▸ Compare · PriceTransparency
Simple pneumonia & pleurisy w CC
MS-DRG 194 · negotiated-rate distribution across hospitals in WI
Hospitals
49
Min
$1,889.68
Median
$10,979
Max
$24,883
Range multiplier
13.2×
By payer (50 payers with published rates)
| Payer | Hosp. | Rates | Min | Median | Max | Range× |
|---|---|---|---|---|---|---|
| UnitedHealthcare | 35 | 90 | $1,889.68 | $16,530 | $24,883 | 13.2× |
| Anthem BCBS | 27 | 62 | $4,738.29 | $15,105 | $39,582 | 8.4× |
| wisconsin physician service | 12 | 36 | $16,457 | $17,323 | $17,323 | 1.1× |
| common ground | 12 | 36 | $15,085 | $15,085 | $15,085 | 1.0× |
| healthpartners | 12 | 24 | $13,484 | $14,463 | $15,442 | 1.1× |
| Humana | 13 | 22 | $5,640.83 | $15,174 | $18,957 | 3.4× |
| Molina | 18 | 19 | $5,640.83 | $15,833 | $15,833 | 2.8× |
| centivo | 16 | 17 | $15,023 | $17,025 | $18,368 | 1.2× |
| Medicare | 14 | 17 | $2,575.37 | $5,264.92 | $6,048.09 | 2.3× |
| health payment systems | 16 | 16 | $10,407 | $15,170 | $15,215 | 1.5× |
| Cigna | 13 | 13 | $16,482 | $18,040 | $18,040 | 1.1× |
| quartz one | 12 | 12 | $13,694 | $15,088 | $15,088 | 1.1× |
| quartz group | 12 | 12 | $16,023 | $17,655 | $17,655 | 1.1× |
| aurora caregiver | 12 | 12 | $14,617 | $14,617 | $14,617 | 1.0× |
| hs technology | 12 | 12 | $16,844 | $16,844 | $16,844 | 1.0× |
| trilogy | 12 | 12 | $16,787 | $16,787 | $16,787 | 1.0× |
| everpointe elite | 12 | 12 | $14,212 | $14,212 | $14,212 | 1.0× |
| VA Health | 11 | 11 | $5,175.97 | $5,524.03 | $6,048.09 | 1.2× |
| security health plan of wisconsin, inc. | 6 | 11 | $3,456.23 | $6,775.85 | $24,368 | 7.1× |
| Aetna | 11 | 11 | $12,331 | $12,331 | $12,331 | 1.0× |
| Blue Cross Blue Shield | 5 | 7 | $2,611.57 | $5,795.77 | $20,368 | 7.8× |
| smart health | 7 | 7 | $7,246.36 | $8,345.19 | $8,345.19 | 1.2× |
| network health plan | 5 | 7 | $5,640.83 | $13,208 | $15,111 | 2.7× |
| smarthealth | 5 | 5 | $7,370.89 | $11,771 | $11,771 | 1.6× |
| Medicaid | 3 | 5 | $1,971.62 | $8,764.40 | $10,261 | 5.2× |
| group health cooperative of eau claire | 4 | 4 | $6,543.00 | $7,808.37 | $9,374.01 | 1.4× |
| healthpartners [900713] | 3 | 3 | $8,609.43 | $9,623.25 | $10,261 | 1.2× |
| alliance | 3 | 3 | $14,865 | $14,865 | $14,865 | 1.0× |
| arise | 3 | 3 | $17,737 | $17,737 | $17,737 | 1.0× |
| aspirus health plan, inc. | 3 | 3 | $6,044.04 | $11,110 | $38,369 | 6.3× |
| cchp marketplace | 3 | 3 | $14,524 | $14,524 | $14,524 | 1.0× |
| managed health services insurance corp. | 3 | 3 | $4,482.14 | $7,799.76 | $7,799.76 | 1.7× |
| quartz | 2 | 3 | $8,295.87 | $9,291.42 | $10,624 | 1.3× |
| quartz health solutions | 1 | 3 | $5,795.77 | $8,269.70 | $12,762 | 2.2× |
| sehn c89 | 3 | 3 | $13,878 | $13,878 | $13,878 | 1.0× |
| wps | 3 | 3 | $19,707 | $19,707 | $19,707 | 1.0× |
| icare | 2 | 2 | $5,640.83 | $7,258.71 | $8,876.58 | 1.6× |
| allwell | 2 | 2 | $5,753.65 | $5,774.71 | $5,795.77 | 1.0× |
| quartz health solutions, inc. | 2 | 2 | $10,413 | $10,413 | $10,413 | 1.0× |
| health partners | 1 | 2 | $5,640.83 | $11,030 | $16,419 | 2.9× |
| the alliance | 2 | 2 | $13,160 | $13,224 | $13,289 | 1.0× |
| security health plan | 2 | 2 | $5,640.83 | $5,718.30 | $5,795.77 | 1.0× |
| WellCare | 2 | 2 | $5,528.17 | $5,528.17 | $5,528.17 | 1.0× |
| unitedhealth group of wi | 1 | 2 | $8,295.87 | $11,002 | $13,708 | 1.7× |
| wps health plan | 1 | 1 | $11,356 | $11,356 | $11,356 | 1.0× |
| dean health plan | 1 | 1 | $14,026 | $14,026 | $14,026 | 1.0× |
| community care incorporated | 1 | 1 | $5,640.83 | $5,640.83 | $5,640.83 | 1.0× |
| the alliance (f/k/a employer health care alliance cooperative) | 1 | 1 | $11,245 | $11,245 | $11,245 | 1.0× |
| chorus community health plan | 1 | 1 | $11,084 | $11,084 | $11,084 | 1.0× |
| aspirus | 1 | 1 | $6,751.28 | $6,751.28 | $6,751.28 | 1.0× |
By hospital (top 200 by negotiated median, descending)
| Hospital | City | ST | Payers | Gross | Cash | Neg min | Neg median | Neg max |
|---|---|---|---|---|---|---|---|---|
| Aspirus Medford Hospital And Clinics | Medford | WI | 5 | — | — | $6,775.85 | $9,374.01 | $39,582 |
| Meriter Hospital Inc. | Madison | WI | 12 | — | — | $6,751.28 | $8,848.21 | $20,368 |
| Beaver Dam Community Hospitals | Beaver Dam | WI | 12 | — | — | $8,295.87 | $8,544.75 | $21,755 |
| Mercy Medical Center | Oshkosh | WI | 6 | — | — | $5,264.92 | $7,370.89 | $15,048 |
| Ascension Ne Wisconsin-St. Elizabeth | Appleton | WI | 6 | — | — | $5,264.92 | $7,370.89 | $15,048 |
| Ascension Saint Marys Hospital | Rhinelander | WI | 1 | — | — | $5,619.32 | $7,170.88 | $7,177.65 |
| Aspirus Riverview Hospital & Clinics | Wisconsin Rapids | WI | 4 | — | — | $5,348.56 | $6,927.56 | $10,413 |
| Divine Savior Hospital | Portage | WI | 4 | — | — | $5,348.56 | $6,927.56 | $10,413 |
| Ascension St. Michaels Hospital | Stevens Point | WI | 6 | — | — | $4,645.38 | $6,647.99 | $12,596 |
| Howard Young Medical Center | Woodruff | WI | 3 | — | — | $3,456.23 | $6,282.46 | $7,315.52 |
| Aspirus Wausau Hospital | Wausau | WI | 8 | — | — | $4,482.14 | $6,248.44 | $24,368 |
| Ascension Wisconsin Emerus Menomonee | Menomonee Falls | WI | 3 | — | — | $5,960.85 | $5,960.85 | $8,345.19 |
| Wheaton Franciscan - Franklin | Franklin | WI | 3 | — | — | $5,960.85 | $5,960.85 | $8,345.19 |
| Ascension Se Wisconsin Hospital Inc | Milwaukee | WI | 3 | — | — | $5,960.85 | $5,960.85 | $8,345.19 |
| Wfhc - Elmbrook Memorial | Brookfield | WI | 3 | — | — | $5,960.85 | $5,960.85 | $8,345.19 |
| Mile Bluff Medical Center Inc. | Mauston | WI | 11 | — | — | $5,795.77 | $5,795.77 | $13,160 |
| All Saints - St. Luke S Hospital | Racine | WI | 3 | — | — | $5,524.03 | $5,524.03 | $7,733.64 |
| Wheaton Franciscan Healthcare - All | Racine | WI | 3 | — | — | $5,524.03 | $5,524.03 | $7,733.64 |
| Hudson Hospital | Hudson | WI | 6 | $11,534 | $5,202.99 | $1,971.62 | $5,391.09 | $14,930 |
| Mosh | Franklin | WI | 3 | — | — | $5,175.97 | $5,175.97 | $7,246.36 |
| Amery Regional Medical Center | Amery | WI | 5 | $11,407 | $5,947.61 | $3,737.78 | $3,883.64 | $9,623.25 |
| Westfields Hospital | New Richmond | WI | 5 | $8,994.00 | $4,730.84 | $3,666.64 | $3,791.85 | $10,261 |
| Childrens Wisconsin | Milwaukee | WI | 1 | — | — | $24,883 | $24,883 | $24,883 |
| Childrens Hospital Of Wi-Fox Valley | Neenah | WI | 1 | — | — | $24,455 | $24,455 | $24,455 |
| Ssh - Fox Valley | Oshkosh | WI | 1 | — | — | $24,455 | $24,455 | $24,455 |
| Aspirus Eagle River Hospital | Eagle River | WI | 1 | — | — | $1,889.68 | $1,889.68 | $1,889.68 |
| Ascension Our Lady Of Victory Hospit | Stanley | WI | 1 | — | — | $18,061 | $18,061 | $18,061 |
| West Allis Memorial Hospital | West Allis | WI | 15 | — | — | $13,484 | $16,494 | $19,890 |
| Aurora Health Care Metro Inc. | Milwaukee | WI | 16 | — | — | $12,331 | $16,457 | $19,890 |
| Sheboygan Memorial Hospital | Sheboygan | WI | 16 | — | — | $12,331 | $16,457 | $19,890 |
| Aurora Medical Center - Hartford | Hartford | WI | 16 | — | — | $12,331 | $16,457 | $19,890 |
| Aurora Medical Center Of Oshkosh | Oshkosh | WI | 16 | — | — | $12,331 | $16,457 | $19,890 |
| Aurora Medical Center - Summit | Summit | WI | 16 | — | — | $12,331 | $16,457 | $19,890 |
| Aurora Medical Center Grafton | Grafton | WI | 16 | — | — | $12,331 | $16,457 | $19,890 |
| Memorial Hospital Of Burlington | Burlington | WI | 16 | — | — | $12,331 | $15,442 | $18,571 |
| Aurora Medical Center Kenosha | Kenosha | WI | 16 | — | — | $12,331 | $15,442 | $18,040 |
| Aurora Lakeland Medical Center | Elkhorn | WI | 16 | — | — | $12,331 | $15,442 | $18,571 |
| Ascension Sacred Heart Rehabilitatio | Milwaukee | WI | 12 | — | — | $10,022 | $15,215 | $21,788 |
| Aurora Med Ctr Of Manitowoc County | Two Rivers | WI | 16 | — | — | $12,331 | $15,170 | $18,368 |
| Aurora Medical Center - Bay Area | Marinette | WI | 16 | — | — | $9,702.24 | $15,144 | $18,040 |
| Ascension Columbia St Marys Ozaukee | Mequon | WI | 15 | — | — | $5,181.38 | $15,027 | $21,788 |
| Ascension Columbia St Marys Milwauke | Milwaukee | WI | 15 | — | — | $6,048.09 | $15,027 | $21,788 |
| Aspirus Merrill Hospital | Merrill | WI | 4 | — | — | $9,278.44 | $13,706 | $23,651 |
| Aspirus Langlade Hospital | Antigo | WI | 4 | — | — | $7,178.77 | $13,406 | $22,434 |
| Holy Family Memorial Inc | Manitowoc | WI | 16 | — | — | $5,640.83 | $11,220 | $23,745 |
| Ascension Sacred Heart Hospital | Tomahawk | WI | 2 | — | — | $7,401.07 | $10,979 | $14,557 |
| University Of Wi Hospitals & Clinics | Madison | WI | 0 | $28,365 | — | — | — | — |
| River Falls Area Hospital | River Falls | WI | 0 | — | — | — | — | — |
| Uw Health Rehabilitation Hospital | Madison | WI | 0 | $28,365 | — | — | — | — |
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.