▸ Compare · PriceTransparency
Simple pneumonia & pleurisy w/o CC/MCC
MS-DRG 195 · negotiated-rate distribution across hospitals in OH
Hospitals
37
Min
$50.67
Median
$6,091.41
Max
$8,786.3
Range multiplier
173.4×
By payer (50 payers with published rates)
| Payer | Hosp. | Rates | Min | Median | Max | Range× |
|---|---|---|---|---|---|---|
| Aetna | 34 | 81 | $50.67 | $7,493.57 | $14,734 | 290.8× |
| UnitedHealthcare | 33 | 80 | $50.67 | $6,173 | $15,383 | 303.6× |
| medical mutual of ohio | 24 | 57 | $50.67 | $8,277.53 | $13,182 | 260.1× |
| Blue Cross Blue Shield | 19 | 50 | $98 | $7,406.24 | $12,437 | 126.9× |
| Cigna | 24 | 44 | $50.67 | $5,270.58 | $12,861 | 253.8× |
| Anthem BCBS | 17 | 43 | $50.67 | $6,939.37 | $10,547 | 208.1× |
| Molina | 29 | 34 | $50.67 | $5,769.72 | $11,992 | 236.7× |
| Humana | 31 | 32 | $50 | $5,518.39 | $8,681.7 | 173.6× |
| CareSource | 28 | 31 | $91.21 | $6,585.25 | $14,900 | 163.4× |
| the health plan | 21 | 30 | $50.67 | $7,803.87 | $10,583 | 208.9× |
| summacare | 17 | 25 | $50.67 | $8,095.1 | $13,000 | 256.6× |
| devoted health | 22 | 22 | $50.67 | $5,585.56 | $8,681.7 | 171.3× |
| Medicare | 2 | 20 | $3,223 | $3,223 | $7,685.68 | 2.4× |
| aultcare | 14 | 18 | $39 | $7,502.91 | $10,016 | 256.8× |
| WellCare | 15 | 15 | $50.67 | $4,941.76 | $8,277.53 | 163.4× |
| paramount | 13 | 13 | $52.19 | $4,974.59 | $8,525.86 | 163.4× |
| primetime health plan | 13 | 13 | $50.67 | $4,829.7 | $8,277.53 | 163.4× |
| perennial advantage of ohio | 13 | 13 | $53.2 | $5,071.19 | $8,691.41 | 163.4× |
| transplants-case rates [5750] | 1 | 13 | $60 | $3,223 | $83,173 | 1386.2× |
| valor health plans | 13 | 13 | $53.2 | $5,071.19 | $8,691.41 | 163.4× |
| medigold | 13 | 13 | $4,685.95 | $5,794.32 | $8,681.7 | 1.9× |
| Ambetter | 13 | 13 | $91.21 | $8,693.46 | $14,900 | 163.4× |
| medical mutual | 6 | 11 | $65 | $5,483.96 | $12,980 | 199.7× |
| jp farley | 10 | 10 | $6,836 | $8,786.3 | $10,978 | 1.6× |
| university health employee plan (contigo) | 10 | 10 | $5,903.2 | $5,903.2 | $7,317.97 | 1.2× |
| allwell | 9 | 9 | $4,685.95 | $5,802.48 | $8,681.7 | 1.9× |
| buckeye | 4 | 7 | $2,669 | $6,716.27 | $9,454.94 | 3.5× |
| custom design benefits | 3 | 6 | $13,192 | $14,135 | $16,888 | 1.3× |
| First Health | 2 | 6 | $78 | $82.4 | $82.4 | 1.1× |
| medben | 3 | 5 | $14,693 | $15,992 | $18,779 | 1.3× |
| healthsmart | 1 | 4 | $55 | $85 | $85 | 1.5× |
| Medicaid | 1 | 4 | $4,336.64 | $4,510.11 | $4,770.3 | 1.1× |
| buckeye health plan | 2 | 3 | $5,599.4 | $6,713.39 | $9,518.98 | 1.7× |
| oscar | 3 | 3 | $5,860.76 | $6,252.32 | $7,247.23 | 1.2× |
| buckeye community health plan | 2 | 3 | $5,736.95 | $12,509 | $12,509 | 2.2× |
| imagine health | 3 | 3 | $12,861 | $13,317 | $15,638 | 1.2× |
| essence healthcare | 3 | 3 | $5,362.57 | $5,552.82 | $6,520.65 | 1.2× |
| optum | 3 | 3 | $5,362.57 | $5,552.82 | $6,520.65 | 1.2× |
| commercial-contracted [8000] | 1 | 2 | $75 | $1,119 | $2,163 | 28.8× |
| amish church fund | 1 | 2 | $50 | $52.5 | $55 | 1.1× |
| care source | 1 | 1 | $5,851.69 | $5,851.69 | $5,851.69 | 1.0× |
| TRICARE | 1 | 1 | $5,005.8 | $5,005.8 | $5,005.8 | 1.0× |
| valor health | 1 | 1 | $6,254.59 | $6,254.59 | $6,254.59 | 1.0× |
| valor health plan | 1 | 1 | $5,599.4 | $5,599.4 | $5,599.4 | 1.0× |
| gateway health | 1 | 1 | $5,851.69 | $5,851.69 | $5,851.69 | 1.0× |
| medishare | 1 | 1 | $85 | $85 | $85 | 1.0× |
| mi amish medical board | 1 | 1 | $5,524.08 | $5,524.08 | $5,524.08 | 1.0× |
| custom design benefits inc. | 1 | 1 | $13,158 | $13,158 | $13,158 | 1.0× |
| mount carmel health plan | 1 | 1 | $6,713.39 | $6,713.39 | $6,713.39 | 1.0× |
| ohio health choice | 1 | 1 | $70 | $70 | $70 | 1.0× |
By hospital (top 200 by negotiated median, descending)
| Hospital | City | ST | Payers | Gross | Cash | Neg min | Neg median | Neg max |
|---|---|---|---|---|---|---|---|---|
| ADAMS COUNTY REGIONAL MEDICAL CENTER | SEAMAN | OH | 10 | $26,453 | $15,872 | $53.1 | $90.76 | $83,173 |
| UNIVERSITY HOSPITALS AVON REHAB HOSP | AVON | OH | 20 | — | — | $7,317.97 | $8,786.3 | $14,900 |
| UH CLEVELAND MEDICAL CENTER | CLEVELAND | OH | 20 | — | — | $7,317.97 | $8,786.3 | $14,900 |
| UNIVERSITY HOSPITALS REHAB HOSPITAL | BEACHWOOD | OH | 20 | — | — | $7,317.97 | $8,786.3 | $14,900 |
| DOCTORS HOSPITAL | COLUMBUS | OH | 11 | — | — | $8,681.7 | $8,681.7 | $14,576 |
| TWIN CITY HOSPITAL | DENNISON | OH | 15 | — | — | $39 | $85 | $2,669 |
| RAINBOW BABIES & CHILDRENS HOSPITAL | CLEVELAND | OH | 15 | — | — | $8,277.53 | $8,277.53 | $8,691.41 |
| FORT HAMILTON HOSPITAL | HAMILTON | OH | 14 | — | — | $5,599.4 | $7,983.05 | $13,158 |
| GRANT MEDICAL CENTER | COLUMBUS | OH | 12 | — | — | $7,810.08 | $7,810.08 | $13,783 |
| GOOD SAMARITAN HOSPITAL | CINCINNATI | OH | 17 | — | — | $6,520.65 | $7,804.4 | $18,779 |
| UH ST. JOHN MEDICAL CENTER | WESTLAKE | OH | 20 | — | — | $3,891.88 | $7,797.66 | $14,036 |
| UH CONNEAUT MEDICAL CENTER | CONNEAUT | OH | 7 | — | — | $5,684.63 | $7,760.09 | $13,000 |
| UH GENEVA MEDICAL CENTER | GENEVA | OH | 7 | — | — | $5,395.07 | $7,760.09 | $10,978 |
| BETHESDA HOSPITAL | CINCINNATI | OH | 17 | — | — | $5,552.82 | $7,728.92 | $15,992 |
| AULTMAN ORRVILLE HOSPITAL | ORRVILLE | OH | 9 | — | — | $50 | $75.45 | $10,561 |
| UH AHUJA MEDICAL CENTER | BEACHWOOD | OH | 20 | — | — | $4,829.7 | $7,016.58 | $9,884.12 |
| ADENA REGIONAL MEDICAL CENTER | CHILLICOTHE | OH | 12 | — | — | $5,736.95 | $6,907.39 | $15,777 |
| MADISON HEALTH | LONDON | OH | 10 | — | — | $6,713.39 | $6,847.66 | $10,741 |
| GRADY MEMORIAL HOSPITAL | DELAWARE | OH | 10 | — | — | $6,520.05 | $6,520.05 | $6,780.85 |
| ALLIANCE COMMUNITY HOSPITAL | ALLIANCE | OH | 11 | — | — | $69 | $6,254.59 | $12,509 |
| RIVERSIDE METHODIST HOSPITAL | COLUMBUS | OH | 12 | — | — | $6,091.41 | $6,091.41 | $13,783 |
| UH ELYRIA MEDICAL CENTER | ELYRIA | OH | 20 | — | — | $4,827.85 | $5,903.2 | $8,826.77 |
| MCCULLOUGH-HYDE MEMORIAL HOSPITAL | OXFORD | OH | 15 | — | — | $5,362.57 | $5,860.76 | $14,693 |
| DUBLIN METHODIST HOSPITAL | DUBLIN | OH | 12 | — | — | $5,802.48 | $5,802.48 | $13,783 |
| BERGER HOSPITAL | CIRCLEVILLE | OH | 10 | — | — | $5,571.71 | $5,571.71 | $13,072 |
| MARION GENERAL HOSPITAL | MARION | OH | 10 | — | — | $5,483.96 | $5,483.96 | $5,703.32 |
| MEDCENTRAL HEALTH SYSTEM | MANSFIELD | OH | 8 | — | — | $5,159.53 | $5,159.53 | $5,365.91 |
| UH GEAUGA MEDICAL CENTER | CHARDON | OH | 17 | — | — | $50.67 | $50.67 | $91.21 |
| UH REGIONAL HOSPITALS | RICHMOND HEIGHTS | OH | 17 | — | — | $50.67 | $50.67 | $91.21 |
| UH SAMARITAN MEDICAL CENTER | ASHLAND | OH | 17 | — | — | $4,941.76 | $4,941.76 | $8,895.17 |
| ST. LUKES HOSPITAL | MAUMEE | OH | 6 | $18,349 | $9,174.41 | $4,276.59 | $4,848.99 | $15,383 |
| UH PARMA MEDICAL CENTER | PARMA | OH | 19 | — | — | $4,512.08 | $4,815.13 | $9,395.92 |
| UH PORTAGE MEDICAL CENTER | RAVENNA | OH | 19 | — | — | $4,519.45 | $4,745.42 | $10,364 |
| LAKE HOSPITAL SYSTEM | CONCORD | OH | 19 | — | — | $4,519.45 | $4,745.42 | $8,135.01 |
| OBLENESS MEMORIAL HOSPITAL | ATHENS | OH | 12 | — | — | $4,685.95 | $4,685.95 | $4,732.81 |
| FULTON COUNTY HEALTH CENTER | WAUSEON | OH | 1 | — | — | $2,828.25 | $2,828.25 | $2,828.25 |
| WILSON MEMORIAL HOSPITAL | SIDNEY | OH | 0 | $17,549 | $8,774.45 | — | — | — |
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.