▸ Compare · PriceTransparency
Simple pneumonia & pleurisy w/o CC/MCC
MS-DRG 195 · negotiated-rate distribution across hospitals in WI
Hospitals
43
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 | $2,661.80 | $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 | 14 | 16 | $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 | 11 | 11 | $4,036.60 | $4,308.05 | $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 | 7 | 7 | $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 | $2,708.20 | $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 | $9,692.70 | 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 | $8,602.10 | $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 Wisconsin-St. Elizabeth | Appleton | WI | 6 | — | — | $4,105.97 | $5,748.36 | $11,450 |
| Mercy Medical Center | Oshkosh | 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 | $4,770.40 | $11,593 |
| Ascension Se Wisconsin Hospital Inc | Milwaukee | 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 |
| Wheaton Franciscan - Franklin | Franklin | 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 |
| Mile Bluff Medical Center Inc. | Mauston | WI | 11 | — | — | $4,519.96 | $4,519.96 | $10,013 |
| Hudson Hospital | Hudson | WI | 6 | $4,939.00 | $2,227.98 | $1,971.62 | $4,500.10 | $11,644 |
| Ascension St. Michaels Hospital | Stevens Point | WI | 2 | — | — | $3,303.68 | $4,410.45 | $5,517.22 |
| All Saints - St. Luke S Hospital | Racine | WI | 3 | — | — | $4,308.05 | $4,308.05 | $6,031.27 |
| Wheaton Franciscan Healthcare - All | Racine | WI | 3 | — | — | $4,308.05 | $4,308.05 | $6,031.27 |
| Mosh | Franklin | WI | 3 | — | — | $4,036.60 | $4,036.60 | $5,651.24 |
| Amery Regional Medical Center | Amery | WI | 4 | $8,850.00 | $4,614.39 | $201.25 | $3,828.94 | $3,901.87 |
| Westfields Hospital | New Richmond | WI | 5 | $2,936.00 | $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 Ozaukee | Mequon | WI | 15 | — | — | $4,040.82 | $15,027 | $21,788 |
| Ascension Columbia St Marys Milwauke | Milwaukee | WI | 15 | — | — | $4,716.75 | $15,027 | $21,788 |
| West Allis Memorial Hospital | West Allis | WI | 15 | — | — | $10,240 | $12,525 | $15,104 |
| Aurora Health Care Metro Inc. | Milwaukee | WI | 16 | — | — | $9,364.16 | $12,498 | $15,104 |
| Aurora Medical Center - Summit | Summit | WI | 16 | — | — | $9,364.16 | $12,498 | $15,104 |
| Aurora Medical Center - Hartford | Hartford | WI | 16 | — | — | $9,364.16 | $12,498 | $15,104 |
| Sheboygan Memorial Hospital | Sheboygan | 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 Grafton | Grafton | WI | 16 | — | — | $9,364.16 | $12,498 | $15,104 |
| Memorial Hospital Of Burlington | Burlington | WI | 16 | — | — | $9,364.16 | $11,727 | $14,102 |
| Aurora Medical Center Kenosha | Kenosha | WI | 16 | — | — | $9,364.16 | $11,727 | $13,699 |
| Aurora Lakeland Medical Center | Elkhorn | 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 | — | — | — | — |
| River Falls Area Hospital | River Falls | WI | 0 | — | — | — | — | — |
| Uw Health Rehabilitation Hospital | Madison | WI | 0 | $16,911 | — | — | — | — |
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.