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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
$64.70
Median
$5,612.16
Max
$15,027
Range multiplier
232.3×

By payer (50 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
Blue Cross Blue Shield45142$40.60$6,741.02$17,319426.6×
UnitedHealthcare44110$72.20$6,717.96$16,883233.8×
Aetna4292$25.40$5,612.16$16,457647.9×
Humana2947$4,179.37$5,652.56$18,9574.5×
Cigna2543$57.30$7,667.70$13,827241.3×
Molina2828$4,304.75$6,074.16$10,5402.4×
Medicare1025$4,179.37$5,226.91$6,862.901.6×
Ambetter1717$6,641.13$10,540$12,0511.8×
WellCare1415$4,989.80$5,668.28$6,597.431.3×
health alliance plan610$4,940.40$5,984.72$11,0722.2×
meridian1010$4,940.40$5,614.16$6,597.431.3×
Multiplan89$75.00$90.00$12,671168.9×
hstechnology99$13,956$13,956$13,9561.0×
Oscar Health99$10,903$10,903$10,9031.0×
Medicare Advantage19$4,472.30$4,472.30$4,919.531.1×
healthlink99$73.40$9,144.68$11,884161.9×
smarthealth77$5,851.12$7,317.67$11,7712.0×
allied benefits [498]26$58.00$74.30$16,457283.7×
healthlink [225]26$48.50$65.00$75.501.6×
Bright Health66$5,224.21$6,533.64$6,533.641.3×
cox health systems insurance company [220]26$55.00$55.00$65.001.2×
First Health55$74.30$100.00$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$65.00$70.00$75.001.2×
phcs [244]24$75.00$77.50$80.001.1×
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$65.00$70.25$75.501.2×
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$80.00$80.00$8,352.77104.4×
phcs33$70.00$75.70$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$8,170.501.4×
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$57.70$67.85$78.001.4×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
Valley West Community HospitalSandwichIL9$12,831$8,981.52$25.40$87.50$17,319
Memorial Hospital EastShilohIL36$22,075$13,245$48.50$87.00$16,457
Alton Memorial HospitalAltonIL35$22,958$13,775$48.50$86.00$16,457
Osf Saint Luke Medical CenterKewaneeIL2——$80.00$84.95$89.90
University Of Chicago HospitalsChicagoIL16——$33.00$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——$57.10$7,585.37$14,239
Advocate Sherman HospitalElginIL9——$5,116.10$7,445.00$13,956
Osf Holy Family Med CtrMonmouthIL2——$68.00$73.40$73.90
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——$54.10$64.70$72.30
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——$90.00$5,822.14$10,514
Little Company Of MaryEvergreen ParkIL13——$90.00$5,822.14$10,514
Osf Saint Anthonys Health CenterAltonIL11——$70.00$5,791.03$24,268
Ottawa Regional Hospital & HealthcarOttawaIL12——$57.30$5,738.41$10,686
Carle Bromenn Medical CenterNormalIL10——$5,616.15$5,616.15$12,671
Osf Sacred Heart Medical CenterDanvilleIL10——$64.00$5,612.16$10,855
Osf Heart Of Mary Medical CenterUrbanaIL10——$64.00$5,612.16$10,855
Saint Anthony Medical CenterRockfordIL17——$56.30$5,550.22$11,278
Methodist Medical Ctr Of IllinoisPeoriaIL11——$4,863.31$5,501.27$9,737.99
St. Joseph Medical CenterBloomingtonIL13——$40.60$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——$70.00$4,989.80$11,072
Mendota Community HospitalMendotaIL2——$4,095.93$4,877.47$5,659.01
Swedishamerican HospitalRockfordIL12$28,048$4,487.63$4,472.30$4,472.30$12,641
St. Alexius Medical CenterHoffman EstatesIL12——$1,920.00$4,293.90$6,887.25
Alexian Brothers Medical CenterElk Grove VillageIL12——$1,920.00$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——$1,920.00$1,920.00$1,920.00
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.