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Simple pneumonia & pleurisy w/o CC/MCC

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

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Hospitals
3
Min
$3,888.27
Median
$8,552.63
Max
$22,306
Range multiplier
5.7×

By payer (20 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
Blue Cross Blue Shield25$2,635.2$3,888.27$20,5777.8×
prime health services12$28,998$31,228$33,4591.2×
Anthem BCBS12$8,376.79$8,597.23$8,817.671.1×
Centene11$22,306$22,306$22,3061.0×
geisinger11$22,752$22,752$22,7521.0×
Humana11$4,285.05$4,285.05$4,285.051.0×
presbyterian of nm: mcd11$2,503.43$2,503.43$2,503.431.0×
presbyterian of nm: mcr ppo11$3,058.37$3,058.37$3,058.371.0×
presbyterian of nm: php salud plan11$2,771.33$2,771.33$2,771.331.0×
prime health services work comp11$4,142.7$4,142.7$4,142.71.0×
provider partners health plan11$22,306$22,306$22,3061.0×
rocky mountain health plan: mcr adv11$4,285.05$4,285.05$4,285.051.0×
southwest health alliance11$8,585$8,585$8,5851.0×
umr11$8,552.63$8,552.63$8,552.631.0×
UnitedHealthcare11$8,552.63$8,552.63$8,552.631.0×
velocity provider ppo network11$26,767$26,767$26,7671.0×
Aetna11$22,306$22,306$22,3061.0×
vibra health plan11$22,306$22,306$22,3061.0×
albright care services11$22,306$22,306$22,3061.0×
amerihealth caritas pennsylvania11$22,306$22,306$22,3061.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
EAST MORGAN COUNTY HOSPITALBRUSHCO3$8,376.79$8,552.63$8,817.67
ANIMAS SURGICAL HOSPITALDURANGOCO8$8,585$2,503.43$3,888.27$8,585
PAM SPECIALTY HOSPITAL OF DENVERDENVERCO10$20,577$22,306$33,459

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.