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Simple pneumonia & pleurisy w/o CC/MCC

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

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Hospitals
63
Min
$93.03
Median
$7,373.70
Max
$28,767
Range multiplier
309.2×

By payer (50 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
Blue Cross Blue Shield55162$90.00$8,825.20$34,247380.5×
Health Net35107$5,864.33$10,761$41,0967.0×
UnitedHealthcare2571$68.48$12,186$70,3671027.6×
Aetna4570$67.00$8,762.06$33,308497.1×
Kaiser Permanente3745$5,388.77$7,179.44$27,1325.0×
Medicare3140$5,538.12$6,940.19$25,0564.5×
Cigna2238$6,206.06$11,691$37,6466.1×
Humana3636$5,509.22$6,884.48$20,7893.8×
Molina2232$2,885.87$6,662.82$20,7897.2×
Anthem BCBS2127$5,509.22$6,790.91$9,880.191.8×
brand new day1819$6,206.06$6,709.76$10,4351.7×
monarch health plan717$5,571.11$7,174.07$17,1423.1×
scan health plan1316$5,453.83$7,349.40$16,6973.1×
central health plan1414$6,329.19$7,107.05$7,952.781.3×
la care health plan714$6,192.84$7,089.58$9,398.741.5×
Multiplan1313$90.00$7,208.47$11,366126.3×
Empire BCBS913$6,540.23$7,128.68$9,212.951.4×
TRICARE712$6,178.16$6,648.63$7,273.591.2×
heritage provider network811$5,864.33$10,435$15,1312.6×
WellCare1010$5,509.22$6,547.91$7,551.651.4×
healthcare partners810$6,540.23$8,993.57$18,6532.9×
First Health1010$61.30$28,594$48,035783.6×
caremore99$6,206.06$7,229.80$10,4351.7×
Bright Health58$6,195.20$10,435$13,5662.2×
providence health plan77$6,206.06$6,540.23$7,586.321.2×
renal payer solutions66$6,178.16$6,399.76$6,990.141.1×
primecare medical network36$11,479$13,827$16,1751.4×
family choice medical group36$10,435$12,001$13,5661.3×
employer direct healthcare66$8,031.61$8,342.29$9,581.471.2×
emanate health26$6,643.33$7,180.25$14,7412.2×
national healthcare solutions, inc (nhsi)66$9,885.06$10,267$11,7931.2×
caloptima36$10,435$10,435$10,4351.0×
commercial | western health advantage | all plans55$4,324.51$4,324.51$4,324.511.0×
commercial | hill physicians | all plans55$6,710.69$7,033.47$7,561.971.1×
onecare55$5,864.33$6,794.78$7,551.651.3×
naphcare45$9,576.15$9,810.24$11,4241.2×
select health35$6,157.55$7,929.23$11,3271.8×
alignment health plan44$5,864.33$10,435$10,4351.8×
centivo44$10,481$13,972$16,9911.6×
the health plan24$2,837.13$13,149$20,7897.3×
alignment44$6,178.16$6,418.09$6,990.141.1×
l.a care health plan24$6,178.16$6,324.24$6,805.401.1×
la care34$5,864.33$7,053.62$8,155.781.4×
brandman centers44$6,206.06$6,441.28$7,229.801.2×
aids healthcare foundation34$6,178.16$6,309.21$6,599.731.1×
epic health plan24$6,643.33$8,172.68$10,3191.6×
prime health services34$7,191.38$18,847$31,1834.3×
citizens choice33$5,864.33$6,555.59$7,551.651.3×
hemet community medical group33$10,435$10,435$10,4351.0×
central health33$6,450.76$7,211.15$8,306.821.3×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
Stanford Health CareStanfordCA1$9,681.07$9,681.07$9,681.07
Providence St Joseph Medical CenterBurbankCA3$90.00$93.03$21,683
Uc Davis Medical CenterSacramentoCA6$8,931.41$9,270.80$25,008
Saint Francis Memorial HospitalSan FranciscoCA9$8,981.99$8,981.99$27,215
Centinela Hospital Medical CenterInglewoodCA26$6,805.00$6,470.32$8,847.02$12,331
Memorialcare Long Beach Med CtrLong BeachCA28$7,174.07$8,780.98$23,494
Providence Lttl Co Mary Mc San PedroSan PedroCA17$6,949.35$8,767.07$48,035
St. Marys Medical CenterSan FranciscoCA9$8,639.98$8,639.98$26,179
St Jude Medical Center FullertonFullertonCA6$62.80$8,569.23$33,308
Providence Lttl Co Mary Mc TorranceTorranceCA18$6,794.78$8,499.97$48,035
Memorialcare Orange Coast Med CtrFountain ValleyCA19$6,227.81$8,454.33$19,330
Memorialcare Saddleback Med CtrLaguna HillsCA20$5,453.83$8,277.63$31,956
Community Hospital Of San BernardinoSan BernardinoCA8$7,863.61$7,863.61$15,334
Surprise Valley Health Care DistrictCedarvilleCA3$7,723.83$7,723.83$19,304
Santa Rosa Memorial HospitalSanta RosaCA13$7,434.59$7,586.32$21,249
Methodist Hospital Of SacramentoSacramentoCA8$4,324.51$7,561.97$7,788.83
Providence Cedars-Sinai Tarzana MediTarzanaCA19$6,441.28$7,546.47$48,035
Cedars-Sinai Marina Del Rey HospitalMarina Del ReyCA19$6,441.28$7,546.47$48,035
Providence Holy Cross Med. CenterMission HillsCA19$7,229.80$7,546.47$48,035
Tri-City Medical CenterOceansideCA12$26,219$15,731$6,037.78$7,427.66$9,056.68
Dominican HospitalSanta CruzCA5$7,187.68$7,409.98$16,895
Queen Of The Valley Medical CenterNapaCA12$90.00$7,388.34$28,225
Petaluma Valley HospitalPetalumaCA10$6,588.16$7,373.70$14,806
Chino Valley Medical CenterChinoCA22$7,370.00$6,263.82$7,370.36$14,741
Mercy San Juan Medical CenterCarmichaelCA9$4,324.51$7,190.05$8,987.56
St. Mary Medical CenterApple ValleyCA8$7,179.44$7,179.44$11,487
St. Joseph Hospital - EurekaEurekaCA11$7,128.68$7,128.68$20,248
St. Joseph Hospital Of OrangeOrangeCA11$7,128.68$7,128.68$20,248
Mercy General HospitalSacramentoCA7$4,324.51$7,033.47$7,244.47
Santa Monica Ucla Medical CenterSanta MonicaCA25$39.10$7,003.14$15,666
Woodland HealthcareWoodlandCA6$4,324.51$6,853.31$7,054.36
Sequoia HospitalRedwood CityCA10$6,819.60$6,819.60$23,528
Sierra Nevada Memorial HospitalGrass ValleyCA7$6,790.91$6,790.91$6,790.91
Sherman Oaks Hospital-HlthSherman OaksCA29$6,178.00$6,178.16$6,717.54$11,195
Mercy Hospital Of FolsomFolsomCA7$4,324.51$6,710.69$6,912.01
Montclair Hospital Medical CenterMontclairCA20$6,682.00$6,643.33$6,682.30$13,365
Encino HospitalEncinoCA26$6,192.00$6,192.84$6,673.76$11,221
Marian Medical CenterSanta MariaCA5$6,647.71$6,647.71$6,647.71
Northridge Medical Center - RoscoeNorthridgeCA6$6,591.49$6,591.49$7,909.79
Huntington Beach HospitalHuntington BeachCA15$6,505.00$6,505.09$6,576.92$11,787
Mission Hospital Reg Medical CenterMission ViejoCA20$6,540.23$6,540.23$14,927
Glendale Memorial Hospital & Hlth CtGlendaleCA3$6,529.23$6,529.23$7,835.08
Garden Grove Hospital Medical CenterGarden GroveCA18$6,329.00$6,329.19$6,360.84$11,536
St. Bernardine Medical CenterSan BernardinoCA8$5,388.77$6,339.73$12,362
Providence St Johns Health CenterSanta MonicaCA20$61.30$6,206.06$15,810
Mercy Medical Center MercedMercedCA7$6,186.84$6,186.84$6,186.84
St. Johns Regional Medical CenterOxnardCA6$6,044.59$6,044.59$6,044.59
Bakersfield Memorial HospitalBakersfieldCA7$5,844.53$5,844.53$7,948.56
St Elizabeth Community HosptialRed BluffCA6$5,828.69$5,828.69$5,828.69
St. Johns Pleasant Valley HospitalCamarilloCA7$5,538.12$5,538.12$13,003
San Antonio Regional HospitalUplandCA10$2,837.13$5,509.22$13,007
Sharp Chula Vista Medical CenterChula VistaCA9$45,662$34,247$2,885.87$28,767$41,096
Sharp Memorial HospitalSan DiegoCA3$45,662$34,247$6,849.36$22,375$34,247
Central Valley Specialty HospitalModestoCA11$20,789$20,789$31,315
Redwood Memorial HospitalFortunaCA2$12,131$12,365$12,600
Fountain Valley Reg Medical CenterFountain ValleyCA33$98.00$10,540$70,367
Placentia Linda Community HospitalPlacentiaCA33$98.00$10,540$70,367
Uci Medical CenterOrangeCA33$98.00$10,540$70,367
Scripps Mercy HospitalSan DiegoCA7$26,064$6,516.07$7,397.09$10,390$16,241
Corona Regional Medical CenterCoronaCA0
Southwest Healthcare SystemWildomarCA0
Palmdale Regional Medical CenterPalmdaleCA0
Inland Valley Reg L Medical CenterWildomarCA0

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.