▸ Compare · PriceTransparency
Simple pneumonia & pleurisy w/o CC/MCC
MS-DRG 195 · negotiated-rate distribution across hospitals in NC
Hospitals
28
Min
$76.50
Median
$6,033.54
Max
$21,148
Range multiplier
276.4×
By payer (50 payers with published rates)
| Payer | Hosp. | Rates | Min | Median | Max | Range× |
|---|---|---|---|---|---|---|
| bcbsfl | 9 | 144 | $62.00 | $70.00 | $72.00 | 1.2× |
| Blue Cross Blue Shield | 24 | 107 | $3,287.00 | $9,149.40 | $32,779 | 10.0× |
| Aetna | 24 | 85 | $56.90 | $80.00 | $32,779 | 576.1× |
| UnitedHealthcare | 26 | 69 | $61.30 | $6,398.51 | $16,739 | 273.1× |
| Cigna | 25 | 49 | $59.70 | $9,184.83 | $21,148 | 354.2× |
| Humana | 23 | 32 | $72.00 | $5,712.35 | $21,148 | 293.7× |
| WellCare | 27 | 29 | $4,257.70 | $6,398.51 | $21,148 | 5.0× |
| amerihealth | 16 | 21 | $3,917.41 | $6,094.36 | $9,135.35 | 2.3× |
| medcost | 10 | 19 | $72.00 | $78.00 | $15,110 | 209.9× |
| nc department of public safety | 9 | 18 | $5,399.84 | $8,257.90 | $15,759 | 2.9× |
| Ambetter | 11 | 17 | $4,485.31 | $7,434.42 | $10,448 | 2.3× |
| trillium | 15 | 15 | $4,257.70 | $6,277.20 | $9,409.41 | 2.2× |
| alliance | 15 | 15 | $4,220.46 | $6,216.25 | $9,318.05 | 2.2× |
| partners | 15 | 15 | $4,257.70 | $6,094.36 | $9,135.35 | 2.1× |
| vaya | 14 | 14 | $5,424.23 | $6,155.31 | $9,226.70 | 1.7× |
| carolina complete | 14 | 14 | $5,399.84 | $6,183.71 | $9,135.35 | 1.7× |
| healthy blue | 12 | 12 | $4,257.70 | $5,971.14 | $7,170.88 | 1.7× |
| carolina complete health | 11 | 11 | $4,257.70 | $5,993.59 | $7,170.88 | 1.7× |
| amerihealth caritas | 10 | 10 | $5,271.37 | $6,277.61 | $7,038.47 | 1.3× |
| Multiplan | 9 | 9 | $75.00 | $75.00 | $90.00 | 1.2× |
| amps | 9 | 9 | $55.00 | $55.00 | $65.00 | 1.2× |
| atlantic corporation dba atlantic packaging | 9 | 9 | $46.00 | $46.00 | $56.50 | 1.2× |
| CareSource | 9 | 9 | $6,913.50 | $6,913.50 | $6,913.50 | 1.0× |
| employers choice network | 9 | 9 | $97.00 | $97.00 | $97.00 | 1.0× |
| liberty health | 9 | 9 | $4,213.41 | $5,625.76 | $8,273.67 | 2.0× |
| pace of the southern piedmont | 9 | 9 | $4,012.77 | $5,357.87 | $7,879.69 | 2.0× |
| phcs | 9 | 9 | $75.00 | $75.00 | $90.00 | 1.2× |
| plotkin health | 9 | 9 | $60.00 | $60.00 | $60.00 | 1.0× |
| three rivers provider network | 9 | 9 | $97.00 | $97.00 | $97.00 | 1.0× |
| primary physician care | 8 | 8 | $74.00 | $74.00 | $88.00 | 1.2× |
| healthteam | 3 | 3 | $5,791.26 | $6,883.77 | $11,926 | 2.1× |
| devoted health | 2 | 2 | $6,021.52 | $6,452.65 | $6,883.77 | 1.1× |
| prime health services | 1 | 2 | $27,492 | $29,607 | $31,722 | 1.2× |
| beechstreet | 2 | 2 | $90.00 | $90.00 | $90.00 | 1.0× |
| liberty | 2 | 2 | $5,905.72 | $9,810.43 | $13,715 | 2.3× |
| health blue | 2 | 2 | $6,094.36 | $6,094.36 | $6,094.36 | 1.0× |
| Molina | 2 | 2 | $5,511.79 | $6,197.78 | $6,883.77 | 1.2× |
| Medicare | 1 | 1 | $12,045 | $12,045 | $12,045 | 1.0× |
| carolina complete health tailored plans | 1 | 1 | $6,593.54 | $6,593.54 | $6,593.54 | 1.0× |
| carolina caring | 1 | 1 | $16,390 | $16,390 | $16,390 | 1.0× |
| new hanover health advantage | 1 | 1 | $5,465.03 | $5,465.03 | $5,465.03 | 1.0× |
| vaya health | 1 | 1 | $5,847.82 | $5,847.82 | $5,847.82 | 1.0× |
| palm beach aco reach | 1 | 1 | $20,513 | $20,513 | $20,513 | 1.0× |
| cardinal | 1 | 1 | $4,257.70 | $4,257.70 | $4,257.70 | 1.0× |
| partners behavioral health | 1 | 1 | $6,464.26 | $6,464.26 | $6,464.26 | 1.0× |
| velocity provider ppo network | 1 | 1 | $25,377 | $25,377 | $25,377 | 1.0× |
| alliance behavioral health | 1 | 1 | $6,593.54 | $6,593.54 | $6,593.54 | 1.0× |
| qualcare inc | 1 | 1 | $9,238.66 | $9,238.66 | $9,238.66 | 1.0× |
| sandhills | 1 | 1 | $4,257.70 | $4,257.70 | $4,257.70 | 1.0× |
| surgery plus | 1 | 1 | $11,473 | $11,473 | $11,473 | 1.0× |
By hospital (top 200 by negotiated median, descending)
| Hospital | City | ST | Payers | Gross | Cash | Neg min | Neg median | Neg max |
|---|---|---|---|---|---|---|---|---|
| Davie Medical Center | Bermuda Run | NC | 19 | — | — | $6,094.36 | $9,317.78 | $13,715 |
| Wrmc Hospital Operating Corporation | North Wilkesboro | NC | 10 | — | — | $5,791.26 | $9,181.03 | $9,409.41 |
| Medical Park Hospital | Winston-Salem | NC | 23 | — | — | $56.50 | $90.00 | $15,085 |
| Forsyth Memorial Hospital Inc | Winston Salem | NC | 23 | — | — | $56.50 | $90.00 | $15,085 |
| Thomasville Medical Center | Thomasville | NC | 22 | — | — | $56.50 | $88.00 | $15,759 |
| New Hanover Regional Medical Center | Wilmington | NC | 13 | — | $2,726.00 | $60.00 | $8,533.19 | $16,619 |
| Brunswick Community Hospital | Bolivia | NC | 24 | — | — | $54.00 | $85.00 | $11,654 |
| Presbyterian Hospital Matthews | Matthews | NC | 22 | — | — | $46.00 | $76.50 | $12,696 |
| Novant Health Ballantyne Medical Ctr | Charlotte | NC | 22 | — | — | $46.00 | $76.50 | $12,677 |
| Novant Health Mint Hill Medical Ctr | Charlotte | NC | 22 | — | — | $46.00 | $76.50 | $12,696 |
| Presbyterian Hospital Huntersville | Huntersville | NC | 22 | — | — | $46.00 | $76.50 | $12,696 |
| Presbyterian Hospital | Charlotte | NC | 22 | — | — | $46.00 | $76.50 | $12,696 |
| Atrium Health Pineville | Charlotte | NC | 14 | — | — | $5,161.34 | $7,170.88 | $12,516 |
| Gaston Memorial Hospital | Gastonia | NC | 21 | — | — | $6,464.26 | $6,883.77 | $16,739 |
| Atrium Health Stanly | Albemarle | NC | 13 | — | — | $5,816.19 | $6,608.94 | $11,025 |
| Atrium Health Lincoln | Lincolnton | NC | 12 | — | — | $6,196.47 | $6,573.83 | $6,771.05 |
| Atrium Health Anson | Wadesboro | NC | 12 | — | — | $6,041.52 | $6,509.22 | $10,461 |
| Lexington Memorial Hospital Inc. | Lexington | NC | 12 | — | — | $3,567.45 | $6,402.45 | $8,452.00 |
| North Carolina Baptist Hospital | Winston-Salem | NC | 12 | — | — | $6,094.36 | $6,277.20 | $10,054 |
| Carolinas Medical Center | Charlotte | NC | 15 | — | — | $5,062.30 | $6,111.59 | $11,989 |
| Atrium Health Cabarrus | Concord | NC | 14 | — | — | $5,328.54 | $6,094.09 | $12,197 |
| Atrium Health Cleveland | Shelby | NC | 14 | — | — | $5,078.28 | $6,033.54 | $11,308 |
| Atrium Health Kings Mountain | Kings Mountain | NC | 14 | — | — | $5,078.28 | $6,033.54 | $11,308 |
| Atrium Health Union | Monroe | NC | 14 | — | — | $5,824.68 | $6,017.36 | $11,145 |
| High Point Medical Center | High Point | NC | 12 | — | — | $5,131.67 | $6,008.16 | $8,893.09 |
| Columbus Regional Healthcare System | Whiteville | NC | 20 | — | — | $4,220.46 | $4,660.04 | $6,079.42 |
| Pam Specialty Hosp. Of Rocky Mount | Rocky Mount | NC | 9 | — | — | $20,513 | $21,148 | $32,779 |
| Harris Regional Hospital | Sylva | NC | 0 | $28,311 | $11,324 | — | — | — |
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.