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Simple pneumonia & pleurisy w CC

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

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Hospitals
12
Min
$80.76
Median
$8,314.94
Max
$15,490
Range multiplier
191.8×

By payer (38 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
Blue Cross Blue Shield1139$83.6$13,276$28,718343.5×
UnitedHealthcare1021$80.76$10,967$25,996321.9×
Aetna917$80.15$9,006.25$29,794371.7×
Humana913$60$8,019.43$9,408.03156.8×
Cigna812$84.3$13,311$23,269276.0×
Kaiser Permanente712$6,970$8,891.13$17,6312.5×
Molina610$7,290.39$8,940.88$16,8712.3×
providence health plan58$60.6$8,618.75$17,972296.6×
first choice48$62$20,993$26,481427.1×
coordinated care46$7,429.17$13,844$16,4202.2×
Health Net23$8,991.59$9,006.25$26,6603.0×
amerigroup33$8,019.43$8,468.92$9,763.051.2×
community health plan33$8,468.92$11,665$14,2011.7×
moda23$90.4$8,468.92$9,500.55105.1×
pacificsource13$9,161.24$11,500$15,3851.7×
Multiplan22$1,600$9,424.34$17,24910.8×
the health plan12$4,737.26$5,900.76$7,064.251.5×
First Health22$65$80$951.5×
community health plan of washington22$8,019.43$8,891.24$9,763.051.2×
Medicare Advantage12$8,173.05$8,173.05$8,173.051.0×
central health plan11$9,006.25$9,006.25$9,006.251.0×
atrio11$8,737.11$8,737.11$8,737.111.0×
Medicare11$7,887.7$7,887.7$7,887.71.0×
Anthem BCBS11$7,064.25$7,064.25$7,064.251.0×
asuris truadvantage [4011]11$8,173.05$8,173.05$8,173.051.0×
optum ccn region 111$7,064.25$7,064.25$7,064.251.0×
optum ccn region 211$7,064.25$7,064.25$7,064.251.0×
WellCare11$7,064.25$7,064.25$7,064.251.0×
phcs11$12,046$12,046$12,0461.0×
asuris11$8,314.94$8,314.94$8,314.941.0×
scan11$9,006.25$9,006.25$9,006.251.0×
umr11$10,967$10,967$10,9671.0×
Empire BCBS11$9,006.25$9,006.25$9,006.251.0×
devoted health11$8,906.76$8,906.76$8,906.761.0×
community health network of wa [1055]11$13,872$13,872$13,8721.0×
first choice health network11$75$75$751.0×
chp advantage [4001]11$9,372.76$9,372.76$9,372.761.0×
healthcare partners11$9,006.25$9,006.25$9,006.251.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
LEGACY SALMON CREEK HOSPITALVANCOUVERWA12$8,737.11$9,500.55$22,162
PROVIDENCE MOUNT CARMEL HOSPITALCOLVILLEWA4$91.37$94.7$100
PROVIDENCE ST JOSEPHS HOSPITALCHEWELAHWA11$9,006.25$9,006.25$26,660
KADLEC REGIONAL MEDICAL CENTERRICHLANDWA15$60.6$8,314.94$22,248
WENATCHEE VALLEY HOSPITALWENATCHEEWA7$35,752$35,752$7,068.95$8,173.05$16,871
ST. LUKES REHABILITATION INST.SPOKANEWA5$73.9$80.76$84.3
VALLEY MEDICAL CENTERRENTONWA8$32,546$22,782$1,600$7,887.7$17,581
EAST ADAMS RURAL HOSPITALRITZVILLEWA10$4,737.26$7,064.25$16,679
OVERLAKE HOSPITAL MEDICAL CENTERBELLEVUEWA11$7,429.17$15,490$20,993
SWEDISH MEDICAL CENTERSEATTLEWA14$60$13,757$29,794
PROVIDENCE HOLY FAMILY HOSPITALSPOKANEWA13$75$11,665$19,266
KFH - WASHINGTONSEATTLEWA0

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.