▸ Compare · PriceTransparency
Simple pneumonia & pleurisy w/o CC/MCC
MS-DRG 195 · negotiated-rate distribution across hospitals in TN
Hospitals
20
Min
$4,272.64
Median
$6,650.01
Max
$11,485
Range multiplier
2.7×
By payer (50 payers with published rates)
| Payer | Hosp. | Rates | Min | Median | Max | Range× |
|---|---|---|---|---|---|---|
| Cigna | 17 | 146 | $2,294 | $9,656 | $16,559 | 7.2× |
| Blue Cross Blue Shield | 19 | 141 | $986.98 | $5,423.56 | $18,832 | 19.1× |
| UnitedHealthcare | 17 | 130 | $1,147 | $11,915 | $15,974 | 13.9× |
| Aetna | 18 | 45 | $3,426 | $7,117.76 | $20,300 | 5.9× |
| amerigroup mcaid replacement | 7 | 35 | $2,629.83 | $2,727.91 | $3,335.64 | 1.3× |
| smart health | 8 | 30 | $5,347.61 | $7,275.96 | $10,900 | 2.0× |
| health 2 business | 7 | 21 | $8,475.42 | $8,980.16 | $9,744.25 | 1.1× |
| Humana | 12 | 21 | $3,819.72 | $4,765.8 | $11,794 | 3.1× |
| Medicare | 8 | 15 | $3,819.72 | $4,313.52 | $7,017.73 | 1.8× |
| Oscar Health | 8 | 14 | $8,150 | $8,394.5 | $9,991 | 1.2× |
| Ambetter | 11 | 11 | $2,628 | $5,340.54 | $10,327 | 3.9× |
| wellpoint | 3 | 9 | $4,153.99 | $4,610.85 | $4,934.8 | 1.2× |
| Medicare Advantage | 8 | 9 | $3,819.72 | $4,398.04 | $6,650.01 | 1.7× |
| community plan | 8 | 8 | $3,002.34 | $3,002.34 | $3,002.34 | 1.0× |
| point comfort underwriters | 7 | 7 | $3,437.75 | $3,958.24 | $4,303.13 | 1.3× |
| nhc advantage | 7 | 7 | $3,819.72 | $4,398.04 | $4,781.26 | 1.3× |
| healthspring mcr replacement | 7 | 7 | $3,819.72 | $4,398.04 | $4,781.26 | 1.3× |
| centurion of tn | 7 | 7 | $3,819.72 | $4,398.04 | $4,781.26 | 1.3× |
| optum va | 7 | 7 | $3,819.72 | $4,398.04 | $4,781.26 | 1.3× |
| oscar | 7 | 7 | $7,253.52 | $7,253.52 | $7,253.52 | 1.0× |
| amerigroup mcr replacement | 7 | 7 | $3,934.31 | $4,398.04 | $4,781.26 | 1.2× |
| Self-Pay (Cash) | 7 | 7 | $3,819.72 | $4,398.04 | $4,781.26 | 1.3× |
| river valley plan | 7 | 7 | $653.01 | $3,200.32 | $5,598.36 | 8.6× |
| celtic insurance company | 7 | 7 | $6,260.43 | $8,701.87 | $10,487 | 1.7× |
| farm bureau | 3 | 6 | $3,975.9 | $4,209.57 | $4,262.55 | 1.1× |
| devoted health | 3 | 6 | $4,610.85 | $4,858.34 | $4,934.8 | 1.1× |
| ascension complete | 6 | 6 | $4,108.11 | $4,400.57 | $4,781.26 | 1.2× |
| TRICARE | 5 | 5 | $3,666.93 | $4,520.87 | $4,699.81 | 1.3× |
| VA Health | 4 | 4 | $4,038.99 | $5,212.8 | $5,614.11 | 1.4× |
| triwest va pccc | 3 | 3 | $3,819.72 | $4,108.11 | $4,108.11 | 1.1× |
| amerigroup | 2 | 3 | $3,341.85 | $3,967.77 | $5,435.3 | 1.6× |
| beech street | 3 | 3 | $85 | $85 | $85 | 1.0× |
| ccn managed care | 3 | 3 | $85 | $85 | $85 | 1.0× |
| community services network | 3 | 3 | $65 | $65 | $65 | 1.0× |
| correctional medical services | 3 | 3 | $60 | $60 | $60 | 1.0× |
| direct care america | 3 | 3 | $80 | $80 | $80 | 1.0× |
| ehn | 3 | 3 | $45 | $45 | $45 | 1.0× |
| galaxy health network | 3 | 3 | $90 | $90 | $90 | 1.0× |
| initial group | 3 | 3 | $88 | $88 | $88 | 1.0× |
| Medicaid | 1 | 3 | $2,500 | $2,500 | $4,504.41 | 1.8× |
| medsave usa | 3 | 3 | $80 | $80 | $80 | 1.0× |
| national provider network | 3 | 3 | $80 | $80 | $80 | 1.0× |
| novanet | 3 | 3 | $75 | $75 | $75 | 1.0× |
| optum | 3 | 3 | $4,391.29 | $4,626.99 | $4,699.81 | 1.1× |
| usa managed care organization | 3 | 3 | $70 | $70 | $70 | 1.0× |
| WellCare | 3 | 3 | $4,610.85 | $4,858.34 | $4,934.8 | 1.1× |
| harmony health plan | 1 | 1 | $5,435.3 | $5,435.3 | $5,435.3 | 1.0× |
| generic hospice vbid [10940000101] | 1 | 1 | $6,650.01 | $6,650.01 | $6,650.01 | 1.0× |
| devoted health [450111] | 1 | 1 | $6,849.51 | $6,849.51 | $6,849.51 | 1.0× |
| tennessee rural health improvement association | 1 | 1 | $5,598.36 | $5,598.36 | $5,598.36 | 1.0× |
By hospital (top 200 by negotiated median, descending)
| Hospital | City | ST | Payers | Gross | Cash | Neg min | Neg median | Neg max |
|---|---|---|---|---|---|---|---|---|
| SAINT THOMAS HIGHLAND HOSPITAL | SPARTA | TN | 21 | — | — | $990.17 | $8,434.96 | $20,300 |
| SAINT THOMAS STONES RIVER HOSPITAL | WOODBURY | TN | 21 | — | — | $990.17 | $8,369.45 | $20,300 |
| ASCENSION ST THOMAS RIVER PARK | MCMINNVILLE | TN | 21 | — | — | $990.17 | $8,344.4 | $20,300 |
| SAINT THOMAS WEST HOSPITAL | NASHVILLE | TN | 22 | — | — | $2,629.83 | $8,344.4 | $20,300 |
| SAINT THOMAS RUTHERFORD HOSPITAL | MURFREESBORO | TN | 22 | — | — | $2,629.83 | $8,344.4 | $20,300 |
| ST THOMAS DEKALB HOSPITAL | SMITHVILLE | TN | 21 | — | — | $990.17 | $8,327.4 | $20,300 |
| DYERSBURG REGIONAL MEDICAL CENTER | DYERSBURG | TN | 7 | — | — | $653.01 | $7,117.76 | $9,223.2 |
| JACKSON-MADISON COUNTY GENERAL HOSP | JACKSON | TN | 9 | — | — | $3,211.01 | $7,117.76 | $10,716 |
| METHODIST H/C MEMPHIS HOSPT. | MEMPHIS | TN | 15 | $23,369 | $5,141.13 | $1,215 | $6,650.01 | $11,286 |
| WEST TN HEALTHCARE VOLUNTEER HOSPITA | MARTIN | TN | 7 | — | — | $681.29 | $6,583.35 | $9,223.2 |
| BOLIVAR GENERAL HOSPITAL | BOLIVAR | TN | 6 | — | — | $3,200.32 | $6,034.3 | $10,716 |
| CAMDEN GENERAL HOSPITAL | CAMDEN | TN | 6 | — | — | $3,200.32 | $5,792.8 | $10,716 |
| HENRY COUNTY MEDICAL CENTER | PARIS | TN | 14 | — | — | $986.98 | $5,598.36 | $10,327 |
| MILAN GENERAL HOSPITAL | MILAN | TN | 8 | — | — | $3,200.32 | $5,387.5 | $10,716 |
| SAINT THOMAS MIDTOWN HOSPITAL | NASHVILLE | TN | 23 | — | — | $2,917.37 | $4,488.18 | $19,970 |
| ROANE COUNTY MEDICAL CENTER | HARRIMAN | TN | 24 | — | — | $45 | $4,481.18 | $9,594.56 |
| FORT LOUDOUN MEDICAL CENTER | LENOIR CITY | TN | 24 | — | — | $45 | $4,418.28 | $9,594.56 |
| MORRISTOWN-HAMBLEN HOSPITAL | MORRISTOWN | TN | 24 | — | — | $45 | $4,272.64 | $9,594.56 |
| ST THOMAS HICKMAN HOSPITAL | CENTERVILLE | TN | 9 | — | — | $2,629.83 | $11,485 | $20,300 |
| ST THOMAS ASCENSION | NASHVILLE | TN | 0 | $15,907 | $3,928.97 | — | — | — |
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.