▸ Compare · PriceTransparency
Simple pneumonia & pleurisy w CC
MS-DRG 194 · negotiated-rate distribution across hospitals in VA
Hospitals
15
Min
$10,868
Median
$16,138
Max
$19,053
Range multiplier
1.8×
By payer (27 payers with published rates)
| Payer | Hosp. | Rates | Min | Median | Max | Range× |
|---|---|---|---|---|---|---|
| UnitedHealthcare | 8 | 40 | $7,088.56 | $14,949 | $21,622 | 3.1× |
| Aetna | 8 | 31 | $6,469.17 | $12,403 | $17,564 | 2.7× |
| Humana | 7 | 21 | $6,744.45 | $7,675.82 | $26,925 | 4.0× |
| Blue Cross Blue Shield | 1 | 21 | $7,402.56 | $16,439 | $16,439 | 2.2× |
| Cigna | 7 | 17 | $7,772.69 | $16,420 | $19,045 | 2.5× |
| Anthem BCBS | 6 | 17 | $4,904.00 | $19,371 | $25,051 | 5.1× |
| sentara health plan | 6 | 11 | $7,226.20 | $14,845 | $16,400 | 2.3× |
| vhn - ultra | 6 | 6 | $14,845 | $15,390 | $16,400 | 1.1× |
| connecticare | 6 | 6 | $16,761 | $17,375 | $18,516 | 1.1× |
| gateway - tier 1 | 6 | 6 | $22,746 | $23,581 | $25,129 | 1.1× |
| gateway - tier 2 | 6 | 6 | $19,155 | $19,858 | $21,162 | 1.1× |
| gateway - tier 3 | 6 | 6 | $16,282 | $16,879 | $17,987 | 1.1× |
| Medicaid | 1 | 6 | $7,591.38 | $11,700 | $22,267 | 2.9× |
| vhn | 6 | 6 | $19,155 | $19,858 | $21,162 | 1.1× |
| vhn - link | 6 | 6 | $21,549 | $22,340 | $23,807 | 1.1× |
| vhn - plus | 6 | 6 | $18,437 | $19,113 | $20,368 | 1.1× |
| vhn - secondary payors | 6 | 6 | $22,746 | $23,581 | $25,129 | 1.1× |
| Medicare | 2 | 4 | $2,934.43 | $7,550.61 | $7,772.69 | 2.6× |
| select health of sc [4890] | 1 | 3 | $7,970.95 | $12,285 | $23,380 | 2.9× |
| umr [3113] | 1 | 1 | $15,145 | $15,145 | $15,145 | 1.0× |
| devoted health plan [4501] | 1 | 1 | $7,402.56 | $7,402.56 | $7,402.56 | 1.0× |
| integrated health plan | 1 | 1 | $21,490 | $21,490 | $21,490 | 1.0× |
| allcare | 1 | 1 | $7,667.16 | $7,667.16 | $7,667.16 | 1.0× |
| national provider network | 1 | 1 | $24,271 | $24,271 | $24,271 | 1.0× |
| select health of sc [4877] | 1 | 1 | $12,954 | $12,954 | $12,954 | 1.0× |
| pai [3082] | 1 | 1 | $16,439 | $16,439 | $16,439 | 1.0× |
| first choice vip care plus [4833] | 1 | 1 | $7,772.69 | $7,772.69 | $7,772.69 | 1.0× |
By hospital (top 200 by negotiated median, descending)
| Hospital | City | ST | Payers | Gross | Cash | Neg min | Neg median | Neg max |
|---|---|---|---|---|---|---|---|---|
| Carilion Giles Community Hospital | Pearisburg | VA | 15 | $26,452 | $9,258.17 | $13,252 | $19,053 | $26,925 |
| Carilion Medical Center | Roanoke | VA | 15 | $25,843 | $9,045.13 | $6,469.17 | $17,418 | $26,925 |
| Carilion New River Valley Med Center | Christiansburg | VA | 15 | $24,362 | $8,526.80 | $7,073.79 | $16,420 | $26,925 |
| Carilion Franklin Memorial Hospital | Rocky Mount | VA | 15 | $23,944 | $8,380.28 | $6,837.22 | $16,138 | $26,925 |
| Carilion Stonewall Jackson Hospital | Lexington | VA | 15 | $23,944 | $8,380.28 | $6,837.22 | $16,138 | $26,925 |
| Carilion Tazewell Community Hospital | Tazewell | VA | 18 | $25,282 | $8,848.69 | $4,904.00 | $15,864 | $26,925 |
| Bon Secours Depaul Medical Center | Norfolk | VA | 13 | — | — | $7,402.56 | $15,145 | $23,380 |
| Bath County Community Hospital | Hot Springs | VA | 3 | $14,686 | $11,015 | $2,934.43 | $10,868 | $13,218 |
| Childrens Hospital Of The Kings Da | Norfolk | VA | 0 | — | — | — | — | — |
| Inova Alexandria Hospital | Alexandria | VA | 0 | — | — | — | — | — |
| Inova Loudoun Hospital Center | Leesburg | VA | 0 | — | — | — | — | — |
| Inova Fairfax Hospital | Falls Church | VA | 0 | — | — | — | — | — |
| Inova Fair Oaks Hospital | Fairfax | VA | 0 | — | — | — | — | — |
| Inova Mount Vernon Hospital | Alexandria | VA | 0 | — | — | — | — | — |
| Buchanan General Hospital | Grundy | VA | 0 | $35,495 | $12,423 | — | — | — |
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.