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Simple pneumonia & pleurisy w/o CC/MCC

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

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Hospitals
16
Min
$4,674.71
Median
$5,750.91
Max
$12,562
Range multiplier
2.7×

By payer (50 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
UnitedHealthcare1451$4,298.59$8,086.35$27,4896.4×
Cigna1340$85.00$7,706.04$18,574218.5×
Blue Cross Blue Shield1338$21.00$9,861.58$28,7181367.5×
Aetna1434$90.00$6,090.17$17,403193.4×
Humana1424$4,164.90$6,184.85$34,8518.4×
health choice612$5,219.61$6,842.36$8,741.381.7×
WellCare1012$4,081.60$5,484.31$7,229.801.8×
allwell612$5,219.61$5,506.38$5,750.911.1×
Medicare58$4,639.52$20,593$35,8977.7×
Molina88$4,248.20$5,506.38$7,374.401.7×
devoted health77$4,955.20$5,506.02$5,750.911.2×
Health Net27$97.00$10,122$15,472159.5×
azpc66$5,219.61$5,506.38$5,750.911.1×
Ambetter66$7,307.45$7,708.93$8,051.271.1×
banner66$5,219.61$5,506.38$5,750.911.1×
banner university health plan66$5,219.61$5,506.38$5,750.911.1×
Oscar Health66$5,899.10$5,899.10$5,899.101.0×
scan desert health plan66$5,219.61$5,506.38$5,750.911.1×
triwest66$5,219.61$5,506.38$5,750.911.1×
mercy care plan55$5,219.61$5,506.02$5,750.911.1×
az health advantage55$5,219.61$5,506.02$5,750.911.1×
gold kidney of arizona55$5,462.59$5,506.73$5,750.911.1×
Bright Health44$5,739.71$5,878.60$10,3801.8×
commercial | az foundation | pos44$14,205$14,757$18,2151.3×
Anthem BCBS14$4,164.90$6,902.49$8,817.672.1×
commercial | connected care | intel44$9,179.00$9,322.34$13,7691.5×
First Health23$95.00$4,674.71$48,035505.6×
la care health plan12$7,229.80$8,314.27$9,398.741.3×
the health plan12$4,373.15$4,900.67$5,428.191.2×
brandman centers11$7,229.80$7,229.80$7,229.801.0×
brand new day11$7,229.80$7,229.80$7,229.801.0×
imperial health11$5,750.91$5,750.91$5,750.911.0×
imperial insurance11$4,908.45$4,908.45$4,908.451.0×
Kaiser Permanente11$7,229.80$7,229.80$7,229.801.0×
health choice pathway11$4,674.71$4,674.71$4,674.711.0×
banner health11$4,674.71$4,674.71$4,674.711.0×
bridgeway health solutions11$4,674.71$4,674.71$4,674.711.0×
Empire BCBS11$7,229.80$7,229.80$7,229.801.0×
monarch health plan11$7,229.80$7,229.80$7,229.801.0×
optum ccn region 111$5,428.19$5,428.19$5,428.191.0×
optum ccn region 211$5,428.19$5,428.19$5,428.191.0×
arizona medical network11$4,674.71$4,674.71$4,674.711.0×
rural arizona network11$4,674.71$4,674.71$4,674.711.0×
commercial | azfmc | pos11$15,683$15,683$15,6831.0×
scan health plan11$7,229.80$7,229.80$7,229.801.0×
caremore11$7,229.80$7,229.80$7,229.801.0×
wellpoint11$7,229.80$7,229.80$7,229.801.0×
caresoure kentucky11$9,119.36$9,119.36$9,119.361.0×
central health plan11$7,952.78$7,952.78$7,952.781.0×
health management network11$4,674.71$4,674.71$4,674.711.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
Carondelet St. Joseph HospitalTucsonAZ8$4,916.94$9,465.68$20,554
Chandler Regional Medical CenterChandlerAZ9$4,355.00$9,325.96$20,469
Mercy Gilbert Medical CenterGilbertAZ9$4,298.59$9,252.48$20,469
Carondelet Holy Cross HospitalNogalesAZ19$7,229.80$7,546.47$48,035
Canyon Vista Medical CenterSierra VistaAZ1$22,591$9,036.45$6,208.00$6,208.00$6,208.00
Honorhealth John C. Lincoln Med CtrPhoenixAZ21$5,750.91$5,750.91$14,443
Honorhealth Sonoran Crossing Med CtrPhoenixAZ19$5,669.21$5,669.21$14,443
Honorhealth Scottsdale Osborn Med CtScottsdaleAZ19$5,506.73$5,506.73$14,443
Honorhealth Deer Valley Med CtrPhoenixAZ20$5,506.02$5,506.02$14,443
Honorhealth Scottsdale Thompson PeakScottsdaleAZ20$5,462.59$5,462.59$14,443
Santa Cruz Valley Regional HospitalGreen ValleyAZ10$3,956.66$5,428.19$9,119.36
Honorhealth Scottsdale Shea Med CtrScottsdaleAZ19$5,219.61$5,219.61$14,443
Yavapai Regional Medical CenterPrescottAZ16$21.00$4,674.71$27,489
St. Josephs Hospital & Medical CtrPhoenixAZ9$5,072.02$12,562$28,718
Arizona General HospitalLaveenAZ8$5,739.71$11,714$35,897
Abrazo West CampusGoodyearAZ0$27,139$5,970.65

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.