▸ Compare · PriceTransparency
Simple pneumonia & pleurisy w/o CC/MCC
MS-DRG 195 · negotiated-rate distribution across hospitals in PA
Hospitals
62
Min
$4,533.25
Median
$6,060.73
Max
$11,115
Range multiplier
2.5×
By payer (50 payers with published rates)
| Payer | Hosp. | Rates | Min | Median | Max | Range× |
|---|---|---|---|---|---|---|
| Blue Cross Blue Shield | 35 | 188 | $851.04 | $7,837.88 | $29,037 | 34.1× |
| upmc health plan | 33 | 70 | $4,507.89 | $6,155.65 | $9,483.34 | 2.1× |
| Aetna | 32 | 58 | $4,490.82 | $6,088.67 | $20,429 | 4.5× |
| UnitedHealthcare | 30 | 50 | $4,434.87 | $5,923.93 | $14,714 | 3.3× |
| Cigna | 22 | 35 | $4,520.96 | $6,222.12 | $18,073 | 4.0× |
| upmc work partners | 23 | 24 | $9,223.57 | $10,293 | $25,295 | 2.7× |
| pa health & wellness | 23 | 23 | $2,315.52 | $5,595.67 | $7,035.77 | 3.0× |
| geisinger | 16 | 18 | $4,520.96 | $8,301.62 | $29,483 | 6.5× |
| amerihealth caritas | 18 | 18 | $2,208.32 | $5,518.3 | $7,035.77 | 3.2× |
| keystone health plan | 6 | 12 | $4,305.68 | $9,449.75 | $15,161 | 3.5× |
| Humana | 10 | 10 | $4,305.68 | $5,555.97 | $7,684.2 | 1.8× |
| health plan of upper ohio valley | 3 | 7 | $4,489.84 | $5,274.44 | $7,529.42 | 1.7× |
| Multiplan | 4 | 4 | $24,716 | $24,716 | $29,413 | 1.2× |
| keystone autism services | 4 | 4 | $6,889.09 | $7,660.82 | $9,751.41 | 1.4× |
| naphcare | 3 | 4 | $8,282.88 | $11,026 | $11,526 | 1.4× |
| innovage | 3 | 3 | $6,709.88 | $7,837.88 | $7,837.88 | 1.2× |
| gateway health plan | 3 | 3 | $5,180.27 | $8,298.94 | $8,298.94 | 1.6× |
| Medicare | 1 | 3 | $5,166.93 | $6,578.31 | $6,709.88 | 1.3× |
| ibc | 1 | 3 | $15,343 | $15,343 | $21,768 | 1.4× |
| Medicare Advantage | 1 | 3 | $6,662.71 | $6,907.23 | $7,565.06 | 1.1× |
| Oscar Health | 3 | 3 | $11,175 | $11,175 | $11,175 | 1.0× |
| keystone first | 2 | 2 | $8,068.41 | $8,068.41 | $8,068.41 | 1.0× |
| health partners plans | 2 | 2 | $8,648.57 | $8,648.57 | $8,648.57 | 1.0× |
| pennsylvania health and wellness | 2 | 2 | $8,452.62 | $8,452.62 | $8,452.62 | 1.0× |
| prime health services | 2 | 2 | $10,601 | $10,601 | $10,601 | 1.0× |
| city of washington | 2 | 2 | $8,273.63 | $8,273.63 | $8,273.63 | 1.0× |
| clover health | 2 | 2 | $8,145.25 | $8,145.25 | $8,145.25 | 1.0× |
| qualcare jcc | 1 | 2 | $14,438 | $20,671 | $26,903 | 1.9× |
| senior life | 2 | 2 | $5,171.02 | $5,171.02 | $5,171.02 | 1.0× |
| elder health | 2 | 2 | $9,221.04 | $9,221.04 | $9,221.04 | 1.0× |
| wtc health program | 1 | 1 | $10,245 | $10,245 | $10,245 | 1.0× |
| allwell pa health_wellness ma | 1 | 1 | $7,236.14 | $7,236.14 | $7,236.14 | 1.0× |
| Ambetter | 1 | 1 | $6,902.4 | $6,902.4 | $6,902.4 | 1.0× |
| Anthem BCBS | 1 | 1 | $2,910.58 | $2,910.58 | $2,910.58 | 1.0× |
| bravo | 1 | 1 | $6,514.6 | $6,514.6 | $6,514.6 | 1.0× |
| devoted health participation | 1 | 1 | $6,907.23 | $6,907.23 | $6,907.23 | 1.0× |
| fidelis | 1 | 1 | $5,842.3 | $5,842.3 | $5,842.3 | 1.0× |
| geisinger health plan | 1 | 1 | $21,933 | $21,933 | $21,933 | 1.0× |
| ibc employee benefit | 1 | 1 | $8,222.89 | $8,222.89 | $8,222.89 | 1.0× |
| ibc main line health | 1 | 1 | $8,222.89 | $8,222.89 | $8,222.89 | 1.0× |
| independent health | 1 | 1 | $5,915.33 | $5,915.33 | $5,915.33 | 1.0× |
| inspira life | 1 | 1 | $6,578.31 | $6,578.31 | $6,578.31 | 1.0× |
| intergroup | 1 | 1 | $3,704 | $3,704 | $3,704 | 1.0× |
| intergroup service corp | 1 | 1 | $8,086.94 | $8,086.94 | $8,086.94 | 1.0× |
| jefferson health plan aca qhp exchange | 1 | 1 | $6,311.4 | $6,311.4 | $6,311.4 | 1.0× |
| keystone first vip choice | 1 | 1 | $6,841.45 | $6,841.45 | $6,841.45 | 1.0× |
| occunet | 1 | 1 | $1,500 | $1,500 | $1,500 | 1.0× |
| optum va ccn | 1 | 1 | $6,578.31 | $6,578.31 | $6,578.31 | 1.0× |
| perennial | 1 | 1 | $7,630.84 | $7,630.84 | $7,630.84 | 1.0× |
| point of comfort refugee resettlement | 1 | 1 | $6,578.31 | $6,578.31 | $6,578.31 | 1.0× |
By hospital (top 200 by negotiated median, descending)
| Hospital | City | ST | Payers | Gross | Cash | Neg min | Neg median | Neg max |
|---|---|---|---|---|---|---|---|---|
| WELLSBORO | WELLSBORO | PA | 3 | — | — | $8,718.07 | $9,869.95 | $10,726 |
| UPMC LITITZ | LITITZ | PA | 9 | — | — | $6,033.68 | $9,751.41 | $24,298 |
| MUNCY VALLEY HOSPITAL | MUNCY | PA | 5 | — | — | $2,208.32 | $9,611.87 | $11,459 |
| JEANES HOSPITAL | PHILADELPHIA | PA | 17 | — | — | $7,684.2 | $9,051.22 | $29,483 |
| TEMPLE UNIVERSITY HOSPITAL | PHILADELPHIA | PA | 18 | — | — | $7,684.2 | $8,934.81 | $29,483 |
| UPMC SHADYSIDE | PITTSBURGH | PA | 8 | — | — | $6,333.22 | $8,442.08 | $29,413 |
| MEMORIAL HOSPITAL | YORK | PA | 10 | — | — | $4,751.48 | $7,679.15 | $23,675 |
| THOMAS JEFFERSON UNIV. HOSPITAL | PHILADELPHIA | PA | 27 | — | $8,018.65 | $5,166.93 | $7,597.95 | $26,903 |
| UPMC HANOVER | HANOVER | PA | 11 | — | — | $4,262.62 | $7,192.22 | $23,675 |
| UPMC MCKEESPORT | MCKEESPORT | PA | 6 | — | — | $6,358.58 | $7,043.55 | $11,340 |
| UPMC MERCY HOSPITAL | PITTSBURGH | PA | 7 | — | — | $6,514.6 | $7,035.77 | $12,887 |
| UPMC ST MARGARET | PITTSBURGH | PA | 4 | — | — | $5,344.7 | $6,473.86 | $21,161 |
| TITUSVILLE AREA HOSPITAL | TITUSVILLE | PA | 5 | — | — | $3,959.39 | $6,414.49 | $8,857.05 |
| UPMC CARLISLE | CARLISLE | PA | 11 | — | — | $851.04 | $6,327.01 | $24,815 |
| UPMC HAMOT | ERIE | PA | 12 | — | — | $5,744.49 | $6,280.18 | $14,508 |
| CURAHEALTH HERITAGE VALLEY | BEAVER | PA | 7 | $10,783 | $5,180.27 | $3,839.03 | $6,094.26 | $8,086.94 |
| UPMC PINNACLE HOSPITALS | HARRISBURG | PA | 9 | — | — | $5,660.49 | $6,060.73 | $14,983 |
| COMMUNITY GENERAL OSTEOPATHIC HOSP. | HARRISBURG | PA | 9 | — | — | $5,660.49 | $6,060.73 | $14,983 |
| UPMC MAGEE-WOMENS HOSPITAL | PITTSBURGH | PA | 9 | — | — | $5,204.09 | $5,880.63 | $9,674.01 |
| ALTOONA REGIONAL HEALTH SYSTEM | ALTOONA | PA | 9 | — | — | $5,204.09 | $5,880.63 | $9,674.01 |
| THE CHILDRENS HOME OF PITTSBURGH | PITTSBURGH | PA | 9 | — | — | $5,204.09 | $5,880.63 | $9,674.01 |
| UPMC CHILDRENS HOSPITAL OF PGH | PITTSBURGH | PA | 9 | — | — | $5,204.09 | $5,880.63 | $9,674.01 |
| WILLIAMSPORT HOSPITAL & MEDICAL CTR | WILLIAMSPORT | PA | 9 | — | — | $5,157.88 | $5,703.9 | $24,716 |
| LOCK HAVEN HOSPITAL | LOCK HAVEN | PA | 9 | — | — | $5,157.88 | $5,703.9 | $24,716 |
| DIVINE PROVIDENCE HOSPITAL | WILLIAMSPORT | PA | 9 | — | — | $5,157.88 | $5,703.9 | $24,716 |
| UPMC HORIZON HOSPITAL | GREENVILLE | PA | 9 | — | — | $2,910.58 | $5,595.16 | $9,470.42 |
| THE WASHINGTON HOSPITAL | WASHINGTON | PA | 9 | — | — | $4,583.56 | $5,584.18 | $8,273.63 |
| WHS - GREENE | WAYNESBURG | PA | 9 | — | — | $4,583.56 | $5,584.18 | $8,273.63 |
| UPMC EAST HOSPITAL | MONROEVILLE | PA | 8 | — | — | $4,981.41 | $5,479.55 | $21,429 |
| UPMC BEDFORD MEMORIAL HOSPITAL | EVERETT | PA | 8 | — | — | $5,037.89 | $5,440.92 | $9,223.57 |
| UPMC JAMESON | NEW CASTLE | PA | 10 | — | — | $1,500 | $5,379.1 | $25,295 |
| CHARLES COLE MEMORIAL HOSPITAL | COUDERSPORT | PA | 3 | — | — | $3,841.75 | $5,369.56 | $6,538.48 |
| UPMC NORTHWEST HOSPITAL | SENECA | PA | 8 | — | — | $3,704 | $5,295.91 | $9,223.57 |
| UPMC PASSAVANT | PITTSBURGH | PA | 9 | — | — | $4,489.84 | $5,118.42 | $29,413 |
| MEADVILLE MEDICAL CENTER | MEADVILLE | PA | 1 | — | — | $4,533.25 | $4,533.25 | $4,533.25 |
| AMERICAN ONCOLOGIC HOSPIAL | PHILADELPHIA | PA | 5 | — | — | $5,417.67 | $11,115 | $20,429 |
| BUTLER MEMORIAL HOSPITAL | BUTLER | PA | 0 | — | — | — | — | — |
| WINDBER HOSPITAL INC. | WINDBER | PA | 0 | — | — | — | — | — |
| LANKENAU MEDICAL CENTER | WYNNEWOOD | PA | 0 | — | — | — | — | — |
| DOYLESTOWN HOSPITAL | DOYLESTOWN | PA | 0 | $20,881 | $20,881 | — | — | — |
| HOSPITAL OF THE UNIV OF PENNA | PHILADELPHIA | PA | 0 | — | — | — | — | — |
| RIDDLE HOSPITAL | MEDIA | PA | 0 | — | — | — | — | — |
| PRESBYTERIAN MEDICAL CENTER | PHILADELPHIA | PA | 0 | — | — | — | — | — |
| PENNSYLVANIA HOSPITAL OF UPHS | PHILADELPHIA | PA | 0 | — | — | — | — | — |
| CHESTNUT HILL HOSPITAL | PHILADELPHIA | PA | 0 | — | — | — | — | — |
| MILTON S. HERSHEY MEDICAL CENTER | HERSHEY | PA | 0 | — | — | — | — | — |
| HAMPDEN MEDICAL CENTER | ENOLA | PA | 0 | — | — | — | — | — |
| UNIONTOWN HOSPITAL | UNIONTOWN | PA | 0 | — | — | — | — | — |
| HOLY SPIRIT HOSPITAL | CAMP HILL | PA | 0 | — | — | — | — | — |
| MINERS HOSPITAL | HASTINGS | PA | 0 | $11,577 | $4,630.87 | — | — | — |
| ST. JOSEPH MEDICAL CENTER | READING | PA | 0 | — | — | — | — | — |
| PENN STATE HERSHEY REHABILITATION LL | HUMMELSTOWN | PA | 0 | — | — | — | — | — |
| CLARION HOSPITAL | CLARION | PA | 0 | — | — | — | — | — |
| ST CHRISTOPHERS HOSPITAL FOR CHILDR | PHILADELPHIA | PA | 0 | — | — | — | — | — |
| POTTSTOWN MEMORIAL MEDICAL CENTER | POTTSTOWN | PA | 0 | — | — | — | — | — |
| READING HOSPITAL AND MEDICAL CENTER | READING | PA | 0 | — | — | — | — | — |
| WAYNE MEMORIAL HOSPITAL | HONESDALE | PA | 0 | $9,511.35 | $6,657.94 | — | — | — |
| PHOENIXVILLE HOSPITAL | PHOENIXVILLE | PA | 0 | — | — | — | — | — |
| MINERS HOSPITAL | HASTINGS | PA | 0 | $11,577 | $4,630.87 | — | — | — |
| BRYN MAWR HOSPITAL | BRYN MAWR | PA | 0 | — | — | — | — | — |
| PAOLI HOSPITAL | PAOLI | PA | 0 | — | — | — | — | — |
| ARMSTRONG COUNTY MEMORIAL | KITTANNING | PA | 0 | — | — | — | — | — |
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.