▸ Compare · PriceTransparency
Simple pneumonia & pleurisy w/o CC/MCC
MS-DRG 195 · negotiated-rate distribution across hospitals in ME
Hospitals
4
Min
$4,722.32
Median
$6,170.6
Max
$13,551
Range multiplier
2.9×
By payer (22 payers with published rates)
| Payer | Hosp. | Rates | Min | Median | Max | Range× |
|---|---|---|---|---|---|---|
| UnitedHealthcare | 3 | 8 | $4,722.32 | $7,957.71 | $16,434 | 3.5× |
| Aetna | 2 | 6 | $5,332.16 | $8,038.13 | $13,350 | 2.5× |
| Anthem BCBS | 2 | 5 | $5,634.66 | $11,357 | $16,995 | 3.0× |
| Humana | 2 | 4 | $5,559.06 | $5,710.31 | $19,977 | 3.6× |
| workers compensation | 3 | 3 | $6,989.98 | $7,409.37 | $7,409.37 | 1.1× |
| Medicare | 3 | 3 | $4,722.32 | $4,931.83 | $5,828.02 | 1.2× |
| sentara health plan | 1 | 2 | $5,956.14 | $9,210.7 | $12,465 | 2.1× |
| Cigna | 1 | 2 | $13,551 | $14,013 | $14,476 | 1.1× |
| martins point | 1 | 1 | $9,728.09 | $9,728.09 | $9,728.09 | 1.0× |
| Medicaid | 1 | 1 | $4,309.91 | $4,309.91 | $4,309.91 | 1.0× |
| Self-Pay (Cash) | 1 | 1 | $5,828.02 | $5,828.02 | $5,828.02 | 1.0× |
| TRICARE | 1 | 1 | $9,728.09 | $9,728.09 | $9,728.09 | 1.0× |
| connecticare | 1 | 1 | $14,074 | $14,074 | $14,074 | 1.0× |
| vhn | 1 | 1 | $16,084 | $16,084 | $16,084 | 1.0× |
| vhn - link | 1 | 1 | $18,095 | $18,095 | $18,095 | 1.0× |
| vhn - plus | 1 | 1 | $15,481 | $15,481 | $15,481 | 1.0× |
| vhn - secondary payors | 1 | 1 | $19,100 | $19,100 | $19,100 | 1.0× |
| vhn - ultra | 1 | 1 | $12,465 | $12,465 | $12,465 | 1.0× |
| WellCare | 1 | 1 | $5,634.66 | $5,634.66 | $5,634.66 | 1.0× |
| gateway - tier 3 | 1 | 1 | $13,672 | $13,672 | $13,672 | 1.0× |
| gateway - tier 2 | 1 | 1 | $16,084 | $16,084 | $16,084 | 1.0× |
| gateway - tier 1 | 1 | 1 | $19,100 | $19,100 | $19,100 | 1.0× |
By hospital (top 200 by negotiated median, descending)
| Hospital | City | ST | Payers | Gross | Cash | Neg min | Neg median | Neg max |
|---|---|---|---|---|---|---|---|---|
| RUMFORD HOSPITAL | RUMFORD | ME | 2 | — | $4,931 | $4,931.83 | $6,170.6 | $7,409.37 |
| CENTRAL MAINE MEDICAL CENTER | LEWISTON | ME | 11 | — | $5,828 | $4,309.91 | $5,828.02 | $11,357 |
| BRIDGTON HOSPITAL | BRIDGTON | ME | 3 | — | $4,722 | $4,722.32 | $4,722.32 | $7,409.37 |
| FRANKLIN MEMORIAL HOSPITAL | FARMINGTON | ME | 15 | $20,105 | $7,036.84 | $5,332.16 | $13,551 | $19,977 |
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.