▸ Compare · PriceTransparency
Simple pneumonia & pleurisy w/o CC/MCC
MS-DRG 195 · negotiated-rate distribution across hospitals in MO
Hospitals
15
Min
$74.30
Median
$75.25
Max
$6,350.62
Range multiplier
85.5×
By payer (38 payers with published rates)
| Payer | Hosp. | Rates | Min | Median | Max | Range× |
|---|---|---|---|---|---|---|
| Blue Cross Blue Shield | 7 | 35 | $55.00 | $4,123.57 | $10,238 | 186.1× |
| Aetna | 7 | 30 | $45.60 | $74.65 | $16,457 | 360.9× |
| Cigna | 6 | 19 | $60.90 | $80.00 | $10,671 | 175.2× |
| UnitedHealthcare | 7 | 18 | $74.30 | $5,144.14 | $10,534 | 141.8× |
| cox health systems insurance company [220] | 6 | 18 | $55.00 | $55.00 | $74.00 | 1.3× |
| healthlink [225] | 6 | 18 | $48.50 | $65.00 | $75.50 | 1.6× |
| allied benefits [498] | 6 | 17 | $58.00 | $60.30 | $16,457 | 283.7× |
| med-pay [480] | 6 | 12 | $65.00 | $70.00 | $75.00 | 1.2× |
| phcs [244] | 6 | 12 | $75.00 | $77.50 | $80.00 | 1.1× |
| unicare [568] | 6 | 12 | $65.00 | $70.25 | $75.50 | 1.2× |
| consociate [478] | 6 | 12 | $7,394.08 | $7,689.00 | $8,503.82 | 1.2× |
| healthscope benefits [258] | 6 | 11 | $65.00 | $4,788.00 | $10,534 | 162.1× |
| Humana | 5 | 8 | $66.50 | $5,064.56 | $13,570 | 204.1× |
| sarah bush lincoln [636] | 6 | 7 | $7,689.00 | $8,503.82 | $10,194 | 1.3× |
| apwu health plan [216] | 6 | 6 | $68.70 | $5,091.35 | $10,671 | 155.3× |
| detego health [868] | 6 | 6 | $75.00 | $75.00 | $75.00 | 1.0× |
| First Health | 6 | 6 | $74.30 | $74.30 | $74.30 | 1.0× |
| health alliance [224] | 6 | 6 | $6,857.03 | $6,857.03 | $7,300.00 | 1.1× |
| health systems inc [620] | 6 | 6 | $75.00 | $75.00 | $75.00 | 1.0× |
| healthcare sol mercy [609] | 6 | 6 | $75.00 | $75.00 | $75.00 | 1.0× |
| hfn [563] | 6 | 6 | $80.00 | $80.00 | $85.00 | 1.1× |
| hope trust [806] | 6 | 6 | $58.00 | $58.00 | $58.00 | 1.0× |
| medica [661] | 6 | 6 | $80.00 | $80.00 | $80.00 | 1.0× |
| Multiplan | 6 | 6 | $75.00 | $75.00 | $75.00 | 1.0× |
| nalc health benefit plan [242] | 6 | 6 | $68.70 | $5,091.35 | $10,671 | 155.3× |
| preferred health professionals [561] | 6 | 6 | $75.50 | $75.50 | $75.50 | 1.0× |
| priority health [648] | 6 | 6 | $68.70 | $5,091.35 | $10,671 | 155.3× |
| beechstreet [551] | 6 | 6 | $75.00 | $75.00 | $75.00 | 1.0× |
| mail handlers [495] | 5 | 5 | $60.30 | $60.30 | $16,457 | 272.9× |
| coresource [497] | 5 | 5 | $60.30 | $60.30 | $16,457 | 272.9× |
| fmh benefit service inc [222] | 5 | 5 | $60.30 | $60.30 | $16,457 | 272.9× |
| medica [662] | 3 | 3 | $4,645.44 | $5,990.13 | $6,710.41 | 1.4× |
| essence healthcare [221] | 3 | 3 | $4,424.23 | $5,704.89 | $6,390.87 | 1.4× |
| devoted health plan [847] | 3 | 3 | $4,645.44 | $5,990.13 | $6,710.41 | 1.4× |
| cox health [757] | 3 | 3 | $4,645.44 | $5,990.13 | $6,710.41 | 1.4× |
| mh magellan health services [270] | 2 | 2 | $100.00 | $100.00 | $100.00 | 1.0× |
| osfdan | 1 | 1 | $75.00 | $75.00 | $75.00 | 1.0× |
| bakersfield school district (smbc) | 1 | 1 | $2,356.00 | $2,356.00 | $2,356.00 | 1.0× |
By hospital (top 200 by negotiated median, descending)
| Hospital | City | ST | Payers | Gross | Cash | Neg min | Neg median | Neg max |
|---|---|---|---|---|---|---|---|---|
| Barnes Jewish St. Peters Hospital | St. Peters | MO | 36 | $22,075 | $13,245 | $48.50 | $93.50 | $16,457 |
| Progress West Hospital | Ofallon | MO | 36 | $16,472 | $9,883.02 | $48.50 | $87.00 | $16,457 |
| St. Louis Childrens Hospital | St. Louis | MO | 27 | $13,189 | $7,913.28 | $48.50 | $75.25 | $10,114 |
| Mercy Continuing Care Hospital | Chesterfield | MO | 1 | — | — | $75.00 | $75.00 | $75.00 |
| Parkland Health Center - Farmington | Farmington | MO | 35 | $12,501 | $7,500.33 | $45.60 | $75.00 | $10,534 |
| Missouri Baptist Hospital Sullivan | Sullivan | MO | 31 | $18,556 | $11,133 | $45.60 | $74.30 | $10,238 |
| Missouri Baptist Sullivan Hospital | Sullivan | MO | 31 | $18,556 | $11,133 | $45.60 | $74.30 | $10,238 |
| Saint Francis Medical Center | Cape Girardeau | MO | 3 | — | — | $5,500.27 | $6,350.62 | $9,525.93 |
| Mercy Rehabilitation Hospital-Spgf | Springfield | MO | 1 | $9,427.50 | $9,427.50 | $2,356.00 | $2,356.00 | $2,356.00 |
| Northeast Regional Medical Center | Kirksville | MO | 0 | — | — | — | — | — |
| Moberly Regional Medical Center | Moberly | MO | 0 | — | — | — | — | — |
| Coxhealth | Springfield | MO | 0 | — | — | — | — | — |
| Barton County Memorial Hospital | Lamar | MO | 0 | — | — | — | — | — |
| Cox-Monett Hospital | Monett | MO | 0 | — | — | — | — | — |
| Cox Medical Center Branson | Branson | MO | 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.