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Simple pneumonia & pleurisy w/o CC/MCC

MS-DRG 195 · negotiated-rate distribution across hospitals in AL

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Hospitals
34
Min
$2,160.69
Median
$5,499.66
Max
$14,891
Range multiplier
6.9×

By payer (50 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
Blue Cross Blue Shield2155$1,947.00$6,015.24$24,63312.7×
UnitedHealthcare2143$1,288.00$6,229.69$18,84514.6×
Aetna1835$40.00$5,148.50$29,619740.5×
Cigna1431$40.00$6,599.63$23,700592.5×
Humana1722$2,160.69$5,264.17$16,0127.4×
Centene68$6,511.34$9,125.03$11,8791.8×
simpra77$4,067.95$6,132.27$9,200.872.3×
devoted health66$4,027.67$5,786.61$6,599.631.6×
viva helath55$4,027.67$6,070.67$6,599.631.6×
Multiplan44$67.00$80.00$80.001.2×
viva24$2,703.00$4,324.25$8,110.553.0×
Medicare34$4,251.39$6,244.74$9,200.872.2×
Ambetter44$6,503.90$6,837.94$7,173.141.1×
Molina24$4,156.68$4,659.43$5,371.601.3×
university of utah14$7,458.40$8,571.35$9,820.671.3×
First Health22$5,264.17$6,282.09$7,300.001.4×
health choice12$4,136.00$4,136.00$4,136.001.0×
motivhealth12$12,079$12,079$12,0791.0×
viva health22$5,236.94$5,385.25$5,533.561.1×
Health Net22$4,713.75$4,713.75$4,713.751.0×
smarthealth22$5,518.46$5,735.21$5,951.951.1×
occunet22$8,868.96$9,746.32$10,6241.2×
Bright Health22$3,998.21$4,656.23$5,314.241.3×
seven corners22$13,788$14,715$15,6411.1×
sterling life insurance12$1,075.00$3,411.31$5,747.625.3×
TRICARE12$3,761.78$3,761.78$3,761.781.0×
choicecare22$5,394.65$5,633.59$5,872.531.1×
pehp12$9,549.98$10,677$11,8031.2×
select health er11$57.80$57.80$57.801.0×
Self-Pay (Cash)11$4,251.39$4,251.39$4,251.391.0×
southern care11$6,201.28$6,201.28$6,201.281.0×
state of utah11$5,371.60$5,371.60$5,371.601.0×
triwest healthcare alliance11$5,371.60$5,371.60$5,371.601.0×
union pacific railroad11$65.00$65.00$65.001.0×
universal healthcare11$5,855.05$5,855.05$5,855.051.0×
university of ut11$5,371.60$5,371.60$5,371.601.0×
usa managed care11$85.00$85.00$85.001.0×
vccn11$7,027.19$7,027.19$7,027.191.0×
veteran's administration11$5,371.60$5,371.60$5,371.601.0×
vista hospice11$600.00$600.00$600.001.0×
WellCare11$3,941.76$3,941.76$3,941.761.0×
aarp11$4,038.82$4,038.82$4,038.821.0×
Workers Comp11$3,356.00$3,356.00$3,356.001.0×
actin care11$6,589.65$6,589.65$6,589.651.0×
amerigroup11$6,511.34$6,511.34$6,511.341.0×
angle insurance11$6,736.20$6,736.20$6,736.201.0×
avmed empower11$14,888$14,888$14,8881.0×
blue advantage11$2,160.69$2,160.69$2,160.691.0×
blue mcr replacement11$3,941.76$3,941.76$3,941.761.0×
devoted healthcare11$6,511.34$6,511.34$6,511.341.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
Fayette Medical CenterFayetteAL9$4,046.00$9,108.86$15,641
Providence HospitalMobileAL17$3,761.78$7,300.00$19,155
Hale County HospitalGreensboroAL5$6,675.83$7,027.19$7,729.91
Dch Regional Medical CenterTuscaloosaAL12$2,493.00$6,910.44$13,788
Princeton Baptist Medical CenterBirminghamAL9$56.00$6,599.63$11,879
Vaughan Regional Medical CenterSelmaAL12$4,210.95$6,511.34$6,821.41
Citizens Baptist Medical CenterTalladegaAL9$2,876.00$6,071.55$10,929
Brookwood Baptist Medical CenterBirminghamAL12$50.00$6,070.67$11,141
Baptist Medical Center EastMontgomeryAL6$5,072.43$5,584.80$14,826
North Alabama Medical CenterFlorenceAL2$24,051$8,417.96$4,331.18$5,499.66$7,388.00
Shoals HospitalMuscle ShoalsAL2$24,051$8,417.96$4,331.18$5,499.66$7,388.00
Mountain View HospitalGadsdenAL31$40.00$5,398.46$29,619
Russell Medical CenterAlexander CityAL4$5,394.65$5,394.65$5,502.54
Prattville Baptist HospitalPrattvilleAL6$4,800.53$5,285.43$14,826
Cullman RegionalCullmanAL6$2,300.00$4,865.22$5,148.50
D W Mcmillan Memorial HospitalBrewtonAL3$5,006.42$3,003.85$2,606.00$4,746.55$6,528.82
Atmore Community HospitalAtmoreAL3$5,006.42$3,003.85$2,606.00$4,746.55$6,528.82
St. Vincents St. ClairPell CityAL12$1,920.00$4,293.90$6,887.25
Walker Baptist Medical CenterJasperAL11$40.00$4,068.25$10,820
Shelby Baptist Medical CenterAlabasterAL10$53.00$4,027.67$10,886
Washington County HospitalChatomAL5$850.00$975.00$2,160.69$3,129.00
St. Vincents EastBirminghamAL8$1,947.00$14,891$24,633
Red Bay HospitalRed BayAL0
Athens LimestoneAthensAL0
Southeast Health Medical CenterDothanAL0
Decatur Morgan - Decatur CampusDecaturAL0
Flowers HospitalDothanAL0
Gadsden Regional Medical CenterGadsdenAL0
Huntsville HospitalHuntsvilleAL0
Grandview Medical CenterBirminghamAL0
Helen Keller HospitalSheffieldAL0
Crestwood Medical CenterHuntsvilleAL0
Springhill Memorial HospitalMobileAL0$8,586.04$7,298.13
Marshall Medical Centers SouthBoazAL0

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.