▸ Compare · PriceTransparency
Simple pneumonia & pleurisy w/o CC/MCC
MS-DRG 195 · negotiated-rate distribution across hospitals in MI
Hospitals
30
Min
$95.00
Median
$5,703.60
Max
$11,732
Range multiplier
123.5×
By payer (50 payers with published rates)
| Payer | Hosp. | Rates | Min | Median | Max | Range× |
|---|---|---|---|---|---|---|
| Blue Cross Blue Shield | 21 | 71 | $2,284.00 | $12,024 | $19,155 | 8.4× |
| Medicare | 10 | 44 | $2,827.00 | $5,683.25 | $10,097 | 3.6× |
| UnitedHealthcare | 21 | 43 | $2,352.52 | $6,499.91 | $18,845 | 8.0× |
| Aetna | 13 | 27 | $4,060.01 | $5,703.60 | $16,275 | 4.0× |
| Humana | 21 | 25 | $2,720.49 | $4,349.13 | $5,817.67 | 2.1× |
| TRICARE | 18 | 25 | $1,982.00 | $3,761.78 | $6,334.51 | 3.2× |
| WellCare | 9 | 9 | $3,941.76 | $3,941.76 | $5,703.60 | 1.4× |
| smarthealth | 9 | 9 | $1,506.00 | $5,518.46 | $7,317.67 | 4.9× |
| Medicare Advantage | 8 | 8 | $3,941.76 | $3,941.76 | $5,140.28 | 1.3× |
| First Health | 8 | 8 | $7,300.00 | $7,300.00 | $11,000 | 1.5× |
| Ambetter | 8 | 8 | $6,503.90 | $6,503.90 | $8,467.59 | 1.3× |
| hap | 3 | 8 | $4,872.03 | $5,986.02 | $11,507 | 2.4× |
| priority health | 5 | 8 | $4,207.54 | $6,605.52 | $10,797 | 2.6× |
| healthspring mcr replacement | 7 | 7 | $4,020.60 | $4,020.60 | $4,020.60 | 1.0× |
| blue mcr replacement | 7 | 7 | $3,941.76 | $3,941.76 | $3,941.76 | 1.0× |
| Cigna | 7 | 7 | $10,470 | $10,470 | $10,470 | 1.0× |
| pcc employee | 7 | 7 | $10,815 | $10,815 | $10,815 | 1.0× |
| Oscar Health | 7 | 7 | $6,306.82 | $6,306.82 | $6,306.82 | 1.0× |
| occunet | 7 | 7 | $8,868.96 | $8,868.96 | $8,868.96 | 1.0× |
| mi amish medical board | 7 | 7 | $3,251.04 | $6,535.74 | $7,257.18 | 2.2× |
| facility billing - op | 7 | 7 | $3,941.76 | $3,941.76 | $3,941.76 | 1.0× |
| Molina | 3 | 5 | $4,888.94 | $5,703.60 | $7,699.86 | 1.6× |
| bcbsm | 3 | 5 | $4,872.03 | $5,703.60 | $8,064.05 | 1.7× |
| meridian health plan of mi | 3 | 4 | $6,070.60 | $6,590.86 | $7,699.86 | 1.3× |
| mclaren health | 3 | 3 | $4,872.03 | $4,892.20 | $5,703.60 | 1.2× |
| bcbsm/bcn | 3 | 3 | $8,608.03 | $9,620.60 | $10,291 | 1.2× |
| bcn | 3 | 3 | $4,872.03 | $4,892.20 | $5,703.60 | 1.2× |
| CareSource | 3 | 3 | $4,872.03 | $4,892.20 | $5,703.60 | 1.2× |
| cca health michigan | 3 | 3 | $4,872.03 | $4,892.20 | $5,703.60 | 1.2× |
| vitalcore physicians group of mi | 3 | 3 | $9,013.26 | $9,050.57 | $10,552 | 1.2× |
| cofinity group health | 2 | 2 | $8,838.60 | $10,169 | $11,499 | 1.3× |
| pace of se mi | 2 | 2 | $4,647.59 | $5,033.01 | $5,418.42 | 1.2× |
| mount carmel health plan | 2 | 2 | $4,892.20 | $5,297.90 | $5,703.60 | 1.2× |
| amerihealth michigan | 2 | 2 | $4,794.36 | $5,191.95 | $5,589.53 | 1.2× |
| erickson | 2 | 2 | $4,892.20 | $5,297.90 | $5,703.60 | 1.2× |
| harbor health plan | 1 | 1 | $5,140.28 | $5,140.28 | $5,140.28 | 1.0× |
| employer direct healthcare | 1 | 1 | $7,882.80 | $7,882.80 | $7,882.80 | 1.0× |
| Multiplan | 1 | 1 | $95.00 | $95.00 | $95.00 | 1.0× |
| naphcare residential inmate treatment center | 1 | 1 | $7,967.43 | $7,967.43 | $7,967.43 | 1.0× |
| national healthcare solutions, inc | 1 | 1 | $9,701.90 | $9,701.90 | $9,701.90 | 1.0× |
| connect health benefit | 1 | 1 | $4,568.00 | $4,568.00 | $4,568.00 | 1.0× |
| communitycare (standard) | 1 | 1 | $2,734.80 | $2,734.80 | $2,734.80 | 1.0× |
| communitycare (select) | 1 | 1 | $2,734.80 | $2,734.80 | $2,734.80 | 1.0× |
| community care - st john network senior - govt | 1 | 1 | $2,284.00 | $2,284.00 | $2,284.00 | 1.0× |
| sunrise | 1 | 1 | $5,140.28 | $5,140.28 | $5,140.28 | 1.0× |
| thomas pace | 1 | 1 | $4,872.03 | $4,872.03 | $4,872.03 | 1.0× |
| total health care priority health | 1 | 1 | $5,140.28 | $5,140.28 | $5,140.28 | 1.0× |
| Bright Health | 1 | 1 | $6,533.64 | $6,533.64 | $6,533.64 | 1.0× |
| u of m health plan | 1 | 1 | $16,531 | $16,531 | $16,531 | 1.0× |
| united behavioral health | 1 | 1 | $5,140.28 | $5,140.28 | $5,140.28 | 1.0× |
By hospital (top 200 by negotiated median, descending)
| Hospital | City | ST | Payers | Gross | Cash | Neg min | Neg median | Neg max |
|---|---|---|---|---|---|---|---|---|
| Aspirus Ironwood Hospital | Ironwood | MI | 1 | — | — | $9,952.07 | $9,952.07 | $9,952.07 |
| St. Francis Hospital | Escanaba | MI | 3 | — | — | $92.50 | $95.00 | $7,829.59 |
| Borgess-Pipp Health Center | Plainwell | MI | 17 | — | — | $3,761.78 | $7,300.00 | $19,155 |
| Ascension Borgess Hospital | Kalamazoo | MI | 17 | — | — | $3,761.78 | $7,300.00 | $19,155 |
| Genesys Regional Medical Ctr. | Grand Blanc | MI | 17 | — | — | $3,761.78 | $7,300.00 | $19,155 |
| Ascension Providence Rochester Hospi | Rochester | MI | 17 | — | — | $3,761.78 | $7,300.00 | $19,155 |
| Ascension Standish Hospital | Standish | MI | 17 | — | — | $3,761.78 | $7,300.00 | $19,155 |
| Ascension Borgess-Lee Hospital | Dowagiac | MI | 17 | — | — | $3,761.78 | $7,300.00 | $19,155 |
| Ascension Allegan Hospital | Allegan | MI | 17 | — | — | $3,761.78 | $7,300.00 | $19,155 |
| Mclaren Greater Lansing | Lansing | MI | 7 | $29,421 | $14,711 | $4,350.35 | $6,310.59 | $16,531 |
| Mclaren Central Michigan | Mt Pleasant | MI | 6 | $12,705 | $6,352.50 | $4,343.05 | $5,884.68 | $9,981.92 |
| Mclaren Flint | Flint | MI | 6 | $17,619 | $8,809.56 | $4,325.63 | $5,782.83 | $12,934 |
| Henry Ford Hospital | Detroit | MI | 20 | — | — | $4,574.03 | $5,703.60 | $12,488 |
| Aspirus Keweenaw Hospital | Laurium | MI | 3 | — | — | $2,720.49 | $5,703.16 | $9,654.76 |
| Mclaren Lapeer Region | Lapeer | MI | 6 | $20,527 | $10,264 | $4,360.08 | $5,683.25 | $9,093.21 |
| Ascension St John Hospital | Detroit | MI | 13 | — | — | $1,506.00 | $5,674.50 | $18,736 |
| Tawas St. Joseph Hospital | Tawas | MI | 9 | — | — | $5,226.91 | $5,488.26 | $8,467.59 |
| Mclaren Northern Michigan | Petoskey | MI | 7 | $7,284.00 | $3,642.00 | $4,207.54 | $5,418.78 | $8,670.06 |
| Garden City Hospital Osteopathic | Garden City | MI | 19 | — | $6,063.00 | $5,140.28 | $5,268.79 | $9,701.90 |
| Mclaren Port Huron | Port Huron | MI | 5 | $11,503 | $5,751.50 | $4,349.13 | $4,949.78 | $7,832.46 |
| W.a. Foote Memorial Hospital | Jackson | MI | 16 | — | — | $4,872.03 | $4,945.11 | $12,488 |
| Henry Ford Health Wyandotte Hospital | Wyandotte | MI | 20 | — | — | $4,571.46 | $4,892.20 | $9,191.05 |
| Bay Regional Medical Center | Bay City | MI | 6 | $18,349 | $9,174.41 | $4,276.59 | $4,848.99 | $15,383 |
| Mclaren Thumb Region | Bad Axe | MI | 5 | $7,371.50 | $3,685.75 | $2,827.00 | $2,883.54 | $5,166.23 |
| Aspirus Iron River Hopsital & Clinic | Iron River | MI | 1 | — | — | $11,732 | $11,732 | $11,732 |
| Mh - Mercy Campus | Muskegon | MI | 0 | — | — | — | — | — |
| Carson City Hospital | Carson City | MI | 0 | $14,338 | $3,584.58 | — | — | — |
| Sparrow Eaton | Charlotte | MI | 0 | $14,338 | $3,584.58 | — | — | — |
| Sparrow Clinton Hospital | St. Johns | MI | 0 | $23,307 | $5,826.81 | — | — | — |
| North Ottawa Community Hospital | Grand Haven | MI | 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.