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

$5,059.6 – $14,823

Negotiated median

$6,610.83

MS-DRG 195 Simple pneumonia & pleurisy w/o CC/MCC · Showing 49 of 49 rate rows

↓ Download CSV See comparison view →

Hospital	ST	Payer	Plan	Setting	Type	Rate
MEMORIAL HOSPITAL OF RHODE ISLAND	RI	[De-identified Min]	—	inpatient	min	$6,099.35
NEWPORT HOSPITAL	RI	[De-identified Min]	—	inpatient	min	$5,229.19
THE MIRIAM HOSPITAL	RI	[De-identified Min]	—	inpatient	min	$5,059.6
MEMORIAL HOSPITAL OF RHODE ISLAND	RI	Aetna	Hmo/Ppo	inpatient	negotiated	$14,823
NEWPORT HOSPITAL	RI	Aetna	Hmo/Ppo	inpatient	negotiated	$14,823
THE MIRIAM HOSPITAL	RI	Aetna	Hmo/Ppo	inpatient	negotiated	$14,823
THE MIRIAM HOSPITAL	RI	UnitedHealthcare	All Commercial Plans	inpatient	negotiated	$12,395
MEMORIAL HOSPITAL OF RHODE ISLAND	RI	UnitedHealthcare	All Commercial Plans	inpatient	negotiated	$11,671
NEWPORT HOSPITAL	RI	UnitedHealthcare	All Commercial Plans	inpatient	negotiated	$9,235.18
MEMORIAL HOSPITAL OF RHODE ISLAND	RI	Aetna	Medicare Managed Care Plan	inpatient	negotiated	$7,983.84
MEMORIAL HOSPITAL OF RHODE ISLAND	RI	commonwealth care alliance	Medicare Managed Care Plan - Dual (D-Snp)	inpatient	negotiated	$7,808.16
MEMORIAL HOSPITAL OF RHODE ISLAND	RI	neighborhood health plan - ri	Medicare Managed Care Plan - Dual (D-Snp)	inpatient	negotiated	$7,808.16
MEMORIAL HOSPITAL OF RHODE ISLAND	RI	tufts health plan	Medicare Managed Care Plan	inpatient	negotiated	$7,808.16
MEMORIAL HOSPITAL OF RHODE ISLAND	RI	Cigna	Medicare Managed Care - Ppo	inpatient	negotiated	$7,808.16
MEMORIAL HOSPITAL OF RHODE ISLAND	RI	UnitedHealthcare	Medicare Managed Care Plan	inpatient	negotiated	$7,808.16
MEMORIAL HOSPITAL OF RHODE ISLAND	RI	commonwealth care alliance	Medicare Managed Care Plan	inpatient	negotiated	$7,808.16
MEMORIAL HOSPITAL OF RHODE ISLAND	RI	va community care	Optum Government	inpatient	negotiated	$7,808.16
MEMORIAL HOSPITAL OF RHODE ISLAND	RI	WellCare	Medicare Managed Care - Hmo/Ppo	inpatient	negotiated	$7,808.16
MEMORIAL HOSPITAL OF RHODE ISLAND	RI	UnitedHealthcare	Medicare Managed Care Plan - Dual (D-Snp)	inpatient	negotiated	$7,808.16
THE MIRIAM HOSPITAL	RI	neighborhood health plan - ri	Hmo	inpatient	negotiated	$7,774.34
THE MIRIAM HOSPITAL	RI	Aetna	Medicare Managed Care Plan	inpatient	negotiated	$6,759.57
THE MIRIAM HOSPITAL	RI	WellCare	Medicare Managed Care - Hmo/Ppo	inpatient	negotiated	$6,610.83
THE MIRIAM HOSPITAL	RI	Blue Cross Blue Shield	Medicare Managed Care Plan - Dual (D-Snp)	inpatient	negotiated	$6,610.83
THE MIRIAM HOSPITAL	RI	Cigna	Medicare Managed Care - Ppo	inpatient	negotiated	$6,610.83
THE MIRIAM HOSPITAL	RI	commonwealth care alliance	Medicare Managed Care Plan	inpatient	negotiated	$6,610.83
THE MIRIAM HOSPITAL	RI	commonwealth care alliance	Medicare Managed Care Plan - Dual (D-Snp)	inpatient	negotiated	$6,610.83
THE MIRIAM HOSPITAL	RI	harvard pilgrim health care	Medicare Managed Care Plan	inpatient	negotiated	$6,610.83
THE MIRIAM HOSPITAL	RI	neighborhood health plan - ri	Medicare Managed Care Plan - Dual (D-Snp)	inpatient	negotiated	$6,610.83
THE MIRIAM HOSPITAL	RI	tufts health plan	Medicare Managed Care Plan	inpatient	negotiated	$6,610.83
THE MIRIAM HOSPITAL	RI	UnitedHealthcare	Medicare Managed Care Plan	inpatient	negotiated	$6,610.83
THE MIRIAM HOSPITAL	RI	UnitedHealthcare	Medicare Managed Care Plan - Dual (D-Snp)	inpatient	negotiated	$6,610.83
THE MIRIAM HOSPITAL	RI	UnitedHealthcare	Medicare Managed Care Plan - Supplemental	inpatient	negotiated	$6,610.83
THE MIRIAM HOSPITAL	RI	va community care	Optum Government	inpatient	negotiated	$6,610.83
MEMORIAL HOSPITAL OF RHODE ISLAND	RI	Blue Cross Blue Shield	Medicare Managed Care Plan	inpatient	negotiated	$6,099.35
NEWPORT HOSPITAL	RI	Aetna	Medicare Managed Care Plan	inpatient	negotiated	$5,876.56
NEWPORT HOSPITAL	RI	WellCare	Medicare Managed Care - Hmo/Ppo	inpatient	negotiated	$5,747.25
NEWPORT HOSPITAL	RI	Blue Cross Blue Shield	Medicare Managed Care Plan - Dual (D-Snp)	inpatient	negotiated	$5,747.25
NEWPORT HOSPITAL	RI	Cigna	Medicare Managed Care - Ppo	inpatient	negotiated	$5,747.25
NEWPORT HOSPITAL	RI	commonwealth care alliance	Medicare Managed Care Plan	inpatient	negotiated	$5,747.25
NEWPORT HOSPITAL	RI	commonwealth care alliance	Medicare Managed Care Plan - Dual (D-Snp)	inpatient	negotiated	$5,747.25
NEWPORT HOSPITAL	RI	neighborhood health plan - ri	Medicare Managed Care Plan - Dual (D-Snp)	inpatient	negotiated	$5,747.25
NEWPORT HOSPITAL	RI	tufts health plan	Medicare Managed Care Plan	inpatient	negotiated	$5,747.25
NEWPORT HOSPITAL	RI	UnitedHealthcare	Medicare Managed Care Plan - Dual (D-Snp)	inpatient	negotiated	$5,747.25
NEWPORT HOSPITAL	RI	va community care	Optum Government	inpatient	negotiated	$5,747.25
NEWPORT HOSPITAL	RI	Blue Cross Blue Shield	Medicare Managed Care Plan	inpatient	negotiated	$5,229.19
THE MIRIAM HOSPITAL	RI	Blue Cross Blue Shield	Medicare Managed Care Plan	inpatient	negotiated	$5,059.6
THE MIRIAM HOSPITAL	RI	[De-identified Max]	—	inpatient	max	$14,823
MEMORIAL HOSPITAL OF RHODE ISLAND	RI	[De-identified Max]	—	inpatient	max	$14,823
NEWPORT HOSPITAL	RI	[De-identified Max]	—	inpatient	max	$14,823

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).