▸ Compare · PriceTransparency
Simple pneumonia & pleurisy w/o CC/MCC
MS-DRG 195 · negotiated-rate distribution across hospitals in IA
Hospitals
21
Min
$71.25
Median
$5,326.19
Max
$12,498
Range multiplier
175.4×
By payer (50 payers with published rates)
| Payer | Hosp. | Rates | Min | Median | Max | Range× |
|---|---|---|---|---|---|---|
| UnitedHealthcare | 19 | 47 | $71.39 | $6,840.98 | $15,228 | 213.3× |
| Aetna | 15 | 31 | $69.22 | $6,318.54 | $13,073 | 188.9× |
| Blue Cross Blue Shield | 17 | 29 | $57.00 | $4,681.64 | $14,094 | 247.3× |
| amerigroup | 16 | 19 | $3,586.32 | $4,863.31 | $15,533 | 4.3× |
| Humana | 17 | 19 | $71.25 | $4,819.33 | $6,904.71 | 96.9× |
| medica | 3 | 15 | $91.00 | $96.00 | $14,722 | 161.8× |
| medica exchange insure | 14 | 14 | $9,737.99 | $9,737.99 | $9,737.99 | 1.0× |
| medica exchange inspire | 13 | 13 | $8,739.22 | $8,739.22 | $8,739.22 | 1.0× |
| Molina | 12 | 13 | $69.22 | $5,093.72 | $12,023 | 173.7× |
| iowa total care | 12 | 12 | $3,993.34 | $4,768.43 | $4,999.95 | 1.3× |
| health partners open network | 10 | 10 | $5,604.30 | $6,039.88 | $7,251.34 | 1.3× |
| amerivantage | 10 | 10 | $71.25 | $4,812.70 | $6,092.71 | 85.5× |
| midlands choice | 3 | 6 | $96.00 | $96.00 | $11,755 | 122.4× |
| millard public schools | 3 | 6 | $96.00 | $96.00 | $11,164 | 116.3× |
| one world | 3 | 6 | $96.00 | $96.00 | $11,164 | 116.3× |
| greater omaha packing | 3 | 6 | $96.00 | $96.00 | $11,164 | 116.3× |
| Centene | 3 | 5 | $3,524.00 | $4,038.00 | $15,533 | 4.4× |
| bc illinois community | 2 | 4 | $3,451.83 | $3,889.22 | $4,326.61 | 1.3× |
| common ground | 1 | 3 | $11,455 | $11,455 | $11,455 | 1.0× |
| amps | 3 | 3 | $7,599.00 | $8,708.00 | $11,340 | 1.5× |
| great plains | 3 | 3 | $3,627.00 | $4,156.00 | $5,412.48 | 1.5× |
| iamolina | 3 | 3 | $3,656.64 | $8,391.76 | $15,837 | 4.3× |
| Multiplan | 3 | 3 | $85.00 | $98.00 | $98.00 | 1.2× |
| pace | 3 | 3 | $3,454.00 | $3,958.00 | $5,154.74 | 1.5× |
| phcs | 3 | 3 | $71.00 | $98.00 | $98.00 | 1.4× |
| quiktrip | 3 | 3 | $60.00 | $96.00 | $96.00 | 1.6× |
| timpte | 3 | 3 | $96.00 | $96.00 | $11,164 | 116.3× |
| wisconsin physician service | 1 | 3 | $12,498 | $13,155 | $13,155 | 1.1× |
| Anthem BCBS | 1 | 2 | $11,471 | $13,287 | $15,104 | 1.3× |
| health alliance | 2 | 2 | $4,623.58 | $5,665.51 | $6,707.43 | 1.5× |
| Cigna | 2 | 2 | $12,549 | $13,124 | $13,699 | 1.1× |
| coordinated care | 1 | 2 | $9,292.70 | $10,019 | $10,745 | 1.2× |
| healthpartners | 1 | 2 | $10,240 | $10,983 | $11,727 | 1.1× |
| providence health plan | 1 | 2 | $6,040.26 | $8,679.43 | $11,319 | 1.9× |
| meridian health plan | 2 | 2 | $4,759.57 | $5,832.14 | $6,904.71 | 1.5× |
| Ambetter | 2 | 2 | $5,892.80 | $7,220.74 | $8,548.68 | 1.5× |
| todays options | 1 | 1 | $5,257.84 | $5,257.84 | $5,257.84 | 1.0× |
| total care | 1 | 1 | $8,230.38 | $8,230.38 | $8,230.38 | 1.0× |
| quartz group | 1 | 1 | $13,407 | $13,407 | $13,407 | 1.0× |
| quartz health | 1 | 1 | $4,577.21 | $4,577.21 | $4,577.21 | 1.0× |
| quartz one | 1 | 1 | $11,458 | $11,458 | $11,458 | 1.0× |
| first choice | 1 | 1 | $12,697 | $12,697 | $12,697 | 1.0× |
| health payment systems | 1 | 1 | $11,520 | $11,520 | $11,520 | 1.0× |
| hs technology | 1 | 1 | $12,791 | $12,791 | $12,791 | 1.0× |
| everpointe elite | 1 | 1 | $10,793 | $10,793 | $10,793 | 1.0× |
| creighton university employees | 1 | 1 | $10,567 | $10,567 | $10,567 | 1.0× |
| trilogy | 1 | 1 | $12,748 | $12,748 | $12,748 | 1.0× |
| Kaiser Permanente | 1 | 1 | $5,807.94 | $5,807.94 | $5,807.94 | 1.0× |
| community health plan of washington | 1 | 1 | $6,388.73 | $6,388.73 | $6,388.73 | 1.0× |
| community health plan | 1 | 1 | $9,292.70 | $9,292.70 | $9,292.70 | 1.0× |
By hospital (top 200 by negotiated median, descending)
| Hospital | City | ST | Payers | Gross | Cash | Neg min | Neg median | Neg max |
|---|---|---|---|---|---|---|---|---|
| Chi Health Mercy Council Bluffs | Council Bluffs | IA | 20 | — | — | $60.00 | $9,708.00 | $14,722 |
| Chi Health Mercy Corning | Corning | IA | 18 | — | — | $60.00 | $97.00 | $15,837 |
| Chi Health - Missouri Valley | Missouri Valley | IA | 19 | — | — | $57.00 | $96.00 | $8,391.76 |
| Jones Regional Medical Ctr | Anamosa | IA | 2 | — | — | $8,739.22 | $9,238.61 | $9,737.99 |
| Avera Holy Family Health | Estherville | IA | 13 | — | — | $75.00 | $9,184.43 | $14,633 |
| Iowa Lutheran Hospital | Des Moines | IA | 8 | — | — | $69.22 | $71.25 | $9,737.99 |
| Ottumwa Regional Health Center | Ottumwa | IA | 1 | $34,204 | $13,682 | $5,587.37 | $7,088.78 | $8,590.18 |
| Trinity Muscatine | Muscatine | IA | 12 | — | — | $3,451.83 | $6,904.71 | $9,737.99 |
| Unitypoint Health-Marshalltown | Marshalltown | IA | 10 | — | — | $4,518.14 | $6,005.67 | $9,737.99 |
| Iowa Methodist Medical Center | Des Moines | IA | 11 | — | — | $4,863.31 | $5,501.27 | $9,737.99 |
| Trinity Regional Medical Center | Fort Dodge | IA | 8 | — | — | $4,801.75 | $5,476.02 | $9,737.99 |
| Trinity Bettendorf | Bettendorf | IA | 12 | — | — | $4,623.58 | $5,326.19 | $9,737.99 |
| Grundy County Mem. Hospital | Grundy Center | IA | 11 | — | — | $4,439.57 | $5,253.52 | $9,737.99 |
| Allen Memorial Hospital | Waterloo | IA | 11 | — | — | $4,439.57 | $5,253.52 | $9,737.99 |
| The Finley Hospital | Dubuque | IA | 15 | — | — | $3,451.83 | $4,866.15 | $9,737.99 |
| St. Lukes Methodist Hospital | Cedar Rapids | IA | 11 | — | — | $4,485.25 | $4,828.51 | $9,737.99 |
| Grinnell Regional Medical Center | Grinnell | IA | 11 | — | — | $4,206.14 | $4,329.85 | $9,737.99 |
| Community Mem. Hospt. Summer | Sumner | IA | 11 | — | — | $4,206.14 | $4,329.85 | $9,737.99 |
| St. Lukes Regl Medical Center | Sioux City | IA | 11 | — | — | $4,206.14 | $4,329.85 | $9,737.99 |
| Washington County Hospital | Washington | IA | 16 | — | — | $9,364.16 | $12,498 | $15,104 |
| Mercy Hospital Iowa City | Iowa City | IA | 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.