▸ Florida · MS-DRG 195
Simple pneumonia & pleurisy w/o CC/MCC in Florida
What Florida hospitals charge for simple pneumonia & pleurisy w/o cc/mcc (MS-DRG 195). Rates sourced from federally-mandated machine-readable files.
Hospitals
4
Rate rows
47
Neg. median
$11,438
Min
$2,105
Max
$33,797
Cash median
—
Across 4 Florida hospitals, the negotiated rate for Simple pneumonia & pleurisy w/o CC/MCC ranges from $2,105 to $33,797, with a median of $11,438. The interquartile range is $3,784.27 to $22,081. Cash-pay patients typically pay —; gross charges median —.
By payer in Florida
Top 24 payers for Simple pneumonia & pleurisy w/o CC/MCC in Florida.
| Payer | Hospitals | Rates | Median rate |
|---|---|---|---|
| Aetna | 2 | 3 | $20,475 |
| Humana | 2 | 2 | $12,951 |
| Ambetter | 1 | 1 | $6,121.62 |
| Blue Cross Blue Shield | 1 | 8 | $11,438 |
| blue mcr replacement | 1 | 1 | $3,710.07 |
| Cigna | 1 | 1 | $11,580 |
| facility billing - op | 1 | 1 | $3,710.07 |
| healthspring mcr replacement | 1 | 1 | $3,784.27 |
| ilumed aco reach | 1 | 1 | $22,531 |
| Medicare | 1 | 1 | $3,710.07 |
| occunet | 1 | 1 | $8,347.66 |
| Oscar Health | 1 | 1 | $5,936.11 |
| palm beach aco reach | 1 | 1 | $21,855 |
| prime health services | 1 | 2 | $31,544 |
| simply healthcare | 1 | 1 | $22,531 |
| smarthealth | 1 | 1 | $3,747.17 |
| sunshine state health plan | 1 | 1 | $22,531 |
| triwest | 1 | 1 | $3,710.07 |
| UnitedHealthcare | 1 | 3 | $15,566 |
| velocity provider ppo network | 1 | 1 | $27,037 |
| WellCare | 1 | 1 | $3,710.07 |
| aarp mcr hmo | 1 | 1 | $3,710.07 |
| wellmed | 1 | 1 | $22,531 |
| alignment health | 1 | 1 | $22,531 |
Hospital comparison — Simple pneumonia & pleurisy w/o CC/MCC in Florida
Sorted by lowest negotiated median rate. Up to 100 hospitals.
| Hospital | City | Negotiated median | Cash rate | Gross charge |
|---|---|---|---|---|
| Emerald Coast Behavioral Hospital | Panama City | $6,028.87 | — | — |
| Pam Specialty Hospital Of Sarasota | Sarasota | $22,531 | — | — |
| Wellington Regl Medical Center | West Palm Beach | — | — | — |
| Lakewood Ranch Medical Center | Bradenton | — | — | — |