▸ Compare · PriceTransparency
Simple pneumonia & pleurisy w/o CC/MCC
MS-DRG 195 · negotiated-rate distribution across hospitals in WI
Hospitals
42
Min
$2,631.34
Median
$11,500
Max
$19,659
Range multiplier
7.5×
By payer (50 payers with published rates)
| Payer | Hosp. | Rates | Min | Median | Max | Range× |
|---|---|---|---|---|---|---|
| UnitedHealthcare | 26 | 72 | $2,661.8 | $12,650 | $19,072 | 7.2× |
| Anthem BCBS | 21 | 51 | $1,886.26 | $11,471 | $21,788 | 11.6× |
| wisconsin physician service | 12 | 36 | $12,498 | $13,155 | $13,155 | 1.1× |
| common ground | 12 | 36 | $11,455 | $11,455 | $11,455 | 1.0× |
| healthpartners | 12 | 24 | $10,240 | $10,983 | $11,727 | 1.1× |
| Molina | 18 | 19 | $4,399.13 | $12,023 | $12,023 | 2.7× |
| Humana | 9 | 18 | $3,303.68 | $16,327 | $18,957 | 5.7× |
| centivo | 16 | 17 | $11,716 | $12,929 | $17,688 | 1.5× |
| health payment systems | 16 | 16 | $8,116.25 | $11,520 | $15,215 | 1.9× |
| Medicare | 13 | 15 | $2,575.37 | $4,105.97 | $4,716.75 | 1.8× |
| Cigna | 13 | 13 | $12,516 | $13,699 | $13,699 | 1.1× |
| quartz one | 12 | 12 | $10,399 | $11,458 | $11,458 | 1.1× |
| trilogy | 12 | 12 | $12,748 | $12,748 | $12,748 | 1.0× |
| aurora caregiver | 12 | 12 | $11,100 | $11,100 | $11,100 | 1.0× |
| hs technology | 12 | 12 | $12,791 | $12,791 | $12,791 | 1.0× |
| quartz group | 12 | 12 | $12,168 | $13,407 | $13,407 | 1.1× |
| everpointe elite | 12 | 12 | $10,793 | $10,793 | $10,793 | 1.0× |
| Aetna | 11 | 11 | $9,364.16 | $9,364.16 | $9,364.16 | 1.0× |
| VA Health | 10 | 10 | $4,036.6 | $4,478.38 | $4,716.75 | 1.2× |
| network health plan | 5 | 7 | $4,399.13 | $11,784 | $13,208 | 3.0× |
| Blue Cross Blue Shield | 5 | 7 | $2,611.57 | $4,519.96 | $15,467 | 5.9× |
| smart health | 6 | 6 | $5,651.24 | $6,508.19 | $6,508.19 | 1.2× |
| Medicaid | 3 | 5 | $201.25 | $3,745.78 | $8,002.06 | 39.8× |
| smarthealth | 5 | 5 | $5,748.36 | $11,771 | $11,771 | 2.0× |
| security health plan of wisconsin, inc. | 4 | 4 | $2,708.2 | $11,465 | $19,659 | 7.3× |
| wps | 3 | 3 | $19,707 | $19,707 | $19,707 | 1.0× |
| quartz health solutions | 1 | 3 | $4,519.96 | $6,280.94 | $9,692.7 | 2.1× |
| quartz | 2 | 3 | $6,645.78 | $7,055.81 | $8,068.12 | 1.2× |
| alliance | 3 | 3 | $14,865 | $14,865 | $14,865 | 1.0× |
| arise | 3 | 3 | $17,737 | $17,737 | $17,737 | 1.0× |
| sehn c89 | 3 | 3 | $13,878 | $13,878 | $13,878 | 1.0× |
| cchp marketplace | 3 | 3 | $14,524 | $14,524 | $14,524 | 1.0× |
| wps health plan | 2 | 2 | $2,631.34 | $5,743.94 | $8,856.54 | 3.4× |
| icare | 2 | 2 | $4,399.13 | $5,755.06 | $7,110.98 | 1.6× |
| health partners | 1 | 2 | $4,399.13 | $8,602.1 | $12,805 | 2.9× |
| security health plan | 2 | 2 | $4,399.13 | $4,459.55 | $4,519.96 | 1.0× |
| the alliance | 2 | 2 | $10,013 | $10,052 | $10,091 | 1.0× |
| unitedhealth group of wi | 1 | 2 | $6,645.78 | $8,527.73 | $10,410 | 1.6× |
| allwell | 2 | 2 | $4,487.11 | $4,503.54 | $4,519.96 | 1.0× |
| WellCare | 2 | 2 | $4,311.27 | $4,311.27 | $4,311.27 | 1.0× |
| healthpartners [900713] | 2 | 2 | $6,714.27 | $7,358.17 | $8,002.06 | 1.2× |
| medical college of wisconsin | 1 | 1 | $12,663 | $12,663 | $12,663 | 1.0× |
| community care incorporated | 1 | 1 | $4,399.13 | $4,399.13 | $4,399.13 | 1.0× |
| medical associates health plan | 1 | 1 | $6,382.68 | $6,382.68 | $6,382.68 | 1.0× |
| chorus community health plan | 1 | 1 | $8,643.76 | $8,643.76 | $8,643.76 | 1.0× |
| illinicare | 1 | 1 | $5,256.21 | $5,256.21 | $5,256.21 | 1.0× |
| security health plan (shp) | 1 | 1 | $6,645.78 | $6,645.78 | $6,645.78 | 1.0× |
| medica [900156] | 1 | 1 | $6,313.28 | $6,313.28 | $6,313.28 | 1.0× |
| managed health services | 1 | 1 | $6,645.78 | $6,645.78 | $6,645.78 | 1.0× |
| aspirus health plan, inc. | 1 | 1 | $8,542.61 | $8,542.61 | $8,542.61 | 1.0× |
By hospital (top 200 by negotiated median, descending)
| Hospital | City | ST | Payers | Gross | Cash | Neg min | Neg median | Neg max |
|---|---|---|---|---|---|---|---|---|
| HOLY FAMILY MEMORIAL INC | MANITOWOC | WI | 16 | — | — | $4,399.13 | $8,750.15 | $18,518 |
| BEAVER DAM COMMUNITY HOSPITALS | BEAVER DAM | WI | 12 | — | — | $6,645.78 | $6,845.15 | $16,520 |
| MERITER HOSPITAL INC. | MADISON | WI | 12 | — | — | $5,256.21 | $6,719.25 | $15,467 |
| ASCENSION NE WISC. - MERCY HOSPITAL | OSHKOSH | WI | 6 | — | — | $4,105.97 | $5,748.36 | $11,450 |
| ASCENSION NE WISCONSIN-ST. ELIZABETH | APPLETON | WI | 6 | — | — | $4,105.97 | $5,748.36 | $11,450 |
| HOWARD YOUNG MEDICAL CENTER | WOODRUFF | WI | 2 | — | — | $5,355.71 | $5,413.27 | $5,470.83 |
| ASPIRUS WAUSAU HOSPITAL | WAUSAU | WI | 5 | — | — | $1,886.26 | $4,770.4 | $11,593 |
| WHEATON FRANCISCAN - FRANKLIN | FRANKLIN | WI | 3 | — | — | $4,648.71 | $4,648.71 | $6,508.19 |
| ASCENSION WISCONSIN EMERUS MENOMONEE | MENOMONEE FALLS | WI | 3 | — | — | $4,648.71 | $4,648.71 | $6,508.19 |
| WFHC - ELMBROOK MEMORIAL | BROOKFIELD | WI | 3 | — | — | $4,648.71 | $4,648.71 | $6,508.19 |
| ASCENSION SE WISCONSIN HOSPITAL INC | MILWAUKEE | WI | 3 | — | — | $4,648.71 | $4,648.71 | $6,508.19 |
| MILE BLUFF MEDICAL CENTER INC. | MAUSTON | WI | 11 | — | — | $4,519.96 | $4,519.96 | $10,013 |
| HUDSON HOSPITAL | HUDSON | WI | 6 | $4,939 | $2,227.98 | $1,971.62 | $4,500.1 | $11,644 |
| ASCENSION ST. MICHAELS HOSPITAL | STEVENS POINT | WI | 2 | — | — | $3,303.68 | $4,410.45 | $5,517.22 |
| WHEATON FRANCISCAN HEALTHCARE - ALL | RACINE | WI | 3 | — | — | $4,308.05 | $4,308.05 | $6,031.27 |
| MOSH | FRANKLIN | WI | 3 | — | — | $4,036.6 | $4,036.6 | $5,651.24 |
| AMERY REGIONAL MEDICAL CENTER | AMERY | WI | 4 | $8,850 | $4,614.39 | $201.25 | $3,828.94 | $3,901.87 |
| WESTFIELDS HOSPITAL | NEW RICHMOND | WI | 5 | $2,936 | $1,544.34 | $3,666.64 | $3,791.85 | $8,002.06 |
| ASPIRUS LANGLADE HOSPITAL | ANTIGO | WI | 1 | — | — | $2,631.34 | $2,631.34 | $2,631.34 |
| ASPIRUS MEDFORD HOSPITAL AND CLINICS | MEDFORD | WI | 1 | — | — | $19,659 | $19,659 | $19,659 |
| CHILDRENS HOSPITAL OF WI-FOX VALLEY | NEENAH | WI | 1 | — | — | $19,072 | $19,072 | $19,072 |
| SSH - FOX VALLEY | OSHKOSH | WI | 1 | — | — | $19,072 | $19,072 | $19,072 |
| CHILDRENS WISCONSIN | MILWAUKEE | WI | 1 | — | — | $18,896 | $18,896 | $18,896 |
| ASCENSION SACRED HEART HOSPITAL | TOMAHAWK | WI | 1 | — | — | $17,412 | $17,412 | $17,412 |
| ASCENSION SACRED HEART REHABILITATIO | MILWAUKEE | WI | 12 | — | — | $10,022 | $15,215 | $21,788 |
| ASCENSION COLUMBIA ST MARYS MILWAUKE | MILWAUKEE | WI | 15 | — | — | $4,716.75 | $15,027 | $21,788 |
| ASCENSION COLUMBIA ST MARYS OZAUKEE | MEQUON | WI | 15 | — | — | $4,040.82 | $15,027 | $21,788 |
| WEST ALLIS MEMORIAL HOSPITAL | WEST ALLIS | WI | 15 | — | — | $10,240 | $12,525 | $15,104 |
| AURORA MEDICAL CENTER GRAFTON | GRAFTON | WI | 16 | — | — | $9,364.16 | $12,498 | $15,104 |
| SHEBOYGAN MEMORIAL HOSPITAL | SHEBOYGAN | WI | 16 | — | — | $9,364.16 | $12,498 | $15,104 |
| AURORA HEALTH CARE METRO INC. | MILWAUKEE | WI | 16 | — | — | $9,364.16 | $12,498 | $15,104 |
| AURORA MEDICAL CENTER - HARTFORD | HARTFORD | WI | 16 | — | — | $9,364.16 | $12,498 | $15,104 |
| AURORA MEDICAL CENTER OF OSHKOSH | OSHKOSH | WI | 16 | — | — | $9,364.16 | $12,498 | $15,104 |
| AURORA MEDICAL CENTER - SUMMIT | SUMMIT | WI | 16 | — | — | $9,364.16 | $12,498 | $15,104 |
| AURORA LAKELAND MEDICAL CENTER | ELKHORN | WI | 16 | — | — | $9,364.16 | $11,727 | $14,102 |
| AURORA MEDICAL CENTER KENOSHA | KENOSHA | WI | 16 | — | — | $9,364.16 | $11,727 | $13,699 |
| MEMORIAL HOSPITAL OF BURLINGTON | BURLINGTON | WI | 16 | — | — | $9,364.16 | $11,727 | $14,102 |
| AURORA MED CTR OF MANITOWOC COUNTY | TWO RIVERS | WI | 16 | — | — | $9,364.16 | $11,520 | $13,948 |
| AURORA MEDICAL CENTER - BAY AREA | MARINETTE | WI | 16 | — | — | $7,367.79 | $11,500 | $13,699 |
| UNIVERSITY OF WI HOSPITALS & CLINICS | MADISON | WI | 0 | $16,911 | — | — | — | — |
| UW HEALTH REHABILITATION HOSPITAL | MADISON | WI | 0 | $16,911 | — | — | — | — |
| RIVER FALLS AREA HOSPITAL | RIVER FALLS | WI | 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.