▸ Compare · PriceTransparency
Simple pneumonia & pleurisy w/o CC/MCC
MS-DRG 195 · negotiated-rate distribution across hospitals in GA
Hospitals
15
Min
$4,674.71
Median
$9,897.45
Max
$13,751
Range multiplier
2.9×
By payer (50 payers with published rates)
| Payer | Hosp. | Rates | Min | Median | Max | Range× |
|---|---|---|---|---|---|---|
| healthpartners | 3 | 47 | $6,004.41 | $13,751 | $19,444 | 3.2× |
| Blue Cross Blue Shield | 11 | 42 | $21.00 | $10,326 | $19,155 | 912.1× |
| Aetna | 11 | 31 | $90.00 | $10,130 | $16,275 | 180.8× |
| UnitedHealthcare | 10 | 27 | $3,981.18 | $10,405 | $27,489 | 6.9× |
| Cigna | 11 | 27 | $85.00 | $10,414 | $17,807 | 209.5× |
| Humana | 11 | 20 | $3,160.32 | $10,416 | $16,139 | 5.1× |
| WellCare | 7 | 8 | $3,941.76 | $6,807.00 | $10,726 | 2.7× |
| Oscar Health | 7 | 7 | $6,306.82 | $8,639.48 | $13,526 | 2.1× |
| devoted health | 6 | 6 | $4,560.40 | $8,797.12 | $10,717 | 2.3× |
| Ambetter | 5 | 5 | $6,503.90 | $17,411 | $19,889 | 3.1× |
| Kaiser Permanente | 4 | 4 | $4,560.40 | $8,797.12 | $9,381.47 | 2.1× |
| optum | 4 | 4 | $4,560.40 | $8,797.12 | $9,381.47 | 2.1× |
| clover health | 4 | 4 | $4,788.42 | $9,236.98 | $9,850.54 | 2.1× |
| sonder health plans | 4 | 4 | $4,788.42 | $9,236.98 | $9,850.54 | 2.1× |
| va community care network | 4 | 4 | $4,560.40 | $8,797.12 | $9,381.47 | 2.1× |
| First Health | 2 | 3 | $95.00 | $4,674.71 | $7,300.00 | 76.8× |
| TRICARE | 2 | 3 | $3,761.78 | $3,761.78 | $5,052.56 | 1.3× |
| CareSource | 1 | 3 | $10,726 | $10,726 | $18,208 | 1.7× |
| sonder health plan | 1 | 2 | $10,935 | $10,935 | $10,935 | 1.0× |
| peach state | 1 | 2 | $5,997.85 | $8,362.14 | $10,726 | 1.8× |
| riverwood behavioral health | 1 | 2 | $10,405 | $10,409 | $10,414 | 1.0× |
| Health Net | 1 | 2 | $97.00 | $2,385.86 | $4,674.71 | 48.2× |
| occunet | 1 | 1 | $8,868.96 | $8,868.96 | $8,868.96 | 1.0× |
| pcc employee | 1 | 1 | $10,815 | $10,815 | $10,815 | 1.0× |
| prime health services | 1 | 1 | $5,888.90 | $5,888.90 | $5,888.90 | 1.0× |
| provider select | 1 | 1 | $6,010.32 | $6,010.32 | $6,010.32 | 1.0× |
| rural arizona network | 1 | 1 | $4,674.71 | $4,674.71 | $4,674.71 | 1.0× |
| smarthealth | 1 | 1 | $5,518.46 | $5,518.46 | $5,518.46 | 1.0× |
| ubh optum | 1 | 1 | $10,414 | $10,414 | $10,414 | 1.0× |
| united mine workers of america | 1 | 1 | $4,674.71 | $4,674.71 | $4,674.71 | 1.0× |
| three rivers | 1 | 1 | $5,888.90 | $5,888.90 | $5,888.90 | 1.0× |
| americas choice provider network | 1 | 1 | $5,888.90 | $5,888.90 | $5,888.90 | 1.0× |
| arizona medical network | 1 | 1 | $4,674.71 | $4,674.71 | $4,674.71 | 1.0× |
| banner health | 1 | 1 | $4,674.71 | $4,674.71 | $4,674.71 | 1.0× |
| blue mcr replacement | 1 | 1 | $3,941.76 | $3,941.76 | $3,941.76 | 1.0× |
| bridgeway health solutions | 1 | 1 | $4,674.71 | $4,674.71 | $4,674.71 | 1.0× |
| centurion | 1 | 1 | $15,607 | $15,607 | $15,607 | 1.0× |
| clear spring health plan | 1 | 1 | $10,405 | $10,405 | $10,405 | 1.0× |
| corvel | 1 | 1 | $5,767.48 | $5,767.48 | $5,767.48 | 1.0× |
| employer direct healthcare | 1 | 1 | $13,526 | $13,526 | $13,526 | 1.0× |
| facility billing - op | 1 | 1 | $3,941.76 | $3,941.76 | $3,941.76 | 1.0× |
| georgia workers’ compensation | 1 | 1 | $6,071.04 | $6,071.04 | $6,071.04 | 1.0× |
| health choice pathway | 1 | 1 | $4,674.71 | $4,674.71 | $4,674.71 | 1.0× |
| health management network | 1 | 1 | $4,674.71 | $4,674.71 | $4,674.71 | 1.0× |
| healthspring mcr replacement | 1 | 1 | $4,020.60 | $4,020.60 | $4,020.60 | 1.0× |
| imperial insurance | 1 | 1 | $4,908.45 | $4,908.45 | $4,908.45 | 1.0× |
| Medicare | 1 | 1 | $10,405 | $10,405 | $10,405 | 1.0× |
| Medicare Advantage | 1 | 1 | $3,941.76 | $3,941.76 | $3,941.76 | 1.0× |
| Multiplan | 1 | 1 | $5,888.90 | $5,888.90 | $5,888.90 | 1.0× |
| naphcare | 1 | 1 | $16,127 | $16,127 | $16,127 | 1.0× |
By hospital (top 200 by negotiated median, descending)
| Hospital | City | ST | Payers | Gross | Cash | Neg min | Neg median | Neg max |
|---|---|---|---|---|---|---|---|---|
| Emory University Hospital | Atlanta | GA | 14 | — | — | $6,423.19 | $9,897.45 | $19,889 |
| Emory University Hospital Midtown | Atlanta | GA | 14 | — | — | $6,423.19 | $9,897.45 | $19,889 |
| Emory Decatur | Decatur | GA | 14 | — | — | $6,423.19 | $8,672.51 | $17,411 |
| St. Josephs Of Atlanta | Atlanta | GA | 14 | — | — | $4,560.40 | $7,531.34 | $13,222 |
| St. Marys Sacred Heart Hospital | Lavonia | GA | 17 | — | — | $3,761.78 | $7,300.00 | $19,155 |
| West Central Ga Regional Hospital | Columbus | GA | 17 | — | — | $21.00 | $4,674.71 | $27,489 |
| Northeast Georgia Medical Center | Gainesville | GA | 6 | — | — | $6,004.41 | $13,751 | $19,444 |
| Ngmc Lumpkin Llc | Dahlonega | GA | 6 | — | — | $6,004.41 | $12,843 | $19,444 |
| Ngmc Barrow | Winder | GA | 6 | — | — | $6,004.41 | $12,843 | $18,811 |
| Emory Long Term Acute Care | Decatur | GA | 5 | — | — | $8,639.48 | $12,041 | $12,437 |
| Southern Regional Medical Center | Riverdale | GA | 28 | — | $10,404 | $3,160.32 | $10,305 | $18,208 |
| Memorial Hospital | Bainbridge | GA | 0 | — | — | — | — | — |
| Southwell Medical | Adel | GA | 0 | — | — | — | — | — |
| Union General Hospital | Blairsville | GA | 0 | — | — | — | — | — |
| Chatuge Regional Hospital | Hiwassee | GA | 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.