▸ Compare · PriceTransparency
Simple pneumonia & pleurisy w/o CC/MCC
MS-DRG 195 · negotiated-rate distribution across hospitals in MA
Hospitals
16
Min
$6,008.16
Median
$6,207.12
Max
$12,259
Range multiplier
2.0×
By payer (50 payers with published rates)
| Payer | Hosp. | Rates | Min | Median | Max | Range× |
|---|---|---|---|---|---|---|
| Blue Cross Blue Shield | 8 | 29 | $5,520.24 | $7,983.05 | $15,918 | 2.9× |
| UnitedHealthcare | 8 | 25 | $5,736.40 | $6,901.54 | $16,844 | 2.9× |
| Cigna | 6 | 13 | $2,759.00 | $6,206.50 | $15,510 | 5.6× |
| Aetna | 5 | 11 | $3,709.00 | $6,464.20 | $20,206 | 5.4× |
| institution [10406] | 4 | 7 | $758.07 | $6,034.51 | $8,239.10 | 10.9× |
| tufts [11201] | 4 | 6 | $2,759.00 | $6,958.00 | $7,654.00 | 2.8× |
| correctional care [11003] | 3 | 6 | $5,883.68 | $7,172.41 | $8,844.14 | 1.5× |
| senior whole health [10110] | 4 | 4 | $6,295.54 | $6,744.44 | $6,901.54 | 1.1× |
| amerihealth | 2 | 4 | $5,131.67 | $9,595.79 | $16,601 | 3.2× |
| fallon connectorcare [10503] | 4 | 4 | $4,921.00 | $9,290.10 | $13,659 | 2.8× |
| fallon mcaid carelon hlth [29] | 4 | 4 | $1,252.97 | $1,939.47 | $2,064.74 | 1.6× |
| hsno/free care [10801] | 4 | 4 | $6,034.51 | $7,197.74 | $8,239.10 | 1.4× |
| mgb mcr [10124] | 4 | 4 | $6,156.38 | $6,475.20 | $6,772.54 | 1.1× |
| tufts connectorcare [10507] | 4 | 4 | $6,034.51 | $8,239.10 | $8,575.84 | 1.4× |
| wellpoint [11112] | 4 | 4 | $6,011.00 | $6,905.35 | $7,799.69 | 1.3× |
| tufts dual [10111] | 3 | 3 | $6,034.51 | $8,239.10 | $8,239.10 | 1.4× |
| Humana | 3 | 3 | $5,736.40 | $6,088.89 | $6,484.90 | 1.1× |
| commonwealth care mcr [10115] | 3 | 3 | $6,177.86 | $6,772.54 | $6,772.54 | 1.1× |
| fallon mcr [10105] | 3 | 3 | $6,464.20 | $6,772.54 | $6,772.54 | 1.0× |
| medical mutual | 1 | 3 | $5,736.40 | $10,566 | $12,980 | 2.3× |
| Medicare | 3 | 3 | $6,034.51 | $8,239.10 | $8,239.10 | 1.4× |
| fallon mcr supp [20202] | 2 | 2 | $6,177.86 | $6,321.03 | $6,464.20 | 1.0× |
| Medicaid | 2 | 2 | $2,023.88 | $2,023.88 | $2,023.88 | 1.0× |
| wellpoint | 1 | 2 | $1,885.00 | $4,184.95 | $6,484.90 | 3.4× |
| tufts mcr [10112] | 2 | 2 | $6,177.86 | $6,321.03 | $6,464.20 | 1.0× |
| tufts mcr supp [20209] | 2 | 2 | $6,772.54 | $6,772.54 | $6,772.54 | 1.0× |
| harvard pilgrim mcr supp [20203] | 2 | 2 | $6,772.54 | $6,772.54 | $6,772.54 | 1.0× |
| WellCare | 2 | 2 | $6,008.16 | $9,456.56 | $12,905 | 2.1× |
| Molina | 1 | 2 | $6,023.22 | $9,280.06 | $12,537 | 2.1× |
| eternalhealth mcr replace [10116] | 2 | 2 | $6,772.54 | $6,772.54 | $6,772.54 | 1.0× |
| hne [11108] | 2 | 2 | $3,685.00 | $3,685.00 | $3,685.00 | 1.0× |
| fallon carelon hlth [28] | 2 | 2 | $1,252.60 | $1,637.86 | $2,023.12 | 1.6× |
| pennsylvania health and wellness | 1 | 2 | $6,207.12 | $6,344.74 | $6,482.35 | 1.0× |
| qualcare inc | 1 | 2 | $6,640.00 | $6,803.00 | $6,966.00 | 1.0× |
| buckeye health plan | 1 | 2 | $5,736.40 | $7,744.14 | $9,751.88 | 1.7× |
| geisinger | 1 | 2 | $6,148.00 | $6,845.00 | $7,542.00 | 1.2× |
| CareSource | 1 | 2 | $5,736.40 | $7,301.01 | $8,865.61 | 1.5× |
| Ambetter | 1 | 1 | $5,339.65 | $5,339.65 | $5,339.65 | 1.0× |
| alliance | 1 | 1 | $6,067.65 | $6,067.65 | $6,067.65 | 1.0× |
| upmc health plan | 1 | 1 | $6,207.12 | $6,207.12 | $6,207.12 | 1.0× |
| clover health | 1 | 1 | $6,484.90 | $6,484.90 | $6,484.90 | 1.0× |
| commonwealth care alliance [10103] | 1 | 1 | $6,464.20 | $6,464.20 | $6,464.20 | 1.0× |
| carolina complete | 1 | 1 | $5,948.68 | $5,948.68 | $5,948.68 | 1.0× |
| custom design benefits inc. | 1 | 1 | $13,480 | $13,480 | $13,480 | 1.0× |
| elder health | 1 | 1 | $7,093.85 | $7,093.85 | $7,093.85 | 1.0× |
| devoted health | 1 | 1 | $5,736.40 | $5,736.40 | $5,736.40 | 1.0× |
| Emblem Health | 1 | 1 | $12,265 | $12,265 | $12,265 | 1.0× |
| valor health plan | 1 | 1 | $5,736.40 | $5,736.40 | $5,736.40 | 1.0× |
| vaya | 1 | 1 | $6,008.16 | $6,008.16 | $6,008.16 | 1.0× |
| fidelis care | 1 | 1 | $6,484.90 | $6,484.90 | $6,484.90 | 1.0× |
By hospital (top 200 by negotiated median, descending)
| Hospital | City | ST | Payers | Gross | Cash | Neg min | Neg median | Neg max |
|---|---|---|---|---|---|---|---|---|
| Marlborough Hospital | Marlborough | MA | 20 | $20,468 | $20,468 | $758.07 | $6,901.54 | $13,659 |
| Umass Memorial Medical Center | Worcester | MA | 20 | $20,468 | $20,468 | $758.07 | $6,901.54 | $13,659 |
| Chestnut Hill Benevolent Association | Chestnut Hill | MA | 17 | — | — | $5,752.66 | $6,207.12 | $12,406 |
| Harrington Memorial Hospital | Southbridge | MA | 19 | $10,242 | $10,242 | $1,252.60 | $6,156.38 | $8,575.84 |
| Healthalliance-Clinton | Leominster | MA | 22 | $13,404 | $13,404 | $758.07 | $6,034.51 | $7,894.77 |
| Hospital For Behavioral Medicine | Worcester | MA | 16 | — | — | $5,736.40 | $6,023.22 | $13,480 |
| High Point Hospital | Middleborough | MA | 12 | — | — | $5,131.67 | $6,008.16 | $8,893.09 |
| Beth Israel Deaconess - Plymouth | Plymouth | MA | 13 | — | $3,470.00 | $60.00 | $12,259 | $20,206 |
| Baystate Noble Hospital | Westfield | MA | 0 | — | — | — | — | — |
| Baystate Medical Center | Springfield | MA | 0 | — | — | — | — | — |
| North Shore Medical Center | Salem | MA | 0 | — | — | — | — | — |
| Fairview Hospital | Great Barrington | MA | 0 | — | — | — | — | — |
| Baystate Wing Hospital & Medical Ctr | Palmer | MA | 0 | — | — | — | — | — |
| Berkshire Medical Center | Pittsfield | MA | 0 | — | — | — | — | — |
| Baystate Franklin Medical Center | Greenfield | MA | 0 | — | — | — | — | — |
| North Adams Regional Hospital | North Adams | MA | 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.