Search hospital rates

Pick a procedure and (optionally) a state or payer. Rates come from each hospital's federally-mandated machine-readable file.

ProcedureHospital (name or CCN)State

Payer

Rate type

Hospitals

Payers

Negotiated range

$25.00 – $19,974

Negotiated median

$5,585.30

MS-DRG 194 Simple pneumonia & pleurisy w CC · Showing 123 of 123 rate rows

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Hospital	ST	Payer	Plan	Setting	Type	Rate
Oklahoma Heart Hospital South	OK	Cash pay	N/A	inpatient	cash	$12,951
Oklahoma Heart Hospital	OK	Cash pay	N/A	inpatient	cash	$6,152.67
Jefferson County Hospital	OK	Cash pay	N/A	inpatient	cash	$2,486.25
Jefferson County Hospital	OK	[De-identified Min]	—	inpatient	min	$3,825.00
Oklahoma Heart Hospital	OK	[De-identified Min]	—	inpatient	min	$3,466.89
Oklahoma Heart Hospital South	OK	[De-identified Min]	—	inpatient	min	$3,466.89
Nowata Health Center	OK	[De-identified Min]	—	inpatient	min	$1,506.00
Nowata Health Center	OK	[De-identified Min]	—	both	min	$1,506.00
Jefferson County Hospital	OK	Blue Cross Blue Shield	Blue Traditional PPO	inpatient	negotiated	$19,974
Nowata Health Center	OK	Blue Cross Blue Shield	2720_NHOK BLUE CROSS BLUE SHIELD BLUE ADVANTAGE INPATIENT 20250201	both	negotiated	$18,736
Nowata Health Center	OK	Blue Cross Blue Shield	2725_NHOK BLUE CROSS BLUE SHIELD BLUE CHOICE INPATIENT 20250201	both	negotiated	$18,736
Nowata Health Center	OK	Blue Cross Blue Shield	2730_NHOK BLUE CROSS BLUE SHIELD BLUE LINCS INPATIENT 20250201	both	negotiated	$18,736
Nowata Health Center	OK	Blue Cross Blue Shield	2735_NHOK BLUE CROSS BLUE SHIELD BLUE PREFERRED INPATIENT 20250201	both	negotiated	$18,736
Nowata Health Center	OK	Blue Cross Blue Shield	2740_NHOK BLUE CROSS BLUE SHIELD BLUE TRADITIONAL INPATIENT 20250201	both	negotiated	$18,736
Jefferson County Hospital	OK	Blue Cross Blue Shield	Blue Choice PPO	inpatient	negotiated	$17,369
Nowata Health Center	OK	UnitedHealthcare	2950_SPOK, NHOK UNITED HEALTH CARE 20250701	inpatient	negotiated	$16,493
Jefferson County Hospital	OK	Blue Cross Blue Shield	Blue Lincs HMO	inpatient	negotiated	$14,329
Jefferson County Hospital	OK	Blue Cross Blue Shield	Blue Preferred	inpatient	negotiated	$14,329
Jefferson County Hospital	OK	Blue Cross Blue Shield	Blue Advantage HMO	inpatient	negotiated	$13,613
Nowata Health Center	OK	UnitedHealthcare	2948_JPOK, BAOK, OHOK UNITED HEALTH CARE 20250701	inpatient	negotiated	$13,440
Nowata Health Center	OK	Aetna	2658_MCOK, BAOK, OHOK AETNA HMO 20241001	inpatient	negotiated	$11,033
Nowata Health Center	OK	First Health	2649_BAOK, JPOK, MCOK, OHOK FIRST HEALTH 20241001	inpatient	negotiated	$11,000
Oklahoma Heart Hospital	OK	the kempton group	KEMPTON GROUP	inpatient	negotiated	$10,054
Oklahoma Heart Hospital South	OK	the kempton group	KEMPTON GROUP	inpatient	negotiated	$9,909.23
Oklahoma Heart Hospital	OK	healthscope	MERCY NETWORK	inpatient	negotiated	$9,495.01
Oklahoma Heart Hospital	OK	Oscar Health	MERCY NETWORK	inpatient	negotiated	$9,495.01
Oklahoma Heart Hospital South	OK	healthscope	MERCY NETWORK	inpatient	negotiated	$9,358.72
Oklahoma Heart Hospital South	OK	Oscar Health	MERCY NETWORK	inpatient	negotiated	$9,358.72
Oklahoma Heart Hospital South	OK	healthcare highways	HEALTHCARE HIGHWAYS	inpatient	negotiated	$9,158.13
Oklahoma Heart Hospital	OK	healthcare highways	HEALTHCARE HIGHWAYS	inpatient	negotiated	$9,157.52
Oklahoma Heart Hospital	OK	community care	CCHMO STATE HEALTH	inpatient	negotiated	$8,377.95
Nowata Health Center	OK	medica	2917_MCOK, OHOK MEDICA INPATIENT 20250101	inpatient	negotiated	$8,300.00
Oklahoma Heart Hospital	OK	phcs	PHCS	inpatient	negotiated	$8,268.53
Oklahoma Heart Hospital South	OK	phcs	PHCS	inpatient	negotiated	$8,268.53
Oklahoma Heart Hospital South	OK	community care	CCHMO STATE HEALTH	inpatient	negotiated	$8,257.70
Oklahoma Heart Hospital	OK	Aetna	AETNA	inpatient	negotiated	$8,034.02
Oklahoma Heart Hospital	OK	Aetna	AETNA HMO	inpatient	negotiated	$8,034.02
Oklahoma Heart Hospital South	OK	Aetna	AETNA	inpatient	negotiated	$8,034.02
Oklahoma Heart Hospital South	OK	Aetna	AETNA HMO	inpatient	negotiated	$8,034.02
Oklahoma Heart Hospital	OK	Ambetter	AMBETTER	inpatient	negotiated	$7,819.42
Oklahoma Heart Hospital	OK	community care	COMMUNITY CARE HMO	inpatient	negotiated	$7,741.64
Oklahoma Heart Hospital South	OK	community care	COMMUNITY CARE HMO	inpatient	negotiated	$7,741.64
Oklahoma Heart Hospital South	OK	Ambetter	AMBETTER	inpatient	negotiated	$7,707.18
Oklahoma Heart Hospital	OK	community care	COMMUNITY CARE LIFE AND HEALTH	inpatient	negotiated	$7,633.91
Oklahoma Heart Hospital South	OK	community care	COMMUNITY CARE LIFE AND HEALTH	inpatient	negotiated	$7,622.80
Oklahoma Heart Hospital	OK	preferred community choice	PREFERRED COMMUNITY CHOICE PPO	inpatient	negotiated	$7,581.98
Oklahoma Heart Hospital South	OK	preferred community choice	PREFERRED COMMUNITY CHOICE PPO	inpatient	negotiated	$7,570.94
Oklahoma Heart Hospital	OK	Humana	HUMANA CHOICECARE PPO	inpatient	negotiated	$7,361.09
Oklahoma Heart Hospital South	OK	Humana	HUMANA CHOICECARE PPO	inpatient	negotiated	$7,361.09
Jefferson County Hospital	OK	friday health plan	PPO	inpatient	negotiated	$7,076.25
Oklahoma Heart Hospital	OK	sana benefits	HEALTHSMART ACCEL	inpatient	negotiated	$7,059.68
Oklahoma Heart Hospital	OK	ufcw	HEALTHSMART ACCEL	inpatient	negotiated	$7,059.68
Oklahoma Heart Hospital South	OK	sana benefits	HEALTHSMART ACCEL	inpatient	negotiated	$7,059.68
Oklahoma Heart Hospital South	OK	ufcw	HEALTHSMART ACCEL	inpatient	negotiated	$7,059.68
Oklahoma Heart Hospital	OK	global health	GLOBAL HEALTH COMMERCIAL	inpatient	negotiated	$7,003.27
Oklahoma Heart Hospital South	OK	global health	GLOBAL HEALTH COMMERCIAL	inpatient	negotiated	$7,003.27
Nowata Health Center	OK	Aetna	2659_MCOK, BAOK, OHOK AETNA WHOLE HEALTH 20241001	inpatient	negotiated	$6,781.00
Oklahoma Heart Hospital	OK	Cigna	CIGNA	inpatient	negotiated	$6,262.65
Oklahoma Heart Hospital South	OK	Cigna	CIGNA	inpatient	negotiated	$6,262.65
Oklahoma Heart Hospital	OK	Medicare Advantage	GLOBAL HEALTH MEDICARE ADVANTAGE	inpatient	negotiated	$5,752.86
Oklahoma Heart Hospital South	OK	Medicare Advantage	GLOBAL HEALTH MEDICARE ADVANTAGE	inpatient	negotiated	$5,670.28
Oklahoma Heart Hospital	OK	va ccn	VA CCN	inpatient	negotiated	$5,585.30
Oklahoma Heart Hospital	OK	Blue Cross Blue Shield	BLUE MEDICARE ADVANTAGE	inpatient	negotiated	$5,585.30
Oklahoma Heart Hospital	OK	Aetna	AETNA MEDICARE ADVANTAGE	inpatient	negotiated	$5,585.30
Oklahoma Heart Hospital	OK	Cigna	CIGNA MEDICARE ADVANTAGE	inpatient	negotiated	$5,585.30
Oklahoma Heart Hospital	OK	Humana	HUMANA CHOICECARE MEDICARE ADVANTAGE	inpatient	negotiated	$5,585.30
Oklahoma Heart Hospital	OK	UnitedHealthcare	UNITED HEALTHCARE MEDICARE ADVANTAGE	inpatient	negotiated	$5,585.30
Oklahoma Heart Hospital	OK	Medicare	WELLCARE MEDICARE ADVANTAGE	inpatient	negotiated	$5,585.30
Oklahoma Heart Hospital	OK	Medicare	UNITED HEALTHCARE MEDICARE ADVANTAGE	inpatient	negotiated	$5,585.30
Oklahoma Heart Hospital	OK	GEHA	UNITED HEALTHCARE	inpatient	negotiated	$5,573.09
Oklahoma Heart Hospital	OK	UnitedHealthcare	UNITED HEALTHCARE	inpatient	negotiated	$5,573.09
Oklahoma Heart Hospital South	OK	GEHA	UNITED HEALTHCARE	inpatient	negotiated	$5,505.13
Oklahoma Heart Hospital South	OK	UnitedHealthcare	UNITED HEALTHCARE	inpatient	negotiated	$5,505.13
Oklahoma Heart Hospital South	OK	va ccn	VA CCN	inpatient	negotiated	$5,505.13
Oklahoma Heart Hospital South	OK	Blue Cross Blue Shield	BLUE PLAN SELECT 65	inpatient	negotiated	$5,505.13
Oklahoma Heart Hospital South	OK	Blue Cross Blue Shield	BLUE MEDICARE ADVANTAGE	inpatient	negotiated	$5,505.13
Oklahoma Heart Hospital South	OK	Aetna	AETNA MEDICARE ADVANTAGE	inpatient	negotiated	$5,505.13
Oklahoma Heart Hospital South	OK	Cigna	CIGNA MEDICARE ADVANTAGE	inpatient	negotiated	$5,505.13
Oklahoma Heart Hospital South	OK	Humana	HUMANA CHOICECARE MEDICARE ADVANTAGE	inpatient	negotiated	$5,505.13
Oklahoma Heart Hospital South	OK	UnitedHealthcare	UNITED HEALTHCARE MEDICARE ADVANTAGE	inpatient	negotiated	$5,505.13
Oklahoma Heart Hospital South	OK	Medicare	WELLCARE MEDICARE ADVANTAGE	inpatient	negotiated	$5,505.13
Oklahoma Heart Hospital South	OK	Medicare	UNITED HEALTHCARE MEDICARE ADVANTAGE	inpatient	negotiated	$5,505.13
Jefferson County Hospital	OK	medica	PPO	inpatient	negotiated	$5,355.00
Nowata Health Center	OK	connect health benefit	2942_NHOK CONNECT HEALTH BENEFIT MEDICARE INPATIENT 20250605	inpatient	negotiated	$4,568.00
Jefferson County Hospital	OK	Humana	All Plans	inpatient	negotiated	$3,825.00
Oklahoma Heart Hospital	OK	Aetna	AETNA MEDICAID	inpatient	negotiated	$3,466.89
Oklahoma Heart Hospital	OK	Humana	HUMANA MEDICAID	inpatient	negotiated	$3,466.89
Oklahoma Heart Hospital South	OK	Aetna	AETNA MEDICAID	inpatient	negotiated	$3,466.89
Oklahoma Heart Hospital South	OK	Humana	HUMANA MEDICAID	inpatient	negotiated	$3,466.89
Nowata Health Center	OK	communitycare (select)	2641_NHOK, SPOK COMMUNITYCARE STANDARD - SELECT INPATIENT 20241001	inpatient	negotiated	$2,734.80
Nowata Health Center	OK	communitycare (standard)	2674_NHOK, SPOK COMMUNITYCARE STANDARD INPATIENT 20241001	inpatient	negotiated	$2,734.80
Nowata Health Center	OK	Blue Cross Blue Shield	2940_NHOK BLUE CROSS BLUE SHIELD MEDICARE ADVANTAGE INPATIENT 20250605	inpatient	negotiated	$2,398.20
Nowata Health Center	OK	UnitedHealthcare	2951_NHOK UNITED HEALTH CARE MEDICARE ADVANTAGE INPATIENT 20250701	inpatient	negotiated	$2,352.52
Nowata Health Center	OK	Blue Cross Blue Shield	2936_NHOK CRITICAL ACCESS HOSPITAL NATIVE BLUE MEDICARE INPATIENT 20250605	inpatient	negotiated	$2,284.00
Nowata Health Center	OK	community care - st john network senior - govt	2946_NHOK CRITICAL ACCESS HOSPITAL COMMUNITYCARE ST JOHN NEWTORK INPATIENT GOVERNMENT 20250605	inpatient	negotiated	$2,284.00
Nowata Health Center	OK	kempton group administrators	2944_NHOK CRITICAL ACCESS HOSPITAL KEMPTON INPATIENT 20250605	inpatient	negotiated	$2,284.00
Nowata Health Center	OK	va community care network	2411_VETERAN AFFAIRS COMMUNITY CARE NETWORK INPATIENT NHOK 20240208	inpatient	negotiated	$2,110.00
Nowata Health Center	OK	TRICARE	2159_NHOK CRITICAL ACCESS HOSPITAL TRICARE INPATIENT 20230621	inpatient	negotiated	$1,982.00
Nowata Health Center	OK	smarthealth	2090_NHOK SMARTHEALTH INPATIENT 20230127	inpatient	negotiated	$1,506.00
Jefferson County Hospital	OK	healthsmart	PPO	inpatient	negotiated	$94.00
Jefferson County Hospital	OK	preferred community choice	PPO	inpatient	negotiated	$92.00
Jefferson County Hospital	OK	Cigna	PPO/POS	inpatient	negotiated	$90.00
Jefferson County Hospital	OK	First Health	PPO	inpatient	negotiated	$90.00
Jefferson County Hospital	OK	osma health	PPO	inpatient	negotiated	$90.00
Jefferson County Hospital	OK	Aetna	All Plans	inpatient	negotiated	$85.00
Jefferson County Hospital	OK	First Health	PPO	inpatient	negotiated	$85.00
Oklahoma Heart Hospital	OK	Multiplan	MULTIPLAN	inpatient	negotiated	$80.00
Oklahoma Heart Hospital South	OK	Multiplan	MULTIPLAN	inpatient	negotiated	$80.00
Jefferson County Hospital	OK	oklahoma health network (ohn)	PPO	inpatient	negotiated	$80.00
Jefferson County Hospital	OK	UnitedHealthcare	PPO	inpatient	negotiated	$68.00
Jefferson County Hospital	OK	healthcare highways	Logix PPO	inpatient	negotiated	$65.00
Jefferson County Hospital	OK	healthcare highways	Sync PPO	inpatient	negotiated	$57.00
Oklahoma Heart Hospital	OK	webtpa hobby lobby hch	EmployerAdvocates - HOBBY LOBBY	inpatient	negotiated	$53.00
Oklahoma Heart Hospital South	OK	webtpa hobby lobby hch	EmployerAdvocates - HOBBY LOBBY	inpatient	negotiated	$53.00
Oklahoma Heart Hospital	OK	webtpa chickasaw nation hch	EmployerAdvocates - CHICKASAW NATION	inpatient	negotiated	$47.00
Oklahoma Heart Hospital South	OK	webtpa chickasaw nation hch	EmployerAdvocates - CHICKASAW NATION	inpatient	negotiated	$47.00
Oklahoma Heart Hospital	OK	healthcare highways	HEALTHCARE HIGHWAYS	inpatient	negotiated	$25.00
Oklahoma Heart Hospital South	OK	healthcare highways	HEALTHCARE HIGHWAYS	inpatient	negotiated	$25.00
Jefferson County Hospital	OK	[De-identified Max]	—	inpatient	max	$19,974
Nowata Health Center	OK	[De-identified Max]	—	inpatient	max	$18,736
Nowata Health Center	OK	[De-identified Max]	—	both	max	$18,736
Oklahoma Heart Hospital	OK	[De-identified Max]	—	inpatient	max	$10,054
Oklahoma Heart Hospital South	OK	[De-identified Max]	—	inpatient	max	$9,909.23

Rates are point-in-time snapshots from each hospital's machine-readable file. Payers can negotiate different rates for different plans within the same network — this view shows the latest snapshot per (hospital, payer, plan, rate type).