▸ Compare · PriceTransparency
Simple pneumonia & pleurisy w CC
MS-DRG 194 · negotiated-rate distribution across hospitals in TX
Hospitals
67
Min
$3,466.89
Median
$8,083.72
Max
$59,050
Range multiplier
17.0×
By payer (50 payers with published rates)
| Payer | Hosp. | Rates | Min | Median | Max | Range× |
|---|---|---|---|---|---|---|
| Blue Cross Blue Shield | 53 | 267 | $4,950.46 | $9,120.66 | $62,003 | 12.5× |
| baylor scott & white health plan | 23 | 134 | $5,289.02 | $7,982.06 | $16,000 | 3.0× |
| UnitedHealthcare | 47 | 121 | $5,394.52 | $11,584 | $59,050 | 10.9× |
| Humana | 46 | 90 | $2,778.00 | $6,773.92 | $59,050 | 21.3× |
| Cigna | 38 | 65 | $65.00 | $8,190.16 | $25,911 | 398.6× |
| Aetna | 42 | 55 | $3,466.89 | $11,387 | $59,050 | 17.0× |
| healthsmart | 20 | 40 | $2,804.00 | $6,992.76 | $11,182 | 4.0× |
| Medicare | 9 | 33 | $4,980.30 | $7,233.83 | $9,624.89 | 1.9× |
| american health plan | 25 | 25 | $5,845.76 | $6,690.68 | $26,018 | 4.5× |
| procare advantage | 24 | 24 | $5,845.76 | $6,832.71 | $26,018 | 4.5× |
| university of mary hardin-baylor | 23 | 23 | $7,056.10 | $7,056.10 | $7,056.10 | 1.0× |
| prime health services | 20 | 22 | $5,832.40 | $7,380.51 | $38,867 | 6.7× |
| superior health plan | 21 | 21 | $5,606.93 | $6,611.94 | $16,924 | 3.0× |
| triwest | 21 | 21 | $5,567.39 | $6,372.08 | $8,889.09 | 1.6× |
| corvel | 20 | 20 | $5,832.40 | $7,260.66 | $25,959 | 4.5× |
| Ambetter | 20 | 20 | $10,909 | $13,515 | $25,911 | 2.4× |
| healthspring | 19 | 19 | $5,845.76 | $6,611.94 | $9,333.54 | 1.6× |
| Anthem BCBS | 2 | 14 | $11,641 | $15,894 | $19,867 | 1.7× |
| employers health network | 14 | 14 | $8,369.17 | $8,369.17 | $8,369.17 | 1.0× |
| baylor scott and white | 3 | 9 | $8,977.81 | $12,272 | $59,050 | 6.6× |
| sedgwick | 8 | 8 | $7,079.50 | $10,182 | $30,776 | 4.3× |
| commercial | entrust | all plans | 8 | 8 | $12,481 | $16,748 | $19,025 | 1.5× |
| wellmed | 7 | 7 | $6,773.92 | $6,773.92 | $59,050 | 8.7× |
| commercial | community health choice | exchange | 7 | 7 | $7,933.12 | $8,951.99 | $12,031 | 1.5× |
| Molina | 5 | 7 | $7,231.94 | $8,609.88 | $85,623 | 11.8× |
| wellpoint | 6 | 6 | $9,144.79 | $9,144.79 | $23,526 | 2.6× |
| amerigroup | 6 | 6 | $6,406.21 | $14,146 | $62,298 | 9.7× |
| commercial | phcs | all plans | 6 | 6 | $15,963 | $16,420 | $16,420 | 1.0× |
| wellpoint (fka amerigroup) | 5 | 5 | $7,094.19 | $7,585.67 | $9,155.76 | 1.3× |
| commercial | nxhealth | all plans | 5 | 5 | $17,593 | $24,451 | $26,067 | 1.5× |
| commercial | harris health | ers | 5 | 5 | $7,933.12 | $10,851 | $12,031 | 1.5× |
| commercial | renaissance | all plans | 5 | 5 | $3,807.90 | $5,208.36 | $5,774.93 | 1.5× |
| commercial | superior health plan | all plans | 5 | 5 | $7,933.12 | $10,851 | $12,031 | 1.5× |
| commercial | independent med system | all plans | 5 | 5 | $11,306 | $11,306 | $11,306 | 1.0× |
| injury management organization | 5 | 5 | $7,914.12 | $10,787 | $30,776 | 3.9× |
| careworks fka rockport | 5 | 5 | $7,914.12 | $10,787 | $30,776 | 3.9× |
| commercial | kelseycare | exchange | 5 | 5 | $7,139.81 | $9,765.67 | $10,828 | 1.5× |
| 90 degree benefits | 4 | 4 | $16,935 | $16,935 | $16,935 | 1.0× |
| advantage 360 | 2 | 4 | $11,500 | $11,850 | $12,200 | 1.1× |
| caprock | 4 | 4 | $16,935 | $16,935 | $16,935 | 1.0× |
| city of san angelo | 4 | 4 | $4,341.90 | $4,341.90 | $4,341.90 | 1.0× |
| pdh/texas trust | 4 | 4 | $10,838 | $10,838 | $10,838 | 1.0× |
| commercial | healthsmart | ap3 | 4 | 4 | $7,558.92 | $7,558.92 | $7,558.92 | 1.0× |
| unified zionsville | 2 | 4 | $13,965 | $14,464 | $14,963 | 1.1× |
| unified group services | 2 | 4 | $18,572 | $19,237 | $19,901 | 1.1× |
| prohealth | 2 | 4 | $7,939.93 | $7,939.93 | $7,939.93 | 1.0× |
| insurance services of lubbock | 4 | 4 | $8,941.57 | $8,941.57 | $8,941.57 | 1.0× |
| scott & white | 4 | 4 | $5,838.40 | $5,838.40 | $5,838.40 | 1.0× |
| superior | 2 | 4 | $12,272 | $14,453 | $16,822 | 1.4× |
| suburban/sho | 2 | 4 | $7,939.93 | $7,939.93 | $7,939.93 | 1.0× |
By hospital (top 200 by negotiated median, descending)
| Hospital | City | ST | Payers | Gross | Cash | Neg min | Neg median | Neg max |
|---|---|---|---|---|---|---|---|---|
| Baylor University Medical Ctr | Dallas | TX | 19 | — | — | $2,778.00 | $9,333.54 | $20,089 |
| Baylor S&W Medical Center - Irving | Irving | TX | 18 | — | — | $2,778.00 | $9,231.63 | $19,870 |
| Shannon Medical Center | San Angelo | TX | 15 | — | — | $4,341.90 | $9,144.79 | $16,935 |
| Big Spring State Hospital | Big Springs | TX | 15 | — | — | $4,341.90 | $9,144.79 | $16,935 |
| River Crest Hospital | San Angelo | TX | 15 | — | — | $4,341.90 | $9,144.79 | $16,935 |
| San Angelo Community Medical Center | San Angelo | TX | 15 | — | — | $4,341.90 | $9,144.79 | $16,935 |
| Hillcrest Baptist Medical Center | Waco | TX | 15 | — | — | $2,778.00 | $9,120.66 | $14,878 |
| Scott And White Memorial Hospital | Temple | TX | 19 | — | — | $2,778.00 | $9,120.66 | $15,634 |
| Scott & White Hospital Brenham | Brenham | TX | 8 | — | — | $2,778.00 | $9,120.66 | $11,387 |
| Chi St Lukes Health Baylor Med Ctr | Houston | TX | 16 | — | — | $5,208.36 | $8,680.60 | $23,510 |
| Grimes St. Joseph Health Center | Navasota | TX | 2 | — | — | $6,506.27 | $8,676.43 | $11,651 |
| Madison St. Joseph Health Center | Madisonville | TX | 2 | — | — | $6,506.27 | $8,676.43 | $11,651 |
| College Station Medical Center | College Station | TX | 8 | — | — | $6,506.27 | $8,676.43 | $24,451 |
| St. Joseph Regional Health Center | Bryan | TX | 8 | — | — | $6,506.27 | $8,676.43 | $24,451 |
| Baylor Scott & White - Marble Falls | Marble Falls | TX | 17 | — | — | $2,778.00 | $8,537.78 | $14,636 |
| St Lukes Hospital At The Vintage | Houston | TX | 16 | — | — | $5,774.93 | $8,421.78 | $26,067 |
| College Station Hospital | College Station | TX | 17 | — | — | $2,778.00 | $8,368.96 | $13,962 |
| Burleson St. Joseph Health Center | Caldwell | TX | 1 | — | — | $6,506.27 | $8,219.63 | $9,133.23 |
| St. Lukes Sugar Land Hospital | Sugar Land | TX | 14 | — | — | $5,645.80 | $8,083.72 | $18,506 |
| Brazosport Regional Health System | Lake Jackson | TX | 8 | — | — | $5,412.57 | $8,051.69 | $18,449 |
| Baylor Orthopedic And Spine Hospital | Arlington | TX | 2 | — | — | $6,607.47 | $7,953.96 | $9,300.44 |
| Round Rock Hospital | Round Rock | TX | 19 | — | — | $2,778.00 | $7,914.12 | $15,291 |
| Baylor S&W All Saints Medical Center | Fort Worth | TX | 18 | — | — | $2,778.00 | $7,906.28 | $17,466 |
| Baylor S&W Medical Center - Mckinney | Mckinney | TX | 17 | — | — | $2,778.00 | $7,772.64 | $17,466 |
| Baylor Scott & White Mc- Lake Pointe | Rowlett | TX | 19 | — | — | $2,778.00 | $7,472.19 | $18,696 |
| St. Lukes The Woodlands Hospital | The Woodlands | TX | 15 | — | — | $3,897.63 | $7,422.29 | $17,593 |
| The Heart Hospital Baylor Plano | Plano | TX | 17 | — | — | $2,778.00 | $7,399.08 | $27,605 |
| Baylor Scott & White Wmc - Brenham | Brenham | TX | 17 | — | — | $2,778.00 | $7,399.08 | $27,605 |
| Chi St Lukes Health Mem Livingston | Livingston | TX | 6 | — | — | $5,868.40 | $7,389.76 | $7,657.40 |
| Centennial Medical Center | Frisco | TX | 19 | — | — | $2,778.00 | $7,354.58 | $18,696 |
| Baylor Heart And Vascular Hospital | Dallas | TX | 12 | — | — | $2,778.00 | $7,206.17 | $17,466 |
| Trinity Regional Hospital Sachse | Sachse | TX | 8 | — | — | $6,303.23 | $7,200.81 | $12,331 |
| Bsw Medical Center - Austin | Austin | TX | 12 | — | — | $2,778.00 | $7,155.96 | $15,291 |
| Scott And White Hospital Taylor | Taylor | TX | 12 | — | — | $2,778.00 | $7,155.96 | $15,291 |
| Mid Coast Medical Center-Central | Llano | TX | 12 | — | — | $2,778.00 | $7,155.96 | $15,291 |
| The Heart Hospital Baylor Denton | Denton | TX | 17 | — | — | $2,778.00 | $7,107.42 | $27,605 |
| St. Lukes Patients Medical Center | Pasadena | TX | 8 | — | — | $5,537.32 | $7,100.34 | $15,963 |
| Baylor S&W Medical Center - Plano | Plano | TX | 17 | — | — | $2,778.00 | $7,080.07 | $17,466 |
| Baylor Scott & White Pflugerville | Pflugerville | TX | 16 | — | — | $2,778.00 | $7,079.50 | $15,291 |
| Baylor Scott & White - Buda | Buda | TX | 12 | — | — | $2,778.00 | $7,056.10 | $15,291 |
| St. Lukes Lakeside Hospital | The Woodlands | TX | 15 | — | — | $3,807.90 | $7,039.08 | $16,420 |
| Baylor Medical Center-Grapevine | Grapevine | TX | 17 | — | — | $2,778.00 | $7,021.59 | $17,466 |
| St Lukes Health Memorial San August | San Augustine | TX | 2 | — | — | $5,868.40 | $6,876.48 | $7,884.55 |
| Scott & White Cedar Park | Cedar Park | TX | 1 | — | — | $6,690.68 | $6,690.68 | $6,690.68 |
| Chi St Lukes Health Memorial Lufkin | Lufkin | TX | 6 | — | — | $5,868.40 | $6,492.21 | $7,657.40 |
| Baylor Scott And White Mc At Sunnyva | Sunnyvale | TX | 2 | — | — | $4,950.46 | $6,398.18 | $10,941 |
| Tchd D/B/A Jps Health Network | Fort Worth | TX | 13 | — | — | $8,319.50 | $59,050 | $85,623 |
| Heritage Park Surgical Hospital | Sherman | TX | 2 | — | — | $4,950.46 | $5,475.64 | $9,679.00 |
| Childrens Medical Center Of Plano | Plano | TX | 4 | — | — | $3,466.89 | $3,466.89 | $3,466.89 |
| Texas Spine And Joint Hospital | Tyler | TX | 8 | — | — | $2,804.00 | $26,018 | $30,776 |
| Baylor Scott & White Continuing Care | Temple | TX | 8 | — | — | $2,804.00 | $26,018 | $30,776 |
| Corpus Christi Specialty Hospital | Corpus Christi | TX | 17 | — | — | $25,911 | $25,911 | $38,867 |
| Acuity Hospital Of South Texas | San Antonio | TX | 20 | — | — | $23,526 | $23,526 | $35,289 |
| Covenant Hospital Levelland | Levelland | TX | 8 | — | — | $5,605.52 | $15,861 | $17,023 |
| Ascension Seton Shoal Creek | Austin | TX | 16 | — | — | $7,939.93 | $13,833 | $19,901 |
| Ascension Seton Bastrop | Bastrop | TX | 16 | — | — | $7,939.93 | $13,833 | $19,901 |
| Hospitals Of Providence East Campus | El Paso | TX | 14 | — | — | $70.00 | $12,755 | $25,133 |
| Covenant Hospital Plainview | Plainview | TX | 11 | — | — | $65.00 | $12,272 | $15,500 |
| Wilson N Jones Regional Medical Ctr | Sherman | TX | 2 | — | — | $11,066 | $11,698 | $12,331 |
| The Medical Ctr Of Southeast Texas | Port Arthur | TX | 0 | — | — | — | — | — |
| St Joseph Medical Center | Houston | TX | 0 | — | — | — | — | — |
| Laredo Medical Center | Laredo | TX | 0 | — | — | — | — | — |
| Longview Regional Medical Center | Longview | TX | 0 | — | — | — | — | — |
| Northwest Texas Surgery Center | Amarillo | TX | 0 | — | — | — | — | — |
| Northwest Texas Hospital | Amarillo | TX | 0 | — | — | — | — | — |
| Navarro Regional Hospital | Corsicana | TX | 0 | — | — | — | — | — |
| Texoma Medical Center | Denison | TX | 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.