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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
6
Min
$92.82
Median
$4,883.76
Max
$9,427.5
Range multiplier
101.6×

By payer (28 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
UnitedHealthcare36$4,043.47$4,271.57$5,240.021.3×
Medicare15$4,043.47$4,043.47$4,043.471.0×
Blue Cross Blue Shield24$95.53$4,708.58$6,005.3262.9×
TRICARE13$4,043.47$4,043.47$4,043.471.0×
Humana12$4,043.47$4,043.47$4,043.471.0×
Medicare Advantage22$9,427.5$9,427.5$9,427.51.0×
WellCare22$4,043.47$4,285.48$4,527.491.1×
Cigna22$92.04$2,067.76$4,043.4743.9×
health advantage11$5,348.88$5,348.88$5,348.881.0×
medipak11$4,084.32$4,084.32$4,084.321.0×
medipak advantage11$4,043.47$4,043.47$4,043.471.0×
moda11$93.6$93.6$93.61.0×
municipal health benefit11$4,504.32$4,504.32$4,504.321.0×
optumhealth11$4,043.47$4,043.47$4,043.471.0×
pacificsource11$92$92$921.0×
php11$88.43$88.43$88.431.0×
qualchoice advantage11$4,043.47$4,043.47$4,043.471.0×
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×
Aetna11$4,043.47$4,043.47$4,043.471.0×
windsor sterling11$4,043.47$4,043.47$4,043.471.0×
Ambetter11$4,827.13$4,827.13$4,827.131.0×
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×
first choice11$95$95$951.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
MERCY REHAB HOSPITAL FORT SMITHFORT SMITHAR1$9,427.5$9,427.5$9,427.5$9,427.5$9,427.5
ARKANSAS CHILDRENS NORTHWESTSPRINGDALEAR1$9,427.5$9,427.5$9,427.5$9,427.5$9,427.5
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

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.