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

$3,311.91 – $22,068

Negotiated median

$7,173.99

MS-DRG 195 Simple pneumonia & pleurisy w/o CC/MCC · 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	$7,173.99
Porter Hospital	VT	[De-identified Min]	—	inpatient	min	$6,350.70
University Of Vermont Medical Center	VT	[De-identified Min]	—	inpatient	min	$6,214.58
Brattleboro Memorial Hospital	VT	[De-identified Min]	—	inpatient	min	$3,381.28
North Country Hospital & Health Ctr	VT	[De-identified Min]	—	inpatient	min	$3,311.91
University Of Vermont Medical Center	VT	UnitedHealthcare	Commercial	inpatient	negotiated	$22,068
University Of Vermont Medical Center	VT	Blue Cross Blue Shield	Indemnity	inpatient	negotiated	$17,597
University Of Vermont Medical Center	VT	Cigna	Commercial	inpatient	negotiated	$17,208
University Of Vermont Medical Center	VT	capital district physicians' health plan	Commercial	inpatient	negotiated	$16,315
University Of Vermont Medical Center	VT	Blue Cross Blue Shield	The Vermont Health Plan/Vermont Health Partnership	inpatient	negotiated	$16,046
University Of Vermont Medical Center	VT	mvp	Commercial	inpatient	negotiated	$14,592
Central Vermont Hospital	VT	Blue Cross Blue Shield	Indemnity	inpatient	negotiated	$14,559
Central Vermont Hospital	VT	Blue Cross Blue Shield	The Vermont Health Plan/Vermont Health Partnership	inpatient	negotiated	$13,281
Brattleboro Memorial Hospital	VT	Anthem BCBS	Group Pathway Exchange	inpatient	negotiated	$9,934.53
Central Vermont Hospital	VT	Cigna	Commercial	inpatient	negotiated	$9,850.49
University Of Vermont Medical Center	VT	wellpath	FCI Ray Brook	inpatient	negotiated	$9,321.87
Porter Hospital	VT	Blue Cross Blue Shield	Indemnity	inpatient	negotiated	$7,785.00
Porter Hospital	VT	Blue Cross Blue Shield	The Vermont Health Plan/Vermont Health Partnership	inpatient	negotiated	$7,785.00
University Of Vermont Medical Center	VT	fidelis care	Managed Medicaid	inpatient	negotiated	$7,768.23
University Of Vermont Medical Center	VT	fidelis care	Medicare Advantage	inpatient	negotiated	$7,768.23
Brattleboro Memorial Hospital	VT	wellsense	Medicare Advantage	inpatient	negotiated	$7,592.82
Brattleboro Memorial Hospital	VT	WellCare	Medicare Advantage	inpatient	negotiated	$7,450.89
Central Vermont Hospital	VT	Blue Cross Blue Shield	Medicare Advantage	inpatient	negotiated	$7,317.47
Brattleboro Memorial Hospital	VT	Blue Cross Blue Shield	Medicare Advantage	inpatient	negotiated	$7,238.01
Central Vermont Hospital	VT	Aetna	Medicare Advantage	inpatient	negotiated	$7,173.99
Central Vermont Hospital	VT	mvp	Medicare Advantage	inpatient	negotiated	$7,173.99
Central Vermont Hospital	VT	UnitedHealthcare	Medicare Advantage	inpatient	negotiated	$7,173.99
Central Vermont Hospital	VT	VA Health	Veterans Administration	inpatient	negotiated	$7,173.99
Brattleboro Memorial Hospital	VT	Anthem BCBS	Individual Pathway Exchange	inpatient	negotiated	$7,096.09
Brattleboro Memorial Hospital	VT	Anthem BCBS	Medicare Advantage	inpatient	negotiated	$7,096.09
Brattleboro Memorial Hospital	VT	Cigna	Medicare Advantage	inpatient	negotiated	$7,096.09
Brattleboro Memorial Hospital	VT	harvard pilgrim health care	Medicare Advantage	inpatient	negotiated	$7,096.09
Brattleboro Memorial Hospital	VT	Humana	Medicare Advantage	inpatient	negotiated	$7,096.09
Brattleboro Memorial Hospital	VT	martin's point	Medicare Advantage	inpatient	negotiated	$7,096.09
Brattleboro Memorial Hospital	VT	mvp healthcare	Medicare Advantage	inpatient	negotiated	$7,096.09
Brattleboro Memorial Hospital	VT	UnitedHealthcare	Medicare Advantage	inpatient	negotiated	$7,096.09
University Of Vermont Medical Center	VT	mvp	Medicare Advantage	inpatient	negotiated	$6,369.94
Porter Hospital	VT	Humana	TRICARE	inpatient	negotiated	$6,350.70
University Of Vermont Medical Center	VT	Blue Cross Blue Shield	Medicare Advantage	inpatient	negotiated	$6,338.87
University Of Vermont Medical Center	VT	Aetna	Medicare Advantage	inpatient	negotiated	$6,214.58
University Of Vermont Medical Center	VT	capital district physicians' health plan	Medicare Advantage	inpatient	negotiated	$6,214.58
University Of Vermont Medical Center	VT	Blue Cross Blue Shield	Medicare Advantage	inpatient	negotiated	$6,214.58
University Of Vermont Medical Center	VT	martins point	TRICARE Prime/Department of Defense	inpatient	negotiated	$6,214.58
University Of Vermont Medical Center	VT	st. regis	HMO	inpatient	negotiated	$6,214.58
University Of Vermont Medical Center	VT	UnitedHealthcare	Medicare Advantage	inpatient	negotiated	$6,214.58
University Of Vermont Medical Center	VT	VA Health	Veterans Administration	inpatient	negotiated	$6,214.58
Brattleboro Memorial Hospital	VT	amerihealth-caritas	Managed Medicaid	inpatient	negotiated	$3,381.28
Brattleboro Memorial Hospital	VT	new hampshire healthy families	Managed Medicaid	inpatient	negotiated	$3,381.28
Brattleboro Memorial Hospital	VT	wellsense	Managed Medicaid	inpatient	negotiated	$3,381.28
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	$22,068
Central Vermont Hospital	VT	[De-identified Max]	—	inpatient	max	$14,559
Brattleboro Memorial Hospital	VT	[De-identified Max]	—	inpatient	max	$9,934.53
Porter Hospital	VT	[De-identified Max]	—	inpatient	max	$7,785.00
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).