▸ Georgia · MS-DRG 194
Simple pneumonia & pleurisy w CC in Georgia
What Georgia hospitals charge for simple pneumonia & pleurisy w cc (MS-DRG 194). Rates sourced from federally-mandated machine-readable files.
Hospitals
15
Rate rows
324
Neg. median
$11,677
Min
$25
Max
$35,811
Cash median
$11,676
Across 15 Georgia hospitals, the negotiated rate for Simple pneumonia & pleurisy w CC ranges from $25 to $35,811, with a median of $11,677. The interquartile range is $8,976.9 to $16,137. Cash-pay patients typically pay $11,676; gross charges median —.
By payer in Georgia
Top 30 payers for Simple pneumonia & pleurisy w CC in Georgia.
| Payer | Hospitals | Rates | Median rate |
|---|---|---|---|
| Cigna | 11 | 27 | $11,689 |
| Humana | 11 | 20 | $13,714 |
| Aetna | 11 | 31 | $13,337 |
| Blue Cross Blue Shield | 11 | 42 | $12,024 |
| UnitedHealthcare | 10 | 27 | $11,677 |
| Oscar Health | 7 | 7 | $11,375 |
| WellCare | 7 | 8 | $8,287.16 |
| devoted health | 6 | 6 | $10,166 |
| Ambetter | 5 | 5 | $20,221 |
| clover health | 4 | 4 | $10,675 |
| Kaiser Permanente | 4 | 4 | $10,166 |
| sonder health plans | 4 | 4 | $10,675 |
| optum | 4 | 4 | $10,166 |
| va community care network | 4 | 4 | $10,166 |
| healthpartners | 3 | 47 | $18,106 |
| First Health | 2 | 3 | $6,155.87 |
| TRICARE | 2 | 3 | $5,193.32 |
| imperial insurance | 1 | 1 | $6,463.67 |
| Medicare | 1 | 1 | $11,677 |
| Medicare Advantage | 1 | 1 | $5,054.35 |
| Multiplan | 1 | 1 | $7,739.54 |
| naphcare | 1 | 1 | $18,099 |
| national healthcare solutions, inc. | 1 | 1 | $18,682 |
| novanet | 1 | 1 | $7,579.96 |
| occunet | 1 | 1 | $11,372 |
| pcc employee | 1 | 1 | $10,815 |
| peach state | 1 | 2 | $9,968.7 |
| prime health services | 1 | 1 | $7,739.54 |
| provider select | 1 | 1 | $7,899.12 |
| riverwood behavioral health | 1 | 2 | $11,683 |
Hospital comparison — Simple pneumonia & pleurisy w CC in Georgia
Sorted by lowest negotiated median rate. Up to 100 hospitals.
| Hospital | City | Negotiated median | Cash rate | Gross charge |
|---|---|---|---|---|
| West Central Ga Regional Hospital | Columbus | $6,155.87 | — | — |
| St. Marys Sacred Heart Hospital | Lavonia | $8,339.68 | — | — |
| St. Josephs Of Atlanta | Atlanta | $9,916.02 | — | — |
| Emory Decatur | Decatur | $10,743 | — | — |
| Emory University Hospital Midtown | Atlanta | $11,409 | — | — |
| Emory University Hospital | Atlanta | $11,409 | — | — |
| Southern Regional Medical Center | Riverdale | $11,677 | $11,676 | — |
| Ngmc Lumpkin Llc | Dahlonega | $15,652 | — | — |
| Ngmc Barrow | Winder | $15,652 | — | — |
| Emory Long Term Acute Care | Decatur | $15,854 | — | — |
| Northeast Georgia Medical Center | Gainesville | $18,106 | — | — |
| Memorial Hospital | Bainbridge | — | — | — |
| Chatuge Regional Hospital | Hiwassee | — | — | — |
| Southwell Medical | Adel | — | — | — |
| Union General Hospital | Blairsville | — | — | — |