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Simple pneumonia & pleurisy w CC

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

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Hospitals
11
Min
$7,064.25
Median
$8,174.94
Max
$10,967
Range multiplier
1.6×

By payer (27 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
mgb hlth partners [11110]16$16,571$25,450$44,6052.7×
UnitedHealthcare35$7,064.25$8,330.66$10,9671.6×
Blue Cross Blue Shield34$2,478$10,701$16,6796.7×
Aetna22$7,064.25$7,619.6$8,174.941.2×
umr22$10,967$10,967$10,9671.0×
Cigna12$2,759$4,931.31$7,103.622.6×
the health plan12$4,737.26$5,900.76$7,064.251.5×
fallon mcr supp [20202]11$8,174.94$8,174.94$8,174.941.0×
hne [11108]11$3,685$3,685$3,6851.0×
hsno/free care [10801]11$7,785.66$7,785.66$7,785.661.0×
Humana11$7,064.25$7,064.25$7,064.251.0×
institution [10406]11$7,785.66$7,785.66$7,785.661.0×
mgb mcr [10124]11$7,785.66$7,785.66$7,785.661.0×
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×
senior whole health [10110]11$8,330.66$8,330.66$8,330.661.0×
tufts [11201]11$2,759$2,759$2,7591.0×
tufts connectorcare [10507]11$10,845$10,845$10,8451.0×
tufts mcr [10112]11$8,174.94$8,174.94$8,174.941.0×
WellCare11$7,064.25$7,064.25$7,064.251.0×
wellpoint [11112]11$7,053.24$7,053.24$7,053.241.0×
Anthem BCBS11$7,064.25$7,064.25$7,064.251.0×
commonwealth care alliance [10103]11$8,174.94$8,174.94$8,174.941.0×
fallon carelon hlth [28]11$1,252.6$1,252.6$1,252.61.0×
fallon connectorcare [10503]11$4,921$4,921$4,9211.0×
fallon mcaid carelon hlth [29]11$1,252.97$1,252.97$1,252.971.0×
fallon mcr [10105]11$8,174.94$8,174.94$8,174.941.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
WEBSTER COUNTY MEMORIAL HOSPITALWEBSTER SPRINGSWV20$30,000$30,000$1,252.6$8,174.94$44,605
BECKLEY ARHBECKLEYWV10$4,737.26$7,064.25$16,679
SUMMERS COUNTY ARHHINTONWV3$2,478$10,967$10,967
REYNOLDS MEMORIAL HOSPITALGLEN DALEWV0
PRINCETON COMMUNITY HOSPITALPRINCETONWV0
WEST VIRGINIA UNIVERSITY HOSPITALSMORGANTOWNWV0
CAMDEN-CLARK MEMORIAL HOSPITALPARKERSBURGWV0
WETZEL COUNTY HOSPITALNEW MARTINSVILLEWV0
WHEELING HOSPITALWHEELINGWV0
UNITED HOSPITAL CENTERBRIDGEPORTWV0
CITY HOSPITAL INC.MARTINSBURGWV0

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.