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Simple pneumonia & pleurisy w/o CC/MCC

MS-DRG 195 · negotiated-rate distribution across hospitals in WV

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Hospitals
11
Min
$5,509.22
Median
$6,156.38
Max
$8,552.63
Range multiplier
1.6×

By payer (26 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
UnitedHealthcare35$5,509.22$6,587.33$8,552.631.6×
Blue Cross Blue Shield34$2,478$8,389.39$13,0075.2×
Cigna12$2,759$4,149.47$5,539.932.0×
the health plan12$2,837.13$4,173.18$5,509.221.9×
umr22$8,552.63$8,552.63$8,552.631.0×
Aetna22$5,509.22$5,986.71$6,464.21.2×
fallon mcr [10105]11$6,464.2$6,464.2$6,464.21.0×
fallon mcr supp [20202]11$6,464.2$6,464.2$6,464.21.0×
hne [11108]11$3,685$3,685$3,6851.0×
hsno/free care [10801]11$6,156.38$6,156.38$6,156.381.0×
Humana11$5,509.22$5,509.22$5,509.221.0×
institution [10406]11$6,156.38$6,156.38$6,156.381.0×
mgb mcr [10124]11$6,156.38$6,156.38$6,156.381.0×
optum ccn region 111$5,509.22$5,509.22$5,509.221.0×
optum ccn region 211$5,509.22$5,509.22$5,509.221.0×
senior whole health [10110]11$6,587.33$6,587.33$6,587.331.0×
tufts [11201]11$2,759$2,759$2,7591.0×
tufts connectorcare [10507]11$8,575.84$8,575.84$8,575.841.0×
tufts mcr [10112]11$6,464.2$6,464.2$6,464.21.0×
WellCare11$5,509.22$5,509.22$5,509.221.0×
wellpoint [11112]11$6,011$6,011$6,0111.0×
Anthem BCBS11$5,509.22$5,509.22$5,509.221.0×
commonwealth care alliance [10103]11$6,464.2$6,464.2$6,464.21.0×
fallon carelon hlth [28]11$1,252.6$1,252.6$1,252.61.0×
fallon connectorcare [10503]11$4,921$4,921$4,9211.0×
fallon mcaid carelon hlth [29]11$1,252.97$1,252.97$1,252.971.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
SUMMERS COUNTY ARHHINTONWV3$2,478$8,552.63$8,552.63
WEBSTER COUNTY MEMORIAL HOSPITALWEBSTER SPRINGSWV19$10,242$10,242$1,252.6$6,156.38$8,575.84
BECKLEY ARHBECKLEYWV10$2,837.13$5,509.22$13,007
REYNOLDS MEMORIAL HOSPITALGLEN DALEWV0
PRINCETON COMMUNITY HOSPITALPRINCETONWV0
WEST VIRGINIA UNIVERSITY HOSPITALSMORGANTOWNWV0
CAMDEN-CLARK MEMORIAL HOSPITALPARKERSBURGWV0
WETZEL COUNTY HOSPITALNEW MARTINSVILLEWV0
WHEELING HOSPITALWHEELINGWV0
UNITED HOSPITAL CENTERBRIDGEPORTWV0
CITY HOSPITAL INC.MARTINSBURGWV0

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.