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Simple pneumonia & pleurisy w/o CC/MCC

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

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Hospitals
7
Min
$92.82
Median
$4,883.76
Max
$21,949
Range multiplier
236.5×

By payer (43 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
UnitedHealthcare47$4,043.47$4,499.66$21,9495.4×
Medicare15$4,043.47$4,043.47$4,043.471.0×
Blue Cross Blue Shield35$95.53$5,373.68$21,949229.8×
WellCare34$4,043.47$13,238$21,9495.4×
Cigna33$92.04$4,043.47$21,949238.5×
TRICARE13$4,043.47$4,043.47$4,043.471.0×
prime health services12$28,534$30,728$32,9231.2×
Medicare Advantage22$9,427.50$9,427.50$9,427.501.0×
Ambetter22$4,827.13$13,388$21,9494.5×
Humana12$4,043.47$4,043.47$4,043.471.0×
ilumed aco reach11$21,949$21,949$21,9491.0×
imperial insurance of texas11$21,949$21,949$21,9491.0×
medipak11$4,084.32$4,084.32$4,084.321.0×
medipak advantage11$4,043.47$4,043.47$4,043.471.0×
moda11$93.60$93.60$93.601.0×
Molina11$21,949$21,949$21,9491.0×
municipal health benefit11$4,504.32$4,504.32$4,504.321.0×
ninety degree benefits11$32,923$32,923$32,9231.0×
optumhealth11$4,043.47$4,043.47$4,043.471.0×
pacificsource11$92.00$92.00$92.001.0×
php11$88.43$88.43$88.431.0×
premier health11$21,949$21,949$21,9491.0×
qualchoice advantage11$4,043.47$4,043.47$4,043.471.0×
sana benefits11$32,923$32,923$32,9231.0×
scott and white health plan11$21,949$21,949$21,9491.0×
seton health plan11$21,949$21,949$21,9491.0×
texas independence health plan11$23,046$23,046$23,0461.0×
va ccn optum health11$4,043.47$4,043.47$4,043.471.0×
va med center11$4,043.47$4,043.47$4,043.471.0×
velocity provider ppo network11$26,339$26,339$26,3391.0×
wellmed11$21,949$21,949$21,9491.0×
wellpoint11$21,949$21,949$21,9491.0×
Aetna11$4,043.47$4,043.47$4,043.471.0×
windsor sterling11$4,043.47$4,043.47$4,043.471.0×
amerigroup community care11$21,949$21,949$21,9491.0×
Anthem BCBS11$5,373.68$5,373.68$5,373.681.0×
arkansas firstsource11$5,373.68$5,373.68$5,373.681.0×
blue advantage11$5,373.68$5,373.68$5,373.681.0×
blue card11$5,373.68$5,373.68$5,373.681.0×
CHAMPVA11$4,043.47$4,043.47$4,043.471.0×
christus health plan11$21,949$21,949$21,9491.0×
first choice11$95.00$95.00$95.001.0×
health advantage11$5,348.88$5,348.88$5,348.881.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
Mercy Rehab Hospital Fort SmithFort SmithAR1$9,427.50$9,427.50$9,427.50$9,427.50$9,427.50
Arkansas Childrens NorthwestSpringdaleAR1$9,427.50$9,427.50$9,427.50$9,427.50$9,427.50
Little River MemorialAshdownAR6$88.43$92.82$95.53
St. Marys Regional Medical CenterRussellvilleAR2$15,729$4,718.72$4,527.49$4,883.76$5,240.02
National Park Medical CenterHot SpringsAR1$57,783$17,335$4,499.66$4,499.66$4,499.66
Ouachita County Medical CenterCamdenAR23$4,043.47$4,043.47$6,005.32
Hot Springs Rehabilitation CenterHot SpringsAR20$21,949$21,949$32,923

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.