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Simple pneumonia & pleurisy w/o CC/MCC

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

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Hospitals
59
Min
$64.7
Median
$5,612.16
Max
$15,027
Range multiplier
232.3×

By payer (50 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
Blue Cross Blue Shield45142$40.6$6,741.02$17,319426.6×
UnitedHealthcare44110$72.2$6,717.96$16,883233.8×
Aetna4292$25.4$5,612.16$16,457647.9×
Humana2947$4,179.37$5,652.56$18,9574.5×
Cigna2543$57.3$7,667.7$13,827241.3×
Molina2828$4,304.75$6,074.16$10,5402.4×
Medicare1025$4,179.37$5,226.91$6,862.91.6×
Ambetter1717$6,641.13$10,540$12,0511.8×
WellCare1415$4,989.8$5,668.28$6,597.431.3×
health alliance plan610$4,940.4$5,984.72$11,0722.2×
meridian1010$4,940.4$5,614.16$6,597.431.3×
Multiplan89$75$90$12,671168.9×
hstechnology99$13,956$13,956$13,9561.0×
Oscar Health99$10,903$10,903$10,9031.0×
Medicare Advantage19$4,472.3$4,472.3$4,919.531.1×
healthlink99$73.4$9,144.68$11,884161.9×
smarthealth77$5,851.12$7,317.67$11,7712.0×
allied benefits [498]26$58$74.3$16,457283.7×
healthlink [225]26$48.5$65$75.51.6×
Bright Health66$5,224.21$6,533.64$6,533.641.3×
cox health systems insurance company [220]26$55$55$651.2×
First Health55$74.3$100$8,310.99111.9×
caterpillar55$8,609.82$8,644.39$10,6861.2×
consociate [478]24$7,394.08$7,948.95$8,503.821.2×
med-pay [480]24$65$70$751.2×
phcs [244]24$75$77.5$801.1×
Anthem BCBS14$10,022$14,430$21,7882.2×
iowa total care44$3,869.79$4,439.57$4,863.311.3×
health partners open network44$5,779.28$6,694.65$6,949.331.2×
unicare [568]24$65$70.25$75.51.2×
TRICARE44$5,226.91$5,226.91$5,226.911.0×
amerivantage44$5,243.53$5,303.76$5,501.271.0×
medica exchange insure44$9,737.99$9,737.99$9,737.991.0×
medica exchange inspire44$8,739.22$8,739.22$8,739.221.0×
community partners health plan (cphp)33$8,406.19$8,406.19$10,5931.3×
amerigroup33$4,439.57$4,439.57$4,863.311.1×
osfdan33$80$80$8,352.77104.4×
phcs33$70$75.7$4,713.7567.3×
zing33$5,741.61$6,742.63$8,310.991.4×
meridian health plan23$5,144.12$5,144.12$5,363.991.0×
oscar33$5,970.75$7,253.52$8,170.51.4×
community partners health plans22$8,978.12$8,978.12$8,978.121.0×
apwu health plan [216]22$10,671$10,671$10,6711.0×
clear spring22$5,652.56$5,652.56$5,652.561.0×
illinicare health plan22$6,783.07$6,783.07$6,783.071.0×
imagine health22$5,970.75$5,970.75$5,970.751.0×
mail handlers [495]22$16,457$16,457$16,4571.0×
medica22$5,392.53$14,830$24,2684.5×
health alliance [224]22$6,857.03$6,857.03$6,857.031.0×
hfn12$57.7$67.85$781.4×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
VALLEY WEST COMMUNITY HOSPITALSANDWICHIL9$12,831$8,981.52$25.4$87.5$17,319
MEMORIAL HOSPITAL EASTSHILOHIL36$22,075$13,245$48.5$87$16,457
ALTON MEMORIAL HOSPITALALTONIL35$22,958$13,775$48.5$86$16,457
OSF SAINT LUKE MEDICAL CENTERKEWANEEIL2$80$84.95$89.9
UNIVERSITY OF CHICAGO HOSPITALSCHICAGOIL16$33$8,310.99$13,014
CONDELL MEDICAL CENTERLIBERTYVILLEIL8$6,216.41$8,200.96$13,956
CARLE EUREKA HOSPITALEUREKAIL7$6,474.57$8,049.52$12,671
SAINT FRANCIS MEDICAL CENTERPEORIAIL12$57.1$7,585.37$14,239
ADVOCATE SHERMAN HOSPITALELGINIL9$5,116.1$7,445$13,956
OSF HOLY FAMILY MED CTRMONMOUTHIL2$68$73.4$73.9
HARDIN COUNTY GENERAL HOSPITALROSICLAREIL9$3,211.01$7,117.76$10,716
INGALLS MEMORIAL HOSPITALHARVEYIL11$4,376.25$6,742.63$8,736.15
CARLE FOUNDATION HOSPITALURBANAIL9$6,597.43$6,597.43$13,827
OSF SAINT CLARE MEDICAL CENTERPRINCETONIL2$54.1$64.7$72.3
VISTA MEDICAL CENTER - EASTWAUKEGANIL6$36,271$36,271$2,465.44$6,395.23$9,608.06
RED BUD REGIONAL HOSPITALRED BUDIL2$5,813.63$6,116.25$6,418.87
ST. MARY MEDICAL CENTERGALESBURGIL13$90$5,822.14$10,514
LITTLE COMPANY OF MARYEVERGREEN PARKIL13$90$5,822.14$10,514
OSF SAINT ANTHONYS HEALTH CENTERALTONIL11$70$5,791.03$24,268
OTTAWA REGIONAL HOSPITAL & HEALTHCAROTTAWAIL12$57.3$5,738.41$10,686
CARLE BROMENN MEDICAL CENTERNORMALIL10$5,616.15$5,616.15$12,671
OSF SACRED HEART MEDICAL CENTERDANVILLEIL10$64$5,612.16$10,855
OSF HEART OF MARY MEDICAL CENTERURBANAIL10$64$5,612.16$10,855
SAINT ANTHONY MEDICAL CENTERROCKFORDIL17$56.3$5,550.22$11,278
METHODIST MEDICAL CTR OF ILLINOISPEORIAIL11$4,863.31$5,501.27$9,737.99
ST. JOSEPH MEDICAL CENTERBLOOMINGTONIL13$40.6$5,500.38$10,215
PRESENCE ST. MARYS HOSPITALKANKAKEEIL9$5,226.91$5,488.26$8,467.59
PRESENCE SAINT JOSEPH HOSP-CHICAGOCHICAGOIL9$5,226.91$5,488.26$8,467.59
PRESENCE SAINT JOSEPH HOSPITAL ELGINELGINIL9$5,226.91$5,488.26$8,467.59
PRESENCE SAINT FRANCIS HOSPITALEVANSTONIL9$5,226.91$5,488.26$8,467.59
TRINITY ROCK ISLANDROCK ISLANDIL14$3,451.83$5,363.99$9,737.99
PROCTOR HOSPITALPEORIAIL11$4,439.57$5,253.52$9,737.99
PEKIN MEMORIAL HOSPITALPEKINIL11$4,439.57$5,253.52$9,737.99
HEARTLAND REGIONAL MEDICAL CENTERMARIONIL16$4,886.91$5,221.28$14,661
SAINT JAMES HOSPITALPONTIACIL10$70$4,989.8$11,072
MENDOTA COMMUNITY HOSPITALMENDOTAIL2$4,095.93$4,877.47$5,659.01
SWEDISHAMERICAN HOSPITALROCKFORDIL12$28,048$4,487.63$4,472.3$4,472.3$12,641
ST. ALEXIUS MEDICAL CENTERHOFFMAN ESTATESIL12$1,920$4,293.9$6,887.25
ALEXIAN BROTHERS MEDICAL CENTERELK GROVE VILLAGEIL12$1,920$4,221.16$6,770.58
RICHLAND MEMORIAL HOSPITALOLNEYIL1$3,553.21$3,553.21$3,553.21
HOOPESTON COMMUNITY MEMORIAL HOSPITAHOOPSETONIL1$3,553.21$3,553.21$3,553.21
ALEXIAN BROTHERS BEHAVIORAL HEALTHHOFFMAN ESTATESIL1$1,920$1,920$1,920
PRESENCE SAINTS MARY & ELIZABETH MEDCHICAGOIL15$4,716.75$15,027$21,788
SOUTH SUBURBAN HOSPITALHAZELCRESTIL4$10,540$10,721$13,956
ADVOCATE CHRIST HOSPITALOAK LAWNIL8$6,838.49$10,540$13,956
ADVOCATE LUTHERAN GENERAL HOSPITALPARK RIDGEIL8$6,838.49$10,540$13,956
ADVOCATE GOOD SAMARITAN HOSPITALDOWNERS GROVEIL8$6,838.49$10,540$13,956
GOOD SHEPHERD HOSPITALBARRINGTONIL8$6,123.01$10,540$13,956
ADVOCATE SOUTHLAND HOSPITALCHICAGOIL8$6,838.49$10,540$13,956
ADVOCATE NORTHSIDE HEALTH SYSTEMCHICAGOIL8$6,838.49$10,160$13,956
BOARD OF TRUSTEES OF THE UNIVERSITYCHICAGOIL0$22,948$16,063
ANDERSON HOSPITALMARYVILLEIL0
DECATUR MEMORIAL HOSPITALDECATURIL0
THOREK MEMORIAL HOSPITALCHICAGOIL0
ST. BERNARD HOSPITALCHICAGOIL0
JACKSONVILLE MEMORIAL HOSPITALJACKSONVILLEIL0
JACKSONVILLE MEMORIAL HOSPITALJACKSONVILLEIL0
COMMUNITY HOSPITAL OF STAUNTONSTAUNTONIL0
MEMORIAL MEDICAL CENTERSPRINGFIELDIL0

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.