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Simple pneumonia & pleurisy w/o CC/MCC

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

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Hospitals
37
Min
$50.67
Median
$6,091.41
Max
$8,786.30
Range multiplier
173.4×

By payer (50 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
Aetna3481$50.67$7,493.57$14,734290.8×
UnitedHealthcare3380$50.67$6,173.00$15,383303.6×
medical mutual of ohio2457$50.67$8,277.53$13,182260.1×
Blue Cross Blue Shield1950$98.00$7,406.24$12,437126.9×
Cigna2444$50.67$5,270.58$12,861253.8×
Anthem BCBS1743$50.67$6,939.37$10,547208.1×
Molina2934$50.67$5,769.72$11,992236.7×
Humana3132$50.00$5,518.39$8,681.70173.6×
CareSource2831$91.21$6,585.25$14,900163.4×
the health plan2130$50.67$7,803.87$10,583208.9×
summacare1725$50.67$8,095.10$13,000256.6×
devoted health2222$50.67$5,585.56$8,681.70171.3×
Medicare220$3,223.00$3,223.00$7,685.682.4×
aultcare1418$39.00$7,502.91$10,016256.8×
WellCare1515$50.67$4,941.76$8,277.53163.4×
paramount1313$52.19$4,974.59$8,525.86163.4×
primetime health plan1313$50.67$4,829.70$8,277.53163.4×
perennial advantage of ohio1313$53.20$5,071.19$8,691.41163.4×
transplants-case rates [5750]113$60.00$3,223.00$83,1731386.2×
valor health plans1313$53.20$5,071.19$8,691.41163.4×
medigold1313$4,685.95$5,794.32$8,681.701.9×
Ambetter1313$91.21$8,693.46$14,900163.4×
medical mutual611$65.00$5,483.96$12,980199.7×
jp farley1010$6,836.00$8,786.30$10,9781.6×
university health employee plan (contigo)1010$5,903.20$5,903.20$7,317.971.2×
allwell99$4,685.95$5,802.48$8,681.701.9×
buckeye47$2,669.00$6,716.27$9,454.943.5×
custom design benefits36$13,192$14,135$16,8881.3×
First Health26$78.00$82.40$82.401.1×
medben35$14,693$15,992$18,7791.3×
healthsmart14$55.00$85.00$85.001.5×
Medicaid14$4,336.64$4,510.11$4,770.301.1×
buckeye health plan23$5,599.40$6,713.39$9,518.981.7×
oscar33$5,860.76$6,252.32$7,247.231.2×
buckeye community health plan23$5,736.95$12,509$12,5092.2×
imagine health33$12,861$13,317$15,6381.2×
essence healthcare33$5,362.57$5,552.82$6,520.651.2×
optum33$5,362.57$5,552.82$6,520.651.2×
commercial-contracted [8000]12$75.00$1,119.00$2,163.0028.8×
amish church fund12$50.00$52.50$55.001.1×
care source11$5,851.69$5,851.69$5,851.691.0×
TRICARE11$5,005.80$5,005.80$5,005.801.0×
valor health11$6,254.59$6,254.59$6,254.591.0×
valor health plan11$5,599.40$5,599.40$5,599.401.0×
gateway health11$5,851.69$5,851.69$5,851.691.0×
medishare11$85.00$85.00$85.001.0×
mi amish medical board11$5,524.08$5,524.08$5,524.081.0×
custom design benefits inc.11$13,158$13,158$13,1581.0×
mount carmel health plan11$6,713.39$6,713.39$6,713.391.0×
ohio health choice11$70.00$70.00$70.001.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
Adams County Regional Medical CenterSeamanOH10$26,453$15,872$53.10$90.76$83,173
University Hospitals Avon Rehab HospAvonOH20$7,317.97$8,786.30$14,900
Uh Cleveland Medical CenterClevelandOH20$7,317.97$8,786.30$14,900
University Hospitals Rehab HospitalBeachwoodOH20$7,317.97$8,786.30$14,900
Doctors HospitalColumbusOH11$8,681.70$8,681.70$14,576
Twin City HospitalDennisonOH15$39.00$85.00$2,669.00
Rainbow Babies & Childrens HospitalClevelandOH15$8,277.53$8,277.53$8,691.41
Fort Hamilton HospitalHamiltonOH14$5,599.40$7,983.05$13,158
Grant Medical CenterColumbusOH12$7,810.08$7,810.08$13,783
Good Samaritan HospitalCincinnatiOH17$6,520.65$7,804.40$18,779
Uh St. John Medical CenterWestlakeOH20$3,891.88$7,797.66$14,036
Uh Conneaut Medical CenterConneautOH7$5,684.63$7,760.09$13,000
Uh Geneva Medical CenterGenevaOH7$5,395.07$7,760.09$10,978
Bethesda HospitalCincinnatiOH17$5,552.82$7,728.92$15,992
Aultman Orrville HospitalOrrvilleOH9$50.00$75.45$10,561
Uh Ahuja Medical CenterBeachwoodOH20$4,829.70$7,016.58$9,884.12
Adena Regional Medical CenterChillicotheOH12$5,736.95$6,907.39$15,777
Madison HealthLondonOH10$6,713.39$6,847.66$10,741
Grady Memorial HospitalDelawareOH10$6,520.05$6,520.05$6,780.85
Alliance Community HospitalAllianceOH11$69.00$6,254.59$12,509
Riverside Methodist HospitalColumbusOH12$6,091.41$6,091.41$13,783
Uh Elyria Medical CenterElyriaOH20$4,827.85$5,903.20$8,826.77
Mccullough-Hyde Memorial HospitalOxfordOH15$5,362.57$5,860.76$14,693
Dublin Methodist HospitalDublinOH12$5,802.48$5,802.48$13,783
Berger HospitalCirclevilleOH10$5,571.71$5,571.71$13,072
Marion General HospitalMarionOH10$5,483.96$5,483.96$5,703.32
Medcentral Health SystemMansfieldOH8$5,159.53$5,159.53$5,365.91
Uh Geauga Medical CenterChardonOH17$50.67$50.67$91.21
Uh Regional HospitalsRichmond HeightsOH17$50.67$50.67$91.21
Uh Samaritan Medical CenterAshlandOH17$4,941.76$4,941.76$8,895.17
St. Lukes HospitalMaumeeOH6$18,349$9,174.41$4,276.59$4,848.99$15,383
Uh Parma Medical CenterParmaOH19$4,512.08$4,815.13$9,395.92
Uh Portage Medical CenterRavennaOH19$4,519.45$4,745.42$10,364
Lake Hospital SystemConcordOH19$4,519.45$4,745.42$8,135.01
Obleness Memorial HospitalAthensOH12$4,685.95$4,685.95$4,732.81
Fulton County Health CenterWauseonOH1$2,828.25$2,828.25$2,828.25
Wilson Memorial HospitalSidneyOH0$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.