▸ Compare · PriceTransparency
Simple pneumonia & pleurisy w/o CC/MCC
MS-DRG 195 · negotiated-rate distribution across hospitals in KY
Hospitals
13
Min
$4,749.66
Median
$5,575.57
Max
$8,597.23
Range multiplier
1.8×
By payer (27 payers with published rates)
| Payer | Hosp. | Rates | Min | Median | Max | Range× |
|---|---|---|---|---|---|---|
| Anthem BCBS | 11 | 33 | $4,164.9 | $8,376.79 | $8,817.67 | 2.1× |
| UnitedHealthcare | 10 | 18 | $3,567.45 | $5,428.19 | $8,552.63 | 2.4× |
| Aetna | 8 | 17 | $3,935.52 | $5,428.19 | $8,452 | 2.1× |
| WellCare | 8 | 15 | $3,581.81 | $5,428.19 | $7,836.94 | 2.2× |
| Humana | 7 | 14 | $4,164.9 | $5,341.91 | $5,575.57 | 1.3× |
| optum ccn region 2 | 6 | 6 | $5,428.19 | $5,428.19 | $5,575.57 | 1.0× |
| Molina | 6 | 6 | $4,248.2 | $4,248.2 | $5,536.75 | 1.3× |
| optum ccn region 1 | 6 | 6 | $5,428.19 | $5,428.19 | $5,575.57 | 1.0× |
| Blue Cross Blue Shield | 1 | 4 | $4,560.65 | $6,559.52 | $7,324.82 | 1.6× |
| caresoure kentucky | 4 | 4 | $9,119.36 | $9,119.36 | $9,366.95 | 1.0× |
| umr | 2 | 2 | $8,552.63 | $8,552.63 | $8,552.63 | 1.0× |
| amerihealth | 1 | 2 | $3,917.41 | $5,144 | $6,370.59 | 1.6× |
| the health plan | 1 | 2 | $4,373.15 | $4,900.67 | $5,428.19 | 1.2× |
| trillium | 1 | 1 | $6,561.71 | $6,561.71 | $6,561.71 | 1.0× |
| alliance coal | 1 | 1 | $7,124.49 | $7,124.49 | $7,124.49 | 1.0× |
| va community care network | 1 | 1 | $4,749.66 | $4,749.66 | $4,749.66 | 1.0× |
| vaya | 1 | 1 | $6,434.3 | $6,434.3 | $6,434.3 | 1.0× |
| amerigroup | 1 | 1 | $4,749.66 | $4,749.66 | $4,749.66 | 1.0× |
| alliance | 1 | 1 | $6,498 | $6,498 | $6,498 | 1.0× |
| Ambetter | 1 | 1 | $4,485.31 | $4,485.31 | $4,485.31 | 1.0× |
| beacon health | 1 | 1 | $4,142.65 | $4,142.65 | $4,142.65 | 1.0× |
| CareSource | 1 | 1 | $6,412.04 | $6,412.04 | $6,412.04 | 1.0× |
| carolina complete | 1 | 1 | $6,370.59 | $6,370.59 | $6,370.59 | 1.0× |
| christian county health dept-cchd | 1 | 1 | $4,142.65 | $4,142.65 | $4,142.65 | 1.0× |
| Cigna | 1 | 1 | $4,749.66 | $4,749.66 | $4,749.66 | 1.0× |
| healthy blue | 1 | 1 | $6,370.59 | $6,370.59 | $6,370.59 | 1.0× |
| partners | 1 | 1 | $6,370.59 | $6,370.59 | $6,370.59 | 1.0× |
By hospital (top 200 by negotiated median, descending)
| Hospital | City | ST | Payers | Gross | Cash | Neg min | Neg median | Neg max |
|---|---|---|---|---|---|---|---|---|
| OUR LADY OF THE WAY | MARTIN | KY | 1 | — | — | $8,376.79 | $8,597.23 | $8,817.67 |
| BARBOURVILLE ARH HOSPITAL | BARBOURVILLE | KY | 1 | — | — | $8,376.79 | $8,597.23 | $8,817.67 |
| MCDOWELL ARH | MCDOWELL | KY | 3 | — | — | $8,376.79 | $8,552.63 | $8,817.67 |
| MORGAN CO. ARH | WEST LIBERTY | KY | 3 | — | — | $8,376.79 | $8,552.63 | $8,817.67 |
| BAPTIST HEALTH LEXINGTON | LEXINGTON | KY | 12 | — | — | $3,567.45 | $6,402.45 | $8,452 |
| HAZARD ARH | HAZARD | KY | 9 | — | — | $4,992.85 | $5,575.57 | $9,366.95 |
| TUG VALLEY ARH | SOUTH WILLIAMSON | KY | 10 | — | — | $3,956.66 | $5,428.19 | $9,119.36 |
| HIGHLANDS REGIONAL MEDICAL CENTER | PRESTONSBURG | KY | 8 | — | — | $3,956.66 | $5,428.19 | $7,886.51 |
| HARLAN ARH | HARLAN | KY | 9 | — | — | $3,956.66 | $5,428.19 | $9,119.36 |
| WHITESBURG ARH | WHITESBURG | KY | 9 | — | — | $3,581.81 | $5,428.19 | $9,119.36 |
| PAINTSVILLE ARH HOSPITAL | PAINTSVILLE | KY | 8 | — | — | $4,885.37 | $5,428.19 | $8,817.67 |
| JENNIE STUART MEDICAL CENTER | HOPKINSVILLE | KY | 12 | — | — | $3,935.52 | $4,749.66 | $7,836.94 |
| SPRING VIEW HOSPITAL | LEBANON | KY | 0 | $18,774 | $7,509.51 | — | — | — |
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.