▸ Compare · PriceTransparency
Simple pneumonia & pleurisy w/o CC/MCC
MS-DRG 195 · negotiated-rate distribution across hospitals in VA
Hospitals
14
Min
$9,299.55
Median
$13,551
Max
$15,532
Range multiplier
1.7×
By payer (25 payers with published rates)
| Payer | Hosp. | Rates | Min | Median | Max | Range× |
|---|---|---|---|---|---|---|
| UnitedHealthcare | 8 | 40 | $5,528.18 | $11,494 | $17,882 | 3.2× |
| Aetna | 8 | 31 | $5,045.13 | $7,676.76 | $16,969 | 3.4× |
| Blue Cross Blue Shield | 1 | 21 | $5,937.41 | $11,168 | $11,168 | 1.9× |
| Humana | 7 | 18 | $5,259.82 | $6,042.59 | $19,977 | 3.8× |
| Cigna | 7 | 17 | $6,511.25 | $12,367 | $15,751 | 2.4× |
| Anthem BCBS | 6 | 17 | $4,904.00 | $15,107 | $19,537 | 4.0× |
| sentara health plan | 6 | 11 | $5,635.52 | $8,958.04 | $13,564 | 2.4× |
| vhn - ultra | 6 | 6 | $8,958.04 | $11,344 | $13,564 | 1.5× |
| connecticare | 6 | 6 | $10,114 | $12,808 | $15,314 | 1.5× |
| gateway - tier 1 | 6 | 6 | $13,726 | $17,382 | $20,783 | 1.5× |
| gateway - tier 2 | 6 | 6 | $11,559 | $14,638 | $17,501 | 1.5× |
| gateway - tier 3 | 6 | 6 | $9,824.95 | $12,442 | $14,876 | 1.5× |
| vhn | 6 | 6 | $11,559 | $14,638 | $17,501 | 1.5× |
| vhn - link | 6 | 6 | $13,004 | $16,468 | $19,689 | 1.5× |
| vhn - plus | 6 | 6 | $11,125 | $14,089 | $16,845 | 1.5× |
| vhn - secondary payors | 6 | 6 | $13,726 | $17,382 | $20,783 | 1.5× |
| Medicare | 2 | 4 | $2,934.43 | $6,325.21 | $6,511.25 | 2.2× |
| first choice vip care plus [4833] | 1 | 1 | $6,511.25 | $6,511.25 | $6,511.25 | 1.0× |
| umr [3113] | 1 | 1 | $11,811 | $11,811 | $11,811 | 1.0× |
| devoted health plan [4501] | 1 | 1 | $6,201.19 | $6,201.19 | $6,201.19 | 1.0× |
| allcare | 1 | 1 | $5,979.42 | $5,979.42 | $5,979.42 | 1.0× |
| integrated health plan | 1 | 1 | $12,597 | $12,597 | $12,597 | 1.0× |
| national provider network | 1 | 1 | $14,227 | $14,227 | $14,227 | 1.0× |
| select health of sc [4877] | 1 | 1 | $10,852 | $10,852 | $10,852 | 1.0× |
| pai [3082] | 1 | 1 | $11,168 | $11,168 | $11,168 | 1.0× |
By hospital (top 200 by negotiated median, descending)
| Hospital | City | ST | Payers | Gross | Cash | Neg min | Neg median | Neg max |
|---|---|---|---|---|---|---|---|---|
| Carilion Medical Center | Roanoke | VA | 15 | $14,448 | $5,056.96 | $5,045.13 | $9,738.26 | $19,977 |
| Carilion Tazewell Community Hospital | Tazewell | VA | 18 | $14,820 | $5,187.00 | $4,904.00 | $9,299.55 | $19,977 |
| Carilion Giles Community Hospital | Pearisburg | VA | 15 | $21,877 | $7,656.87 | $10,960 | $15,532 | $20,783 |
| Bath County Community Hospital | Hot Springs | VA | 3 | $18,855 | $14,141 | $2,934.43 | $13,952 | $16,969 |
| Carilion Stonewall Jackson Hospital | Lexington | VA | 15 | $20,105 | $7,036.84 | $5,332.16 | $13,551 | $19,977 |
| Carilion Franklin Memorial Hospital | Rocky Mount | VA | 15 | $20,105 | $7,036.84 | $5,332.16 | $13,551 | $19,977 |
| Bon Secours Depaul Medical Center | Norfolk | VA | 11 | — | — | $5,937.41 | $11,168 | $12,367 |
| Carilion New River Valley Med Center | Christiansburg | VA | 15 | $16,489 | $5,771.22 | $5,516.66 | $11,114 | $19,977 |
| Childrens Hospital Of The Kings Da | Norfolk | VA | 0 | — | — | — | — | — |
| Inova Alexandria Hospital | Alexandria | VA | 0 | — | — | — | — | — |
| Inova Loudoun Hospital Center | Leesburg | VA | 0 | — | — | — | — | — |
| Inova Fairfax Hospital | Falls Church | VA | 0 | — | — | — | — | — |
| Inova Fair Oaks Hospital | Fairfax | VA | 0 | — | — | — | — | — |
| Inova Mount Vernon Hospital | Alexandria | VA | 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.