▸ Compare · PriceTransparency
Simple pneumonia & pleurisy w/o CC/MCC
MS-DRG 195 · negotiated-rate distribution across hospitals in FL
Hospitals
4
Min
$6,028.87
Median
$22,531
Max
$22,531
Range multiplier
3.7×
By payer (24 payers with published rates)
| Payer | Hosp. | Rates | Min | Median | Max | Range× |
|---|---|---|---|---|---|---|
| Blue Cross Blue Shield | 1 | 8 | $2,105.00 | $11,438 | $17,596 | 8.4× |
| UnitedHealthcare | 1 | 3 | $3,747.17 | $15,566 | $17,296 | 4.6× |
| Aetna | 2 | 3 | $3,821.37 | $20,475 | $22,531 | 5.9× |
| prime health services | 1 | 2 | $29,291 | $31,544 | $33,797 | 1.2× |
| Humana | 2 | 2 | $3,821.37 | $12,951 | $22,081 | 5.8× |
| facility billing - op | 1 | 1 | $3,710.07 | $3,710.07 | $3,710.07 | 1.0× |
| healthspring mcr replacement | 1 | 1 | $3,784.27 | $3,784.27 | $3,784.27 | 1.0× |
| ilumed aco reach | 1 | 1 | $22,531 | $22,531 | $22,531 | 1.0× |
| Medicare | 1 | 1 | $3,710.07 | $3,710.07 | $3,710.07 | 1.0× |
| occunet | 1 | 1 | $8,347.66 | $8,347.66 | $8,347.66 | 1.0× |
| Oscar Health | 1 | 1 | $5,936.11 | $5,936.11 | $5,936.11 | 1.0× |
| palm beach aco reach | 1 | 1 | $21,855 | $21,855 | $21,855 | 1.0× |
| simply healthcare | 1 | 1 | $22,531 | $22,531 | $22,531 | 1.0× |
| smarthealth | 1 | 1 | $3,747.17 | $3,747.17 | $3,747.17 | 1.0× |
| sunshine state health plan | 1 | 1 | $22,531 | $22,531 | $22,531 | 1.0× |
| triwest | 1 | 1 | $3,710.07 | $3,710.07 | $3,710.07 | 1.0× |
| velocity provider ppo network | 1 | 1 | $27,037 | $27,037 | $27,037 | 1.0× |
| WellCare | 1 | 1 | $3,710.07 | $3,710.07 | $3,710.07 | 1.0× |
| aarp mcr hmo | 1 | 1 | $3,710.07 | $3,710.07 | $3,710.07 | 1.0× |
| wellmed | 1 | 1 | $22,531 | $22,531 | $22,531 | 1.0× |
| alignment health | 1 | 1 | $22,531 | $22,531 | $22,531 | 1.0× |
| Ambetter | 1 | 1 | $6,121.62 | $6,121.62 | $6,121.62 | 1.0× |
| blue mcr replacement | 1 | 1 | $3,710.07 | $3,710.07 | $3,710.07 | 1.0× |
| Cigna | 1 | 1 | $11,580 | $11,580 | $11,580 | 1.0× |
By hospital (top 200 by negotiated median, descending)
| Hospital | City | ST | Payers | Gross | Cash | Neg min | Neg median | Neg max |
|---|---|---|---|---|---|---|---|---|
| Emerald Coast Behavioral Hospital | Panama City | FL | 16 | — | — | $2,105.00 | $6,028.87 | $20,475 |
| Pam Specialty Hospital Of Sarasota | Sarasota | FL | 10 | — | — | $21,855 | $22,531 | $33,797 |
| Wellington Regl Medical Center | West Palm Beach | FL | 0 | — | — | — | — | — |
| Lakewood Ranch Medical Center | Bradenton | FL | 0 | — | — | — | — | — |
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.