▸ 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 | $6,773.92 | $59,050 | 21.3× |
| Cigna | 38 | 65 | $65 | $8,190.16 | $25,911 | 398.6× |
| Aetna | 42 | 55 | $3,466.89 | $11,387 | $59,050 | 17.0× |
| healthsmart | 20 | 40 | $2,804 | $6,992.76 | $11,182 | 4.0× |
| Medicare | 9 | 33 | $4,980.3 | $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 | $7,056.1 | $7,056.1 | $7,056.1 | 1.0× |
| prime health services | 20 | 22 | $5,832.4 | $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 | $5,832.4 | $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 | $7,079.5 | $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 | $3,807.9 | $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 | $4,341.9 | $4,341.9 | $4,341.9 | 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 | $5,838.4 | $5,838.4 | $5,838.4 | 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 | $9,333.54 | $20,089 |
| BAYLOR S&W MEDICAL CENTER - IRVING | IRVING | TX | 18 | — | — | $2,778 | $9,231.63 | $19,870 |
| SHANNON MEDICAL CENTER | SAN ANGELO | TX | 15 | — | — | $4,341.9 | $9,144.79 | $16,935 |
| BIG SPRING STATE HOSPITAL | BIG SPRINGS | TX | 15 | — | — | $4,341.9 | $9,144.79 | $16,935 |
| RIVER CREST HOSPITAL | SAN ANGELO | TX | 15 | — | — | $4,341.9 | $9,144.79 | $16,935 |
| SAN ANGELO COMMUNITY MEDICAL CENTER | SAN ANGELO | TX | 15 | — | — | $4,341.9 | $9,144.79 | $16,935 |
| HILLCREST BAPTIST MEDICAL CENTER | WACO | TX | 15 | — | — | $2,778 | $9,120.66 | $14,878 |
| SCOTT AND WHITE MEMORIAL HOSPITAL | TEMPLE | TX | 19 | — | — | $2,778 | $9,120.66 | $15,634 |
| SCOTT & WHITE HOSPITAL BRENHAM | BRENHAM | TX | 8 | — | — | $2,778 | $9,120.66 | $11,387 |
| CHI ST LUKES HEALTH BAYLOR MED CTR | HOUSTON | TX | 16 | — | — | $5,208.36 | $8,680.6 | $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 | $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 | $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 | — | — | $5,645.8 | $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 | $7,914.12 | $15,291 |
| BAYLOR S&W ALL SAINTS MEDICAL CENTER | FORT WORTH | TX | 18 | — | — | $2,778 | $7,906.28 | $17,466 |
| BAYLOR S&W MEDICAL CENTER - MCKINNEY | MCKINNEY | TX | 17 | — | — | $2,778 | $7,772.64 | $17,466 |
| BAYLOR SCOTT & WHITE MC- LAKE POINTE | ROWLETT | TX | 19 | — | — | $2,778 | $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 | $7,399.08 | $27,605 |
| BAYLOR SCOTT & WHITE WMC - BRENHAM | BRENHAM | TX | 17 | — | — | $2,778 | $7,399.08 | $27,605 |
| CHI ST LUKES HEALTH MEM LIVINGSTON | LIVINGSTON | TX | 6 | — | — | $5,868.4 | $7,389.76 | $7,657.4 |
| CENTENNIAL MEDICAL CENTER | FRISCO | TX | 19 | — | — | $2,778 | $7,354.58 | $18,696 |
| BAYLOR HEART AND VASCULAR HOSPITAL | DALLAS | TX | 12 | — | — | $2,778 | $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 | $7,155.96 | $15,291 |
| SCOTT AND WHITE HOSPITAL TAYLOR | TAYLOR | TX | 12 | — | — | $2,778 | $7,155.96 | $15,291 |
| MID COAST MEDICAL CENTER-CENTRAL | LLANO | TX | 12 | — | — | $2,778 | $7,155.96 | $15,291 |
| THE HEART HOSPITAL BAYLOR DENTON | DENTON | TX | 17 | — | — | $2,778 | $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 | $7,080.07 | $17,466 |
| BAYLOR SCOTT & WHITE PFLUGERVILLE | PFLUGERVILLE | TX | 16 | — | — | $2,778 | $7,079.5 | $15,291 |
| BAYLOR SCOTT & WHITE - BUDA | BUDA | TX | 12 | — | — | $2,778 | $7,056.1 | $15,291 |
| ST. LUKES LAKESIDE HOSPITAL | THE WOODLANDS | TX | 15 | — | — | $3,807.9 | $7,039.08 | $16,420 |
| BAYLOR MEDICAL CENTER-GRAPEVINE | GRAPEVINE | TX | 17 | — | — | $2,778 | $7,021.59 | $17,466 |
| ST LUKES HEALTH MEMORIAL SAN AUGUST | SAN AUGUSTINE | TX | 2 | — | — | $5,868.4 | $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 | — | — | $5,868.4 | $6,492.21 | $7,657.4 |
| 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 | — | — | $8,319.5 | $59,050 | $85,623 |
| HERITAGE PARK SURGICAL HOSPITAL | SHERMAN | TX | 2 | — | — | $4,950.46 | $5,475.64 | $9,679 |
| 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 | $26,018 | $30,776 |
| BAYLOR SCOTT & WHITE CONTINUING CARE | TEMPLE | TX | 8 | — | — | $2,804 | $26,018 | $30,776 |
| CORPUS CHRISTI SPECIALTY HOSPITAL | CORPUS CHRISTI | TX | 17 | — | — | $25,911 | $25,911 | $38,867 |
| SAN ANTONIO-AMG SPECIALTY HOSPITAL | 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 | $12,755 | $25,133 |
| COVENANT HOSPITAL PLAINVIEW | PLAINVIEW | TX | 11 | — | — | $65 | $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.