▸ Compare · PriceTransparency
Simple pneumonia & pleurisy w/o CC/MCC
MS-DRG 195 · negotiated-rate distribution across hospitals in TX
Hospitals
67
Min
$2,609.99
Median
$6,438.11
Max
$57,374
Range multiplier
22.0×
By payer (50 payers with published rates)
| Payer | Hosp. | Rates | Min | Median | Max | Range× |
|---|---|---|---|---|---|---|
| Blue Cross Blue Shield | 53 | 267 | $3,730.84 | $6,939.78 | $60,243 | 16.1× |
| baylor scott & white health plan | 23 | 134 | $4,016.44 | $6,069.80 | $13,256 | 3.3× |
| UnitedHealthcare | 47 | 121 | $4,156.85 | $8,926.30 | $57,374 | 13.8× |
| Humana | 46 | 91 | $2,609.99 | $5,413.08 | $57,374 | 22.0× |
| Cigna | 38 | 65 | $65.00 | $6,219.53 | $23,220 | 357.2× |
| Aetna | 42 | 55 | $2,609.99 | $8,664.00 | $57,374 | 22.0× |
| healthsmart | 20 | 40 | $2,804.00 | $5,647.57 | $8,491.14 | 3.0× |
| Medicare | 9 | 33 | $3,837.66 | $5,872.41 | $8,094.00 | 2.1× |
| american health plan | 25 | 25 | $4,439.22 | $5,080.83 | $22,937 | 5.2× |
| procare advantage | 24 | 24 | $4,439.22 | $5,308.43 | $22,937 | 5.2× |
| university of mary hardin-baylor | 23 | 23 | $5,358.33 | $5,358.33 | $5,358.33 | 1.0× |
| prime health services | 20 | 22 | $4,429.07 | $5,900.76 | $34,830 | 7.9× |
| superior health plan | 21 | 21 | $4,257.85 | $5,021.04 | $13,199 | 3.1× |
| triwest | 21 | 21 | $4,227.83 | $4,838.89 | $7,364.19 | 1.7× |
| corvel | 20 | 20 | $4,429.07 | $5,794.63 | $22,884 | 5.2× |
| Ambetter | 20 | 20 | $8,976.08 | $10,411 | $23,220 | 2.6× |
| healthspring | 19 | 19 | $4,439.22 | $5,021.04 | $7,732.40 | 1.7× |
| Anthem BCBS | 2 | 14 | $11,641 | $15,894 | $19,867 | 1.7× |
| employers health network | 14 | 14 | $6,367.98 | $6,367.98 | $6,367.98 | 1.0× |
| baylor scott and white | 3 | 9 | $6,818.76 | $10,963 | $57,374 | 8.4× |
| sedgwick | 8 | 8 | $5,376.11 | $8,330.92 | $27,131 | 5.0× |
| commercial | entrust | all plans | 8 | 8 | $9,617.80 | $13,894 | $15,918 | 1.7× |
| wellmed | 7 | 7 | $5,413.08 | $5,413.08 | $57,374 | 10.6× |
| commercial | community health choice | exchange | 7 | 7 | $6,113.01 | $7,638.92 | $10,118 | 1.7× |
| Molina | 5 | 7 | $5,790.04 | $6,897.51 | $83,193 | 14.4× |
| wellpoint | 6 | 6 | $7,307.66 | $7,307.66 | $21,083 | 2.9× |
| amerigroup | 6 | 6 | $4,864.81 | $12,840 | $60,530 | 12.4× |
| commercial | phcs | all plans | 6 | 6 | $12,303 | $12,604 | $12,604 | 1.0× |
| wellpoint (fka amerigroup) | 5 | 5 | $5,679.75 | $6,040.69 | $7,585.12 | 1.3× |
| commercial | nxhealth | all plans | 5 | 5 | $13,557 | $20,119 | $21,921 | 1.6× |
| commercial | harris health | ers | 5 | 5 | $6,113.01 | $8,808.62 | $10,118 | 1.7× |
| commercial | renaissance | all plans | 5 | 5 | $2,934.24 | $4,228.14 | $4,856.40 | 1.7× |
| commercial | superior health plan | all plans | 5 | 5 | $6,113.01 | $8,808.62 | $10,118 | 1.7× |
| commercial | independent med system | all plans | 5 | 5 | $8,625.52 | $8,625.52 | $8,625.52 | 1.0× |
| injury management organization | 5 | 5 | $6,009.90 | $8,753.77 | $27,131 | 4.5× |
| careworks fka rockport | 5 | 5 | $6,009.90 | $8,753.77 | $27,131 | 4.5× |
| commercial | kelseycare | exchange | 5 | 5 | $5,501.71 | $7,927.75 | $9,105.75 | 1.7× |
| 90 degree benefits | 4 | 4 | $13,533 | $13,533 | $13,533 | 1.0× |
| advantage 360 | 2 | 4 | $11,500 | $11,850 | $12,200 | 1.1× |
| caprock | 4 | 4 | $13,533 | $13,533 | $13,533 | 1.0× |
| city of san angelo | 4 | 4 | $3,297.20 | $3,297.20 | $3,297.20 | 1.0× |
| pdh/texas trust | 4 | 4 | $8,660.93 | $8,660.93 | $8,660.93 | 1.0× |
| commercial | healthsmart | ap3 | 4 | 4 | $5,750.19 | $5,750.19 | $5,750.19 | 1.0× |
| unified zionsville | 2 | 4 | $13,965 | $14,464 | $14,963 | 1.1× |
| unified group services | 2 | 4 | $18,572 | $19,237 | $19,901 | 1.1× |
| prohealth | 2 | 4 | $7,939.93 | $7,939.93 | $7,939.93 | 1.0× |
| insurance services of lubbock | 4 | 4 | $7,145.27 | $7,145.27 | $7,145.27 | 1.0× |
| scott & white | 4 | 4 | $4,433.62 | $4,433.62 | $4,433.62 | 1.0× |
| superior | 2 | 4 | $10,963 | $13,114 | $15,453 | 1.4× |
| suburban/sho | 2 | 4 | $7,939.93 | $7,939.93 | $7,939.93 | 1.0× |
By hospital (top 200 by negotiated median, descending)
| Hospital | City | ST | Payers | Gross | Cash | Neg min | Neg median | Neg max |
|---|---|---|---|---|---|---|---|---|
| Wilson N Jones Regional Medical Ctr | Sherman | TX | 2 | — | — | $8,739.22 | $9,238.61 | $9,737.99 |
| Baylor S&W Medical Center - Irving | Irving | TX | 18 | — | — | $2,778.00 | $7,732.40 | $16,643 |
| Baylor University Medical Ctr | Dallas | TX | 19 | — | — | $2,778.00 | $7,718.11 | $16,612 |
| Scott And White Memorial Hospital | Temple | TX | 19 | — | — | $2,778.00 | $7,383.61 | $12,687 |
| Big Spring State Hospital | Big Springs | TX | 15 | — | — | $3,297.20 | $7,307.66 | $13,533 |
| San Angelo Community Medical Center | San Angelo | TX | 15 | — | — | $3,297.20 | $7,307.66 | $13,533 |
| Shannon Medical Center | San Angelo | TX | 15 | — | — | $3,297.20 | $7,307.66 | $13,533 |
| River Crest Hospital | San Angelo | TX | 15 | — | — | $3,297.20 | $7,307.66 | $13,533 |
| Hillcrest Baptist Medical Center | Waco | TX | 15 | — | — | $2,778.00 | $7,087.15 | $12,149 |
| Baylor Scott & White - Marble Falls | Marble Falls | TX | 17 | — | — | $2,778.00 | $6,982.95 | $11,998 |
| Scott & White Hospital Brenham | Brenham | TX | 8 | — | — | $2,778.00 | $6,939.78 | $8,664.00 |
| St Lukes Hospital At The Vintage | Houston | TX | 16 | — | — | $4,418.65 | $6,934.34 | $21,921 |
| Chi St Lukes Health Baylor Med Ctr | Houston | TX | 16 | — | — | $3,730.84 | $6,921.53 | $19,085 |
| Brazosport Regional Health System | Lake Jackson | TX | 8 | — | — | $4,117.42 | $6,737.11 | $15,436 |
| College Station Medical Center | College Station | TX | 8 | — | — | $4,949.42 | $6,661.95 | $20,119 |
| St. Joseph Regional Health Center | Bryan | TX | 8 | — | — | $4,949.42 | $6,661.95 | $20,119 |
| St. Lukes Sugar Land Hospital | Sugar Land | TX | 14 | — | — | $4,418.65 | $6,659.16 | $15,407 |
| Madison St. Joseph Health Center | Madisonville | TX | 2 | — | — | $4,949.42 | $6,600.30 | $8,977.50 |
| Grimes St. Joseph Health Center | Navasota | TX | 2 | — | — | $4,949.42 | $6,600.30 | $8,977.50 |
| College Station Hospital | College Station | TX | 17 | — | — | $2,778.00 | $6,438.11 | $10,603 |
| Burleson St. Joseph Health Center | Caldwell | TX | 1 | — | — | $4,949.42 | $6,252.80 | $6,947.79 |
| Baylor S&W All Saints Medical Center | Fort Worth | TX | 18 | — | — | $2,778.00 | $6,157.99 | $13,264 |
| Chi St Lukes Health Mem Livingston | Livingston | TX | 6 | — | — | $4,522.00 | $6,099.87 | $6,282.87 |
| Baylor Orthopedic And Spine Hospital | Arlington | TX | 2 | — | — | $5,041.11 | $6,051.89 | $7,062.66 |
| Baylor S&W Medical Center - Mckinney | Mckinney | TX | 17 | — | — | $2,778.00 | $6,039.52 | $13,264 |
| Round Rock Hospital | Round Rock | TX | 19 | — | — | $2,778.00 | $6,009.90 | $11,612 |
| Baylor Scott & White Mc- Lake Pointe | Rowlett | TX | 19 | — | — | $2,778.00 | $6,002.77 | $14,198 |
| Centennial Medical Center | Frisco | TX | 19 | — | — | $2,778.00 | $5,790.04 | $14,198 |
| Tchd D/B/A Jps Health Network | Fort Worth | TX | 13 | — | — | $5,352.88 | $57,374 | $83,193 |
| St. Lukes The Woodlands Hospital | The Woodlands | TX | 15 | — | — | $3,003.39 | $5,682.25 | $13,557 |
| Baylor Scott & White Wmc - Brenham | Brenham | TX | 17 | — | — | $2,778.00 | $5,618.78 | $20,963 |
| The Heart Hospital Baylor Plano | Plano | TX | 17 | — | — | $2,778.00 | $5,618.78 | $20,963 |
| Trinity Regional Hospital Sachse | Sachse | TX | 8 | — | — | $4,801.75 | $5,476.02 | $9,737.99 |
| Baylor Heart And Vascular Hospital | Dallas | TX | 12 | — | — | $2,778.00 | $5,472.29 | $13,264 |
| St. Lukes Patients Medical Center | Pasadena | TX | 8 | — | — | $4,267.57 | $5,471.30 | $12,303 |
| Scott And White Hospital Taylor | Taylor | TX | 12 | — | — | $2,778.00 | $5,434.17 | $11,612 |
| Bsw Medical Center - Austin | Austin | TX | 12 | — | — | $2,778.00 | $5,434.17 | $11,612 |
| Mid Coast Medical Center-Central | Llano | TX | 12 | — | — | $2,778.00 | $5,434.17 | $11,612 |
| The Heart Hospital Baylor Denton | Denton | TX | 17 | — | — | $2,778.00 | $5,397.30 | $20,963 |
| St. Lukes Lakeside Hospital | The Woodlands | TX | 15 | — | — | $2,934.24 | $5,389.91 | $12,604 |
| Chi St Lukes Health Memorial Lufkin | Lufkin | TX | 6 | — | — | $4,522.00 | $5,380.36 | $5,900.55 |
| Baylor S&W Medical Center - Plano | Plano | TX | 17 | — | — | $2,778.00 | $5,376.55 | $13,264 |
| Baylor Scott & White Pflugerville | Pflugerville | TX | 16 | — | — | $2,778.00 | $5,376.11 | $11,612 |
| Baylor Scott & White - Buda | Buda | TX | 12 | — | — | $2,778.00 | $5,358.33 | $11,612 |
| Baylor Medical Center-Grapevine | Grapevine | TX | 17 | — | — | $2,778.00 | $5,332.13 | $13,264 |
| St Lukes Health Memorial San August | San Augustine | TX | 2 | — | — | $4,522.00 | $5,287.14 | $6,052.27 |
| Scott & White Cedar Park | Cedar Park | TX | 1 | — | — | $5,080.83 | $5,080.83 | $5,080.83 |
| Baylor Scott And White Mc At Sunnyva | Sunnyvale | TX | 2 | — | — | $3,781.49 | $4,879.04 | $8,324.86 |
| Heritage Park Surgical Hospital | Sherman | TX | 2 | — | — | $3,781.49 | $4,174.35 | $7,365.00 |
| Childrens Medical Center Of Plano | Plano | TX | 4 | — | — | $2,609.99 | $2,609.99 | $2,609.99 |
| Corpus Christi Specialty Hospital | Corpus Christi | TX | 17 | — | — | $23,220 | $23,220 | $34,830 |
| Texas Spine And Joint Hospital | Tyler | TX | 8 | — | — | $2,804.00 | $22,937 | $27,131 |
| Baylor Scott & White Continuing Care | Temple | TX | 8 | — | — | $2,804.00 | $22,937 | $27,131 |
| Acuity Hospital Of South Texas | San Antonio | TX | 20 | — | — | $21,083 | $21,083 | $31,624 |
| Ascension Seton Shoal Creek | Austin | TX | 16 | — | — | $7,939.93 | $13,833 | $19,901 |
| Ascension Seton Bastrop | Bastrop | TX | 16 | — | — | $7,939.93 | $13,833 | $19,901 |
| Covenant Hospital Levelland | Levelland | TX | 8 | — | — | $4,257.46 | $13,688 | $15,526 |
| Covenant Hospital Plainview | Plainview | TX | 11 | — | — | $65.00 | $10,963 | $11,794 |
| Hospitals Of Providence East Campus | El Paso | TX | 14 | — | — | $70.00 | $10,219 | $19,089 |
| St Joseph Medical Center | Houston | TX | 0 | — | — | — | — | — |
| Laredo Medical Center | Laredo | TX | 0 | — | — | — | — | — |
| Longview Regional Medical Center | Longview | TX | 0 | — | — | — | — | — |
| Northwest Texas Surgery Center | Amarillo | TX | 0 | — | — | — | — | — |
| Northwest Texas Hospital | Amarillo | TX | 0 | — | — | — | — | — |
| Texoma Medical Center | Denison | TX | 0 | — | — | — | — | — |
| Navarro Regional Hospital | Corsicana | TX | 0 | — | — | — | — | — |
| The Medical Ctr Of Southeast Texas | Port Arthur | TX | 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.