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

$4,309.91 – $19,977

Negotiated median

$9,728.09

MS-DRG 195 Simple pneumonia & pleurisy w/o CC/MCC · Showing 60 of 60 rate rows

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Hospital	ST	Payer	Plan	Setting	Type	Rate
FRANKLIN MEMORIAL HOSPITAL	ME	Chargemaster	N/A	inpatient	gross	$20,105
FRANKLIN MEMORIAL HOSPITAL	ME	Cash pay	N/A	inpatient	cash	$7,036.84
CENTRAL MAINE MEDICAL CENTER	ME	Cash pay	N/A	inpatient	cash	$5,828
RUMFORD HOSPITAL	ME	Cash pay	N/A	inpatient	cash	$4,931
BRIDGTON HOSPITAL	ME	Cash pay	N/A	inpatient	cash	$4,722
FRANKLIN MEMORIAL HOSPITAL	ME	[De-identified Min]	—	inpatient	min	$5,332.16
RUMFORD HOSPITAL	ME	[De-identified Min]	—	inpatient	min	$4,931.83
BRIDGTON HOSPITAL	ME	[De-identified Min]	—	inpatient	min	$4,535.27
CENTRAL MAINE MEDICAL CENTER	ME	[De-identified Min]	—	inpatient	min	$4,309.91
FRANKLIN MEMORIAL HOSPITAL	ME	Humana	Tricare	inpatient	negotiated	$19,977
FRANKLIN MEMORIAL HOSPITAL	ME	vhn - secondary payors	Commercial	inpatient	negotiated	$19,100
FRANKLIN MEMORIAL HOSPITAL	ME	gateway - tier 1	Commercial	inpatient	negotiated	$19,100
FRANKLIN MEMORIAL HOSPITAL	ME	vhn - link	Commercial	inpatient	negotiated	$18,095
FRANKLIN MEMORIAL HOSPITAL	ME	Anthem BCBS	Commercial	inpatient	negotiated	$16,995
FRANKLIN MEMORIAL HOSPITAL	ME	UnitedHealthcare	Commercial	inpatient	negotiated	$16,434
FRANKLIN MEMORIAL HOSPITAL	ME	vhn	Commercial	inpatient	negotiated	$16,084
FRANKLIN MEMORIAL HOSPITAL	ME	gateway - tier 2	Commercial	inpatient	negotiated	$16,084
FRANKLIN MEMORIAL HOSPITAL	ME	vhn - plus	Commercial	inpatient	negotiated	$15,481
FRANKLIN MEMORIAL HOSPITAL	ME	Anthem BCBS	Exchange	inpatient	negotiated	$15,295
FRANKLIN MEMORIAL HOSPITAL	ME	UnitedHealthcare	Commercial	inpatient	negotiated	$14,488
FRANKLIN MEMORIAL HOSPITAL	ME	Cigna	Commercial	inpatient	negotiated	$14,476
FRANKLIN MEMORIAL HOSPITAL	ME	connecticare	Commercial	inpatient	negotiated	$14,074
FRANKLIN MEMORIAL HOSPITAL	ME	gateway - tier 3	Commercial	inpatient	negotiated	$13,672
FRANKLIN MEMORIAL HOSPITAL	ME	Cigna	Commercial	inpatient	negotiated	$13,551
FRANKLIN MEMORIAL HOSPITAL	ME	Aetna	Commercial	inpatient	negotiated	$13,350
FRANKLIN MEMORIAL HOSPITAL	ME	sentara health plan	Commercial	inpatient	negotiated	$12,465
FRANKLIN MEMORIAL HOSPITAL	ME	vhn - ultra	Commercial	inpatient	negotiated	$12,465
FRANKLIN MEMORIAL HOSPITAL	ME	UnitedHealthcare	Commercial	inpatient	negotiated	$11,494
CENTRAL MAINE MEDICAL CENTER	ME	Anthem BCBS	Anthem HMO POS PPO	inpatient	negotiated	$11,357
FRANKLIN MEMORIAL HOSPITAL	ME	Aetna	Choice POS II	inpatient	negotiated	$10,415
FRANKLIN MEMORIAL HOSPITAL	ME	Aetna	Commercial	inpatient	negotiated	$10,234
FRANKLIN MEMORIAL HOSPITAL	ME	UnitedHealthcare	Commercial	inpatient	negotiated	$10,073
CENTRAL MAINE MEDICAL CENTER	ME	martins point	Martins Point	inpatient	negotiated	$9,728.09
CENTRAL MAINE MEDICAL CENTER	ME	TRICARE	Tricare	inpatient	negotiated	$9,728.09
BRIDGTON HOSPITAL	ME	workers compensation	Workers Compensation	inpatient	negotiated	$7,409.37
RUMFORD HOSPITAL	ME	workers compensation	Workers Compensation	inpatient	negotiated	$7,409.37
CENTRAL MAINE MEDICAL CENTER	ME	workers compensation	Workers Compensation	inpatient	negotiated	$6,989.98
FRANKLIN MEMORIAL HOSPITAL	ME	sentara health plan	Medicare Advantage	inpatient	negotiated	$5,956.14
FRANKLIN MEMORIAL HOSPITAL	ME	Aetna	Medicare Advantage	inpatient	negotiated	$5,842.69
FRANKLIN MEMORIAL HOSPITAL	ME	UnitedHealthcare	Medicare Advantage	inpatient	negotiated	$5,842.69
CENTRAL MAINE MEDICAL CENTER	ME	UnitedHealthcare	UHC VACCN	inpatient	negotiated	$5,828.02
CENTRAL MAINE MEDICAL CENTER	ME	Medicare	Traditional Medicare	inpatient	negotiated	$5,828.02
CENTRAL MAINE MEDICAL CENTER	ME	Self-Pay (Cash)	Self-Pay (100% of MCR)	inpatient	negotiated	$5,828.02
FRANKLIN MEMORIAL HOSPITAL	ME	Anthem BCBS	Medicare Advantage	inpatient	negotiated	$5,785.96
FRANKLIN MEMORIAL HOSPITAL	ME	Humana	Medicare Advantage	inpatient	negotiated	$5,785.96
CENTRAL MAINE MEDICAL CENTER	ME	Humana	Humana Medicare	inpatient	negotiated	$5,634.66
CENTRAL MAINE MEDICAL CENTER	ME	Aetna	Aetna Medicare	inpatient	negotiated	$5,634.66
CENTRAL MAINE MEDICAL CENTER	ME	Anthem BCBS	Anthem Medicare	inpatient	negotiated	$5,634.66
CENTRAL MAINE MEDICAL CENTER	ME	WellCare	Wellcare Medicare	inpatient	negotiated	$5,634.66
CENTRAL MAINE MEDICAL CENTER	ME	UnitedHealthcare	UHC Medicare	inpatient	negotiated	$5,634.66
FRANKLIN MEMORIAL HOSPITAL	ME	Humana	Dual Eligible	inpatient	negotiated	$5,559.06
FRANKLIN MEMORIAL HOSPITAL	ME	Aetna	Medicare Advantage	inpatient	negotiated	$5,332.16
RUMFORD HOSPITAL	ME	Medicare	Traditional Medicare	inpatient	negotiated	$4,931.83
BRIDGTON HOSPITAL	ME	Medicare	Traditional Medicare	inpatient	negotiated	$4,722.32
BRIDGTON HOSPITAL	ME	UnitedHealthcare	UHC VACCN	inpatient	negotiated	$4,722.32
CENTRAL MAINE MEDICAL CENTER	ME	Medicaid	Traditional Medicaid	inpatient	negotiated	$4,309.91
FRANKLIN MEMORIAL HOSPITAL	ME	[De-identified Max]	—	inpatient	max	$19,977
RUMFORD HOSPITAL	ME	[De-identified Max]	—	inpatient	max	$14,212
CENTRAL MAINE MEDICAL CENTER	ME	[De-identified Max]	—	inpatient	max	$13,011
BRIDGTON HOSPITAL	ME	[De-identified Max]	—	inpatient	max	$7,543.53

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).