▸ California · MS-DRG 194
Simple pneumonia & pleurisy w CC in California
What California hospitals charge for simple pneumonia & pleurisy w cc (MS-DRG 194). Rates sourced from federally-mandated machine-readable files.
Hospitals
64
Rate rows
1,267
Neg. median
$9,935.94
Min
$39.1
Max
$90,229
Cash median
$8,918
Across 64 California hospitals, the negotiated rate for Simple pneumonia & pleurisy w CC ranges from $39.1 to $90,229, with a median of $9,935.94. The interquartile range is $8,401.8 to $14,276. Cash-pay patients typically pay $8,918; gross charges median $61,563.
By payer in California
Top 30 payers for Simple pneumonia & pleurisy w CC in California.
| Payer | Hospitals | Rates | Median rate |
|---|---|---|---|
| Blue Cross Blue Shield | 54 | 159 | $11,191 |
| Aetna | 47 | 72 | $11,491 |
| Kaiser Permanente | 36 | 44 | $9,006.25 |
| Humana | 36 | 36 | $8,772.12 |
| Health Net | 35 | 108 | $14,255 |
| Medicare | 30 | 39 | $8,848.68 |
| UnitedHealthcare | 24 | 69 | $15,614 |
| Cigna | 23 | 39 | $15,250 |
| Molina | 22 | 32 | $8,464.36 |
| Anthem BCBS | 21 | 27 | $8,695.55 |
| brand new day | 18 | 19 | $8,425.03 |
| central health plan | 14 | 14 | $9,005.43 |
| Multiplan | 13 | 13 | $9,161.39 |
| scan health plan | 13 | 16 | $9,184.81 |
| WellCare | 10 | 10 | $8,258.98 |
| First Health | 10 | 10 | $38,611 |
| Empire BCBS | 9 | 13 | $9,006.25 |
| caremore | 9 | 9 | $9,029.44 |
| healthcare partners | 8 | 10 | $11,169 |
| heritage provider network | 8 | 11 | $12,872 |
| monarch health plan | 7 | 17 | $8,993.65 |
| TRICARE | 7 | 12 | $8,384.79 |
| la care health plan | 7 | 14 | $8,834.81 |
| providence health plan | 7 | 7 | $8,229.47 |
| employer direct healthcare | 6 | 6 | $10,483 |
| renal payer solutions | 6 | 6 | $8,064.07 |
| national healthcare solutions, inc (nhsi) | 6 | 6 | $12,903 |
| commercial | western health advantage | all plans | 5 | 5 | $5,633.73 |
| commercial | hill physicians | all plans | 5 | 5 | $9,003.71 |
| Bright Health | 5 | 8 | $12,872 |
Hospital comparison — Simple pneumonia & pleurisy w CC in California
Sorted by lowest negotiated median rate. Up to 100 hospitals.