▸ California · MS-DRG 195
Simple pneumonia & pleurisy w/o CC/MCC in California
What California hospitals charge for simple pneumonia & pleurisy w/o cc/mcc (MS-DRG 195). Rates sourced from federally-mandated machine-readable files.
Hospitals
63
Rate rows
1,265
Neg. median
$7,849.35
Min
$39.1
Max
$70,367
Cash median
$6,682
Across 63 California hospitals, the negotiated rate for Simple pneumonia & pleurisy w/o CC/MCC ranges from $39.1 to $70,367, with a median of $7,849.35. The interquartile range is $6,646.62 to $11,082. Cash-pay patients typically pay $6,682; gross charges median $35,941.
By payer in California
Top 30 payers for Simple pneumonia & pleurisy w/o CC/MCC in California.
| Payer | Hospitals | Rates | Median rate |
|---|---|---|---|
| Blue Cross Blue Shield | 55 | 162 | $8,825.2 |
| Aetna | 45 | 70 | $8,762.06 |
| Kaiser Permanente | 37 | 45 | $7,179.44 |
| Humana | 36 | 36 | $6,884.48 |
| Health Net | 35 | 107 | $10,761 |
| Medicare | 31 | 40 | $6,940.19 |
| UnitedHealthcare | 25 | 71 | $12,186 |
| Molina | 22 | 32 | $6,662.82 |
| Cigna | 22 | 38 | $11,691 |
| Anthem BCBS | 21 | 27 | $6,790.91 |
| brand new day | 18 | 19 | $6,709.76 |
| central health plan | 14 | 14 | $7,107.05 |
| Multiplan | 13 | 13 | $7,208.47 |
| scan health plan | 13 | 16 | $7,349.4 |
| WellCare | 10 | 10 | $6,547.91 |
| First Health | 10 | 10 | $28,594 |
| Empire BCBS | 9 | 13 | $7,128.68 |
| caremore | 9 | 9 | $7,229.8 |
| healthcare partners | 8 | 10 | $8,993.57 |
| heritage provider network | 8 | 11 | $10,435 |
| monarch health plan | 7 | 17 | $7,174.07 |
| TRICARE | 7 | 12 | $6,648.63 |
| la care health plan | 7 | 14 | $7,089.58 |
| providence health plan | 7 | 7 | $6,540.23 |
| employer direct healthcare | 6 | 6 | $8,342.29 |
| renal payer solutions | 6 | 6 | $6,399.76 |
| national healthcare solutions, inc (nhsi) | 6 | 6 | $10,267 |
| commercial | western health advantage | all plans | 5 | 5 | $4,324.51 |
| commercial | hill physicians | all plans | 5 | 5 | $7,033.47 |
| Bright Health | 5 | 8 | $10,435 |
Hospital comparison — Simple pneumonia & pleurisy w/o CC/MCC in California
Sorted by lowest negotiated median rate. Up to 100 hospitals.