▸ Compare · PriceTransparency
Simple pneumonia & pleurisy w/o CC/MCC
MS-DRG 195 · negotiated-rate distribution across hospitals in NC
Hospitals
28
Min
$76.5
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 | $70 | $72 | 1.2× |
| Blue Cross Blue Shield | 24 | 107 | $3,287 | $9,149.4 | $32,779 | 10.0× |
| Aetna | 24 | 85 | $56.9 | $80 | $32,779 | 576.1× |
| UnitedHealthcare | 26 | 69 | $61.3 | $6,398.51 | $16,739 | 273.1× |
| Cigna | 25 | 49 | $59.7 | $9,184.83 | $21,148 | 354.2× |
| Humana | 23 | 32 | $72 | $5,712.35 | $21,148 | 293.7× |
| WellCare | 27 | 29 | $4,257.7 | $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 | $78 | $15,110 | 209.9× |
| nc department of public safety | 9 | 18 | $5,399.84 | $8,257.9 | $15,759 | 2.9× |
| Ambetter | 11 | 17 | $4,485.31 | $7,434.42 | $10,448 | 2.3× |
| trillium | 15 | 15 | $4,257.7 | $6,277.2 | $9,409.41 | 2.2× |
| alliance | 15 | 15 | $4,220.46 | $6,216.25 | $9,318.05 | 2.2× |
| partners | 15 | 15 | $4,257.7 | $6,094.36 | $9,135.35 | 2.1× |
| vaya | 14 | 14 | $5,424.23 | $6,155.31 | $9,226.7 | 1.7× |
| carolina complete | 14 | 14 | $5,399.84 | $6,183.71 | $9,135.35 | 1.7× |
| healthy blue | 12 | 12 | $4,257.7 | $5,971.14 | $7,170.88 | 1.7× |
| carolina complete health | 11 | 11 | $4,257.7 | $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 | $75 | $90 | 1.2× |
| amps | 9 | 9 | $55 | $55 | $65 | 1.2× |
| atlantic corporation dba atlantic packaging | 9 | 9 | $46 | $46 | $56.5 | 1.2× |
| CareSource | 9 | 9 | $6,913.5 | $6,913.5 | $6,913.5 | 1.0× |
| employers choice network | 9 | 9 | $97 | $97 | $97 | 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 | $75 | $90 | 1.2× |
| plotkin health | 9 | 9 | $60 | $60 | $60 | 1.0× |
| three rivers provider network | 9 | 9 | $97 | $97 | $97 | 1.0× |
| primary physician care | 8 | 8 | $74 | $74 | $88 | 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 | $90 | $90 | 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 | $4,257.7 | $4,257.7 | $4,257.7 | 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 | $4,257.7 | $4,257.7 | $4,257.7 | 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 | — | — | $56.5 | $90 | $15,085 |
| FORSYTH MEMORIAL HOSPITAL INC | WINSTON SALEM | NC | 23 | — | — | $56.5 | $90 | $15,085 |
| THOMASVILLE MEDICAL CENTER | THOMASVILLE | NC | 22 | — | — | $56.5 | $88 | $15,759 |
| NEW HANOVER REGIONAL MEDICAL CENTER | WILMINGTON | NC | 13 | — | $2,726 | $60 | $8,533.19 | $16,619 |
| BRUNSWICK COMMUNITY HOSPITAL | BOLIVIA | NC | 24 | — | — | $54 | $85 | $11,654 |
| PRESBYTERIAN HOSPITAL MATTHEWS | MATTHEWS | NC | 22 | — | — | $46 | $76.5 | $12,696 |
| NOVANT HEALTH BALLANTYNE MEDICAL CTR | CHARLOTTE | NC | 22 | — | — | $46 | $76.5 | $12,677 |
| NOVANT HEALTH MINT HILL MEDICAL CTR | CHARLOTTE | NC | 22 | — | — | $46 | $76.5 | $12,696 |
| PRESBYTERIAN HOSPITAL HUNTERSVILLE | HUNTERSVILLE | NC | 22 | — | — | $46 | $76.5 | $12,696 |
| PRESBYTERIAN HOSPITAL | CHARLOTTE | NC | 22 | — | — | $46 | $76.5 | $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 |
| NORTH CAROLINA BAPTIST HOSPITAL | WINSTON-SALEM | NC | 12 | — | — | $6,094.36 | $6,277.2 | $10,054 |
| CAROLINAS MEDICAL CENTER | CHARLOTTE | NC | 15 | — | — | $5,062.3 | $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.