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Simple pneumonia & pleurisy w/o CC/MCC

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

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Hospitals
11
Min
$92.00
Median
$5,743.75
Max
$6,648.79
Range multiplier
72.3×

By payer (36 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
UnitedHealthcare520$68.00$6,474.57$11,286166.0×
Blue Cross Blue Shield515$1,583.00$8,039.77$15,3919.7×
Medicare311$4,881.90$6,248.72$6,650.011.4×
Cigna38$90.00$8,142.27$11,286125.4×
Aetna47$85.00$4,881.90$6,823.0080.3×
Humana55$3,825.00$5,743.75$6,474.571.7×
Medicaid24$2,500.00$3,076.66$5,400.002.2×
First Health12$85.00$87.50$90.001.1×
healthcare highways12$57.00$61.00$65.001.1×
healthlink12$7,753.18$9,383.59$11,0141.4×
Molina22$5,400.00$5,937.29$6,474.571.2×
WellCare22$4,881.90$5,678.24$6,474.571.3×
Ambetter11$4,881.90$4,881.90$4,881.901.0×
va hospital [600005]11$5,743.75$5,743.75$5,743.751.0×
healthsmart11$94.00$94.00$94.001.0×
devoted health [450111]11$5,743.75$5,743.75$5,743.751.0×
magnolia health plan mcd rep11$5,400.00$5,400.00$5,400.001.0×
medica11$5,355.00$5,355.00$5,355.001.0×
carecentrix [450200]11$5,743.75$5,743.75$5,743.751.0×
american health advantage mcr adv [450117]11$5,743.75$5,743.75$5,743.751.0×
Medicare Advantage11$5,743.75$5,743.75$5,743.751.0×
meridian11$7,510.50$7,510.50$7,510.501.0×
mississippi childrens health insurance program11$5,400.00$5,400.00$5,400.001.0×
mississippi state employees and teachers11$1,270.00$1,270.00$1,270.001.0×
vantage health plan inc mcr adv primewell health11$4,881.90$4,881.90$4,881.901.0×
oklahoma health network (ohn)11$80.00$80.00$80.001.0×
osma health11$90.00$90.00$90.001.0×
preferred community choice11$92.00$92.00$92.001.0×
shared health mississippi mcr adv11$4,881.90$4,881.90$4,881.901.0×
total senior care 131911$6,248.72$6,248.72$6,248.721.0×
transplant optum tenncare [350013]11$1,397.00$1,397.00$1,397.001.0×
TRICARE11$3,972.19$3,972.19$3,972.191.0×
friday health plan11$7,076.25$7,076.25$7,076.251.0×
generic hospice vbid [10940000101]11$5,743.75$5,743.75$5,743.751.0×
harmony health plan of illinois11$4,881.90$4,881.90$4,881.901.0×
health plans inc [100282]11$7,017.73$7,017.73$7,017.731.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
Jefferson County HospitalFayetteMS13$2,486.25$57.00$92.00$15,391
Mississippi Methodist Rehab CenterJacksonMS9$5,600.56$6,648.79$11,014
Montfort Jones Memorial HospitalKosciuskoMS6$6,248.72$3,257.52$6,248.72$6,248.72
Methodist H/C Olive Branch HospitalOlive BranchMS15$19,263$4,237.79$1,397.00$5,743.75$11,286
Magee General HospitalMageeMS15$17,456$6,057.24$875.00$4,881.90$5,400.00
Delta Health-Northwest RegionalClarksdaleMS0$46,891$23,445
John C. Stennis Memorial HospitalDekalbMS0$29,158$20,119
Delta Health-The Medical CenterGreenvilleMS0$46,891$23,445
H.c. Watkins Memorial HospitalQuitmanMS0$26,984$18,079
Laird HospitalUnionMS0$22,805$13,911
Scott Regional HospitalMortonMS0$29,087$18,325

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.