.42 | $6,130.82 | 1.3× |
| healthspring mcr replacement | 7 | 7 | $4,897.87 | $5,639.42 | $6,130.82 | 1.3× |
| centurion of tn | 7 | 7 | $4,897.87 | $5,639.42 | $6,130.82 | 1.3× |
| optum va | 7 | 7 | $4,897.87 | $5,639.42 | $6,130.82 | 1.3× |
| oscar | 7 | 7 | $9,300.89 | $9,300.89 | $9,300.89 | 1.0× |
| amerigroup mcr replacement | 7 | 7 | $5,044.81 | $5,639.42 | $6,130.82 | 1.2× |
| Self-Pay (Cash) | 7 | 7 | $4,897.87 | $5,639.42 | $6,130.82 | 1.3× |
| river valley plan | 7 | 7 | $837.33 | $4,103.64 | $6,777.74 | 8.1× |
| celtic insurance company | 7 | 7 | $8,027.50 | $10,474 | $12,503 | 1.6× |
| farm bureau | 3 | 6 | $5,225.36 | $5,532.46 | $5,602.10 | 1.1× |
| devoted health | 3 | 6 | $6,071.78 | $6,397.68 | $6,498.38 | 1.1× |
| ascension complete | 6 | 6 | $5,267.67 | $5,642.66 | $6,130.82 | 1.2× |
| TRICARE | 5 | 5 | $4,701.96 | $5,796.94 | $6,188.93 | 1.3× |
| VA Health | 4 | 4 | $5,179.03 | $6,391.38 | $6,757.54 | 1.3× |
| triwest va pccc | 3 | 3 | $4,897.87 | $5,267.67 | $5,267.67 | 1.1× |
| amerigroup | 2 | 3 | $4,393.04 | $4,803.64 | $6,580.33 | 1.5× |
| beech street | 3 | 3 | $85.00 | $85.00 | $85.00 | 1.0× |
| ccn managed care | 3 | 3 | $85.00 | $85.00 | $85.00 | 1.0× |
| community services network | 3 | 3 | $65.00 | $65.00 | $65.00 | 1.0× |
| correctional medical services | 3 | 3 | $60.00 | $60.00 | $60.00 | 1.0× |
| direct care america | 3 | 3 | $80.00 | $80.00 | $80.00 | 1.0× |
| ehn | 3 | 3 | $45.00 | $45.00 | $45.00 | 1.0× |
| galaxy health network | 3 | 3 | $90.00 | $90.00 | $90.00 | 1.0× |
| initial group | 3 | 3 | $88.00 | $88.00 | $88.00 | 1.0× |
| Medicaid | 1 | 3 | $2,500.00 | $2,500.00 | $5,921.08 | 2.4× |
| medsave usa | 3 | 3 | $80.00 | $80.00 | $80.00 | 1.0× |
| national provider network | 3 | 3 | $80.00 | $80.00 | $80.00 | 1.0× |
| novanet | 3 | 3 | $75.00 | $75.00 | $75.00 | 1.0× |
| optum | 3 | 3 | $5,782.65 | $6,093.03 | $6,188.93 | 1.1× |
| usa managed care organization | 3 | 3 | $70.00 | $70.00 | $70.00 | 1.0× |
| WellCare | 3 | 3 | $6,071.78 | $6,397.68 | $6,498.38 | 1.1× |
| harmony health plan | 1 | 1 | $6,580.33 | $6,580.33 | $6,580.33 | 1.0× |
| generic hospice vbid [10940000101] | 1 | 1 | $7,889.87 | $7,889.87 | $7,889.87 | 1.0× |
| devoted health [450111] | 1 | 1 | $8,126.57 | $8,126.57 | $8,126.57 | 1.0× |
| tennessee rural health improvement association | 1 | 1 | $6,777.74 | $6,777.74 | $6,777.74 | 1.0× |
By hospital (top 200 by negotiated median, descending)
| Hospital | City | ST | Payers | Gross | Cash | Neg min | Neg median | Neg max |
|---|---|---|---|---|---|---|---|---|
| Saint Thomas Rutherford Hospital | Murfreesboro | TN | 22 | — | — | $3,457.05 | $9,564.00 | $20,300 |
| Ascension St Thomas River Park | Mcminnville | TN | 21 | — | — | $1,410.09 | $9,564.00 | $20,300 |
| Saint Thomas West Hospital | Nashville | TN | 22 | — | — | $3,457.05 | $9,564.00 | $20,300 |
| St Thomas Dekalb Hospital | Smithville | TN | 21 | — | — | $1,410.09 | $9,550.36 | $20,300 |
| Saint Thomas Stones River Hospital | Woodbury | TN | 21 | — | — | $1,410.09 | $9,550.36 | $20,300 |
| Saint Thomas Highland Hospital | Sparta | TN | 21 | — | — | $1,410.09 | $9,536.72 | $20,300 |
| Dyersburg Regional Medical Center | Dyersburg | TN | 7 | — | — | $837.33 | $9,126.82 | $11,827 |
| Jackson-Madison County General Hosp | Jackson | TN | 9 | — | — | $4,117.34 | $9,126.82 | $13,741 |
| West Tn Healthcare Volunteer Hospita | Martin | TN | 7 | — | — | $873.60 | $8,870.51 | $11,827 |
| Bolivar General Hospital | Bolivar | TN | 6 | — | — | $4,103.64 | $8,593.38 | $13,741 |
| Camden General Hospital | Camden | TN | 6 | — | — | $4,103.64 | $8,249.46 | $13,741 |
| Methodist H/C Memphis Hospt. | Memphis | TN | 15 | $29,969 | $6,593.18 | $1,215.00 | $7,889.87 | $14,471 |
| Milan General Hospital | Milan | TN | 8 | — | — | $4,103.64 | $6,908.17 | $13,741 |
| Henry County Medical Center | Paris | TN | 14 | — | — | $1,147.00 | $6,777.74 | $12,503 |
| Roane County Medical Center | Harriman | TN | 24 | — | — | $45.00 | $5,934.94 | $12,635 |
| Fort Loudoun Medical Center | Lenoir City | TN | 24 | — | — | $45.00 | $5,886.99 | $12,635 |
| Saint Thomas Midtown Hospital | Nashville | TN | 23 | — | — | $3,930.46 | $5,755.00 | $19,970 |
| Morristown-Hamblen Hospital | Morristown | TN | 24 | — | — | $45.00 | $5,731.80 | $12,635 |
| St Thomas Hickman Hospital | Centerville | TN | 9 | — | — | $3,457.05 | $11,835 | $20,300 |
| St Thomas Ascension | Nashville | TN | 0 | $46,046 | $11,373 | — | — | — |
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.