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Simple pneumonia & pleurisy w/o CC/MCC

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

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Hospitals
7
Min
$4,248.81
Median
$11,576
Max
$20,983
Range multiplier
4.9×

By payer (44 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
UnitedHealthcare314$934.82$4,291.73$22,15023.7×
Aetna410$60.20$4,291.73$20,983348.6×
Humana38$4,077.14$4,291.73$25,6656.3×
Medicare26$4,248.81$4,248.81$4,439.001.0×
WellCare25$934.82$4,291.73$20,98322.4×
Blue Cross Blue Shield35$1,275.15$6,626.28$20,98316.5×
veterans evaluation serv14$934.82$2,613.28$4,291.734.6×
va ccn optum14$934.82$2,613.28$4,291.734.6×
First Health24$3,959.55$3,959.55$10,2792.6×
CHAMPVA14$934.82$2,613.28$4,291.734.6×
mmc allwell13$934.82$4,248.81$4,291.734.6×
first choice health13$3,959.55$3,959.55$3,959.551.0×
philadelphia american lif13$934.82$4,291.73$4,291.734.6×
mmc healthy blue dual adv13$934.82$4,291.73$4,291.734.6×
mmc mcr hmo miscellaneous13$4,291.73$4,291.73$4,291.731.0×
neba inc13$934.82$4,291.73$4,291.734.6×
mutual of omaha13$934.82$4,291.73$4,291.734.6×
mmc blue advantage13$934.82$4,291.73$4,291.734.6×
wps vacca12$934.82$2,613.28$4,291.734.6×
all savers12$4,215.98$4,215.98$4,215.981.0×
bankers life12$4,291.73$4,291.73$4,291.731.0×
Cigna12$4,291.73$4,291.73$4,291.731.0×
GEHA12$4,215.98$4,215.98$4,215.981.0×
gulf south zelis12$4,291.73$4,291.73$4,291.731.0×
mcr lagniappe12$4,291.73$4,291.73$4,291.731.0×
medeico ins co12$4,291.73$4,291.73$4,291.731.0×
mmc dignity care corp12$934.82$2,613.28$4,291.734.6×
mmc vantage hlth12$934.82$2,613.28$4,291.734.6×
sentinel security life12$4,248.81$4,248.81$4,248.811.0×
smarthealth12$8,205.19$8,205.19$8,205.191.0×
trustmark health benefits12$4,248.81$4,248.81$4,248.811.0×
umr12$4,215.98$4,215.98$4,215.981.0×
premier health11$20,983$20,983$20,9831.0×
velocity provider ppo network11$25,179$25,179$25,1791.0×
Health Net11$20,983$20,983$20,9831.0×
amer contl ins11$3,959.55$3,959.55$3,959.551.0×
tunica biloxi11$4,291.73$4,291.73$4,291.731.0×
Ambetter11$20,983$20,983$20,9831.0×
medica11$10,731$10,731$10,7311.0×
healthchoice of ok11$7,234.00$7,234.00$7,234.001.0×
Multiplan11$80.00$80.00$80.001.0×
mmc priority hlth pffs11$4,291.73$4,291.73$4,291.731.0×
peoples health11$19,934$19,934$19,9341.0×
meritan health11$3,959.55$3,959.55$3,959.551.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
Thibodaux Regional Health SystemThibodauxLA6$60.20$6,626.28$10,279
Avoyelles HospitalMarksvilleLA34$934.82$4,248.81$4,291.73
Pam Specialty Hospital Of ShreveportShreveportLA9$19,934$20,983$25,179
Bethesda Rehabilitation HospitalBaton RougeLA7$1,275.15$11,576$25,665
Caldwell Memorial HospitalColumbiaLA0
Ochsner Lsu Health ShreveportShreveportLA0$24,679$6,910.25
Ochsner Extended Care HospitalJeffersonLA0

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.