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

Hospitals

Payers

Negotiated range

$3,311.91 – $29,060

Negotiated median

$9,447.01

MS-DRG 194 Simple pneumonia & pleurisy w CC · Showing 56 of 56 rate rows

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Hospital	ST	Payer	Plan	Setting	Type	Rate
CENTRAL VERMONT HOSPITAL	VT	[De-identified Min]	—	inpatient	min	$9,447.01
PORTER HOSPITAL	VT	[De-identified Min]	—	inpatient	min	$8,352.77
UNIVERSITY OF VERMONT MEDICAL CENTER	VT	[De-identified Min]	—	inpatient	min	$8,183.66
BRATTLEBORO MEMORIAL HOSPITAL	VT	[De-identified Min]	—	inpatient	min	$5,150.04
NORTH COUNTRY HOSPITAL & HEALTH CTR	VT	[De-identified Min]	—	inpatient	min	$3,311.91
UNIVERSITY OF VERMONT MEDICAL CENTER	VT	UnitedHealthcare	Commercial	inpatient	negotiated	$29,060
UNIVERSITY OF VERMONT MEDICAL CENTER	VT	Blue Cross Blue Shield	Indemnity	inpatient	negotiated	$23,172
UNIVERSITY OF VERMONT MEDICAL CENTER	VT	Cigna	Commercial	inpatient	negotiated	$22,661
UNIVERSITY OF VERMONT MEDICAL CENTER	VT	capital district physicians' health plan	Commercial	inpatient	negotiated	$21,484
UNIVERSITY OF VERMONT MEDICAL CENTER	VT	Blue Cross Blue Shield	The Vermont Health Plan/Vermont Health Partnership	inpatient	negotiated	$21,131
UNIVERSITY OF VERMONT MEDICAL CENTER	VT	mvp	Commercial	inpatient	negotiated	$19,216
CENTRAL VERMONT HOSPITAL	VT	Blue Cross Blue Shield	Indemnity	inpatient	negotiated	$19,172
CENTRAL VERMONT HOSPITAL	VT	Blue Cross Blue Shield	The Vermont Health Plan/Vermont Health Partnership	inpatient	negotiated	$17,489
BRATTLEBORO MEMORIAL HOSPITAL	VT	Anthem BCBS	Group Pathway Exchange	inpatient	negotiated	$12,993
CENTRAL VERMONT HOSPITAL	VT	Cigna	Commercial	inpatient	negotiated	$12,972
UNIVERSITY OF VERMONT MEDICAL CENTER	VT	wellpath	FCI Ray Brook	inpatient	negotiated	$12,275
PORTER HOSPITAL	VT	Blue Cross Blue Shield	The Vermont Health Plan/Vermont Health Partnership	inpatient	negotiated	$10,252
PORTER HOSPITAL	VT	Blue Cross Blue Shield	Indemnity	inpatient	negotiated	$10,252
UNIVERSITY OF VERMONT MEDICAL CENTER	VT	fidelis care	Medicare Advantage	inpatient	negotiated	$10,230
UNIVERSITY OF VERMONT MEDICAL CENTER	VT	fidelis care	Managed Medicaid	inpatient	negotiated	$10,230
BRATTLEBORO MEMORIAL HOSPITAL	VT	wellsense	Medicare Advantage	inpatient	negotiated	$9,930.17
BRATTLEBORO MEMORIAL HOSPITAL	VT	WellCare	Medicare Advantage	inpatient	negotiated	$9,744.56
CENTRAL VERMONT HOSPITAL	VT	Blue Cross Blue Shield	Medicare Advantage	inpatient	negotiated	$9,635.95
BRATTLEBORO MEMORIAL HOSPITAL	VT	Blue Cross Blue Shield	Medicare Advantage	inpatient	negotiated	$9,466.14
CENTRAL VERMONT HOSPITAL	VT	VA Health	Veterans Administration	inpatient	negotiated	$9,447.01
CENTRAL VERMONT HOSPITAL	VT	UnitedHealthcare	Medicare Advantage	inpatient	negotiated	$9,447.01
CENTRAL VERMONT HOSPITAL	VT	mvp	Medicare Advantage	inpatient	negotiated	$9,447.01
CENTRAL VERMONT HOSPITAL	VT	Aetna	Medicare Advantage	inpatient	negotiated	$9,447.01
BRATTLEBORO MEMORIAL HOSPITAL	VT	Humana	Medicare Advantage	inpatient	negotiated	$9,280.53
BRATTLEBORO MEMORIAL HOSPITAL	VT	Anthem BCBS	Individual Pathway Exchange	inpatient	negotiated	$9,280.53
BRATTLEBORO MEMORIAL HOSPITAL	VT	harvard pilgrim health care	Medicare Advantage	inpatient	negotiated	$9,280.53
BRATTLEBORO MEMORIAL HOSPITAL	VT	martin's point	Medicare Advantage	inpatient	negotiated	$9,280.53
BRATTLEBORO MEMORIAL HOSPITAL	VT	Cigna	Medicare Advantage	inpatient	negotiated	$9,280.53
BRATTLEBORO MEMORIAL HOSPITAL	VT	mvp healthcare	Medicare Advantage	inpatient	negotiated	$9,280.53
BRATTLEBORO MEMORIAL HOSPITAL	VT	UnitedHealthcare	Medicare Advantage	inpatient	negotiated	$9,280.53
BRATTLEBORO MEMORIAL HOSPITAL	VT	Anthem BCBS	Medicare Advantage	inpatient	negotiated	$9,280.53
UNIVERSITY OF VERMONT MEDICAL CENTER	VT	mvp	Medicare Advantage	inpatient	negotiated	$8,388.25
PORTER HOSPITAL	VT	Humana	TRICARE	inpatient	negotiated	$8,352.77
UNIVERSITY OF VERMONT MEDICAL CENTER	VT	Blue Cross Blue Shield	Medicare Advantage	inpatient	negotiated	$8,347.33
UNIVERSITY OF VERMONT MEDICAL CENTER	VT	Aetna	Medicare Advantage	inpatient	negotiated	$8,183.66
UNIVERSITY OF VERMONT MEDICAL CENTER	VT	Blue Cross Blue Shield	Medicare Advantage	inpatient	negotiated	$8,183.66
UNIVERSITY OF VERMONT MEDICAL CENTER	VT	VA Health	Veterans Administration	inpatient	negotiated	$8,183.66
UNIVERSITY OF VERMONT MEDICAL CENTER	VT	UnitedHealthcare	Medicare Advantage	inpatient	negotiated	$8,183.66
UNIVERSITY OF VERMONT MEDICAL CENTER	VT	st. regis	HMO	inpatient	negotiated	$8,183.66
UNIVERSITY OF VERMONT MEDICAL CENTER	VT	martins point	TRICARE Prime/Department of Defense	inpatient	negotiated	$8,183.66
UNIVERSITY OF VERMONT MEDICAL CENTER	VT	capital district physicians' health plan	Medicare Advantage	inpatient	negotiated	$8,183.66
BRATTLEBORO MEMORIAL HOSPITAL	VT	amerihealth-caritas	Managed Medicaid	inpatient	negotiated	$5,150.04
BRATTLEBORO MEMORIAL HOSPITAL	VT	new hampshire healthy families	Managed Medicaid	inpatient	negotiated	$5,150.04
BRATTLEBORO MEMORIAL HOSPITAL	VT	wellsense	Managed Medicaid	inpatient	negotiated	$5,150.04
NORTH COUNTRY HOSPITAL & HEALTH CTR	VT	Blue Cross Blue Shield	Blue Advantage	inpatient	negotiated	$3,311.91
NORTH COUNTRY HOSPITAL & HEALTH CTR	VT	mvp	Medicare Advantage	inpatient	negotiated	$3,311.91
UNIVERSITY OF VERMONT MEDICAL CENTER	VT	[De-identified Max]	—	inpatient	max	$29,060
CENTRAL VERMONT HOSPITAL	VT	[De-identified Max]	—	inpatient	max	$19,172
BRATTLEBORO MEMORIAL HOSPITAL	VT	[De-identified Max]	—	inpatient	max	$12,993
PORTER HOSPITAL	VT	[De-identified Max]	—	inpatient	max	$10,252
NORTH COUNTRY HOSPITAL & HEALTH CTR	VT	[De-identified Max]	—	inpatient	max	$3,311.91

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).