▸ Compare · PriceTransparency
Simple pneumonia & pleurisy w/o CC/MCC
MS-DRG 195 · negotiated-rate distribution across hospitals in WA
Hospitals
12
Min
$80.76
Median
$6,638.55
Max
$11,763
Range multiplier
145.7×
By payer (37 payers with published rates)
| Payer | Hosp. | Rates | Min | Median | Max | Range× |
|---|---|---|---|---|---|---|
| Blue Cross Blue Shield | 10 | 38 | $83.6 | $10,465 | $21,937 | 262.4× |
| UnitedHealthcare | 10 | 22 | $80.76 | $9,918.04 | $19,744 | 244.5× |
| Aetna | 9 | 17 | $80.15 | $7,252.5 | $22,629 | 282.3× |
| Humana | 9 | 13 | $60 | $6,388.73 | $7,625.38 | 127.1× |
| Cigna | 7 | 11 | $84.3 | $11,736 | $17,673 | 209.6× |
| Kaiser Permanente | 6 | 11 | $5,293.8 | $7,193.75 | $13,814 | 2.6× |
| Molina | 6 | 10 | $5,807.94 | $7,193.75 | $13,427 | 2.3× |
| first choice | 4 | 8 | $62 | $16,036 | $20,409 | 329.2× |
| providence health plan | 5 | 8 | $60.6 | $6,937.09 | $14,016 | 231.3× |
| coordinated care | 4 | 6 | $5,924.44 | $11,058 | $13,308 | 2.2× |
| Health Net | 2 | 3 | $7,128.68 | $7,321.57 | $20,248 | 2.8× |
| pacificsource | 1 | 3 | $7,459.71 | $8,968.7 | $11,998 | 1.6× |
| moda | 2 | 3 | $90.4 | $6,761.49 | $7,736 | 85.6× |
| community health plan | 3 | 3 | $6,761.49 | $9,292.7 | $11,510 | 1.7× |
| amerigroup | 3 | 3 | $6,388.73 | $6,761.49 | $7,913.13 | 1.2× |
| First Health | 2 | 2 | $65 | $80 | $95 | 1.5× |
| community health plan of washington | 2 | 2 | $6,388.73 | $7,150.93 | $7,913.13 | 1.2× |
| Medicare Advantage | 1 | 2 | $6,504.52 | $6,504.52 | $6,504.52 | 1.0× |
| Multiplan | 2 | 2 | $1,600 | $7,525.9 | $13,452 | 8.4× |
| the health plan | 1 | 2 | $2,837.13 | $4,173.18 | $5,509.22 | 1.9× |
| healthcare partners | 1 | 1 | $7,128.68 | $7,128.68 | $7,128.68 | 1.0× |
| community health network of wa [1055] | 1 | 1 | $11,040 | $11,040 | $11,040 | 1.0× |
| chp advantage [4001] | 1 | 1 | $7,459.31 | $7,459.31 | $7,459.31 | 1.0× |
| umr | 1 | 1 | $8,552.63 | $8,552.63 | $8,552.63 | 1.0× |
| central health plan | 1 | 1 | $7,128.68 | $7,128.68 | $7,128.68 | 1.0× |
| atrio | 1 | 1 | $7,114.35 | $7,114.35 | $7,114.35 | 1.0× |
| Anthem BCBS | 1 | 1 | $5,509.22 | $5,509.22 | $5,509.22 | 1.0× |
| optum ccn region 1 | 1 | 1 | $5,509.22 | $5,509.22 | $5,509.22 | 1.0× |
| optum ccn region 2 | 1 | 1 | $5,509.22 | $5,509.22 | $5,509.22 | 1.0× |
| asuris truadvantage [4011] | 1 | 1 | $6,504.52 | $6,504.52 | $6,504.52 | 1.0× |
| phcs | 1 | 1 | $9,394.19 | $9,394.19 | $9,394.19 | 1.0× |
| asuris | 1 | 1 | $6,638.55 | $6,638.55 | $6,638.55 | 1.0× |
| scan | 1 | 1 | $7,128.68 | $7,128.68 | $7,128.68 | 1.0× |
| WellCare | 1 | 1 | $5,509.22 | $5,509.22 | $5,509.22 | 1.0× |
| first choice health network | 1 | 1 | $75 | $75 | $75 | 1.0× |
| Empire BCBS | 1 | 1 | $7,128.68 | $7,128.68 | $7,128.68 | 1.0× |
| devoted health | 1 | 1 | $7,252.5 | $7,252.5 | $7,252.5 | 1.0× |
By hospital (top 200 by negotiated median, descending)
| Hospital | City | ST | Payers | Gross | Cash | Neg min | Neg median | Neg max |
|---|---|---|---|---|---|---|---|---|
| PROVIDENCE MOUNT CARMEL HOSPITAL | COLVILLE | WA | 4 | — | — | $91.37 | $94.7 | $100 |
| PROVIDENCE HOLY FAMILY HOSPITAL | SPOKANE | WA | 13 | — | — | $75 | $9,184.43 | $14,633 |
| ST. LUKES REHABILITATION INST. | SPOKANE | WA | 5 | — | — | $73.9 | $80.76 | $84.3 |
| LEGACY SALMON CREEK HOSPITAL | VANCOUVER | WA | 12 | — | — | $7,114.35 | $7,736 | $17,284 |
| PROVIDENCE ST JOSEPHS HOSPITAL | CHEWELAH | WA | 11 | — | — | $7,128.68 | $7,128.68 | $20,248 |
| KADLEC REGIONAL MEDICAL CENTER | RICHLAND | WA | 15 | — | — | $60.6 | $6,638.55 | $16,898 |
| WENATCHEE VALLEY HOSPITAL | WENATCHEE | WA | 7 | $17,007 | $17,007 | $5,512.89 | $6,504.52 | $13,427 |
| VALLEY MEDICAL CENTER | RENTON | WA | 4 | $28,971 | $20,280 | $1,600 | $6,398.91 | $13,711 |
| EAST ADAMS RURAL HOSPITAL | RITZVILLE | WA | 10 | — | — | $2,837.13 | $5,509.22 | $13,007 |
| OVERLAKE HOSPITAL MEDICAL CENTER | BELLEVUE | WA | 11 | — | — | $5,924.44 | $11,763 | $16,036 |
| SWEDISH MEDICAL CENTER | SEATTLE | WA | 14 | — | — | $60 | $11,150 | $22,629 |
| KFH - WASHINGTON | SEATTLE | WA | 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.