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Simple pneumonia & pleurisy w CC

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

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Hospitals
5
Min
$3,311.91
Median
$9,308.92
Max
$10,252
Range multiplier
3.1×

By payer (20 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
Blue Cross Blue Shield511$3,311.91$10,252$23,1727.0×
mvp34$3,311.91$8,917.63$19,2165.8×
UnitedHealthcare34$8,183.66$9,363.77$29,0603.6×
Cigna33$9,280.53$12,972$22,6612.4×
Anthem BCBS13$9,280.53$9,280.53$12,9931.4×
Aetna22$8,183.66$8,815.34$9,447.011.2×
capital district physicians' health plan12$8,183.66$14,834$21,4842.6×
fidelis care12$10,230$10,230$10,2301.0×
Humana22$8,352.77$8,816.65$9,280.531.1×
VA Health22$8,183.66$8,815.34$9,447.011.2×
wellsense12$5,150.04$7,540.11$9,930.171.9×
harvard pilgrim health care11$9,280.53$9,280.53$9,280.531.0×
mvp healthcare11$9,280.53$9,280.53$9,280.531.0×
new hampshire healthy families11$5,150.04$5,150.04$5,150.041.0×
st. regis11$8,183.66$8,183.66$8,183.661.0×
amerihealth-caritas11$5,150.04$5,150.04$5,150.041.0×
wellpath11$12,275$12,275$12,2751.0×
WellCare11$9,744.56$9,744.56$9,744.561.0×
martin's point11$9,280.53$9,280.53$9,280.531.0×
martins point11$8,183.66$8,183.66$8,183.661.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
CENTRAL VERMONT HOSPITALBARREVT6$9,447.01$9,541.48$19,172
UNIVERSITY OF VERMONT MEDICAL CENTERBURLINGTONVT11$8,183.66$9,308.92$29,060
BRATTLEBORO MEMORIAL HOSPITALBRATTLEBOROVT12$5,150.04$9,280.53$12,993
NORTH COUNTRY HOSPITAL & HEALTH CTRNEWPORTVT2$3,311.91$3,311.91$3,311.91
PORTER HOSPITALMIDDLEBURYVT2$8,352.77$10,252$10,252

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.