▸ Georgia · MS-DRG 195
Simple pneumonia & pleurisy w/o CC/MCC in Georgia
What Georgia hospitals charge for simple pneumonia & pleurisy w/o cc/mcc (MS-DRG 195). Rates sourced from federally-mandated machine-readable files.
Hospitals
15
Rate rows
324
Neg. median
$10,130
Min
$21
Max
$27,489
Cash median
$10,404
Across 15 Georgia hospitals, the negotiated rate for Simple pneumonia & pleurisy w/o CC/MCC ranges from $21 to $27,489, with a median of $10,130. The interquartile range is $7,184.39 to $12,843. Cash-pay patients typically pay $10,404; gross charges median —.
By payer in Georgia
Top 30 payers for Simple pneumonia & pleurisy w/o CC/MCC in Georgia.
| Payer | Hospitals | Rates | Median rate |
|---|---|---|---|
| Cigna | 11 | 27 | $10,414 |
| Humana | 11 | 20 | $10,416 |
| Aetna | 11 | 31 | $10,130 |
| Blue Cross Blue Shield | 11 | 42 | $10,326 |
| UnitedHealthcare | 10 | 27 | $10,405 |
| Oscar Health | 7 | 7 | $8,639.48 |
| WellCare | 7 | 8 | $6,807 |
| devoted health | 6 | 6 | $8,797.12 |
| Ambetter | 5 | 5 | $17,411 |
| clover health | 4 | 4 | $9,236.98 |
| Kaiser Permanente | 4 | 4 | $8,797.12 |
| sonder health plans | 4 | 4 | $9,236.98 |
| optum | 4 | 4 | $8,797.12 |
| va community care network | 4 | 4 | $8,797.12 |
| healthpartners | 3 | 47 | $13,751 |
| First Health | 2 | 3 | $4,674.71 |
| TRICARE | 2 | 3 | $3,761.78 |
| imperial insurance | 1 | 1 | $4,908.45 |
| Medicare | 1 | 1 | $10,405 |
| Medicare Advantage | 1 | 1 | $3,941.76 |
| Multiplan | 1 | 1 | $5,888.9 |
| naphcare | 1 | 1 | $16,127 |
| national healthcare solutions, inc. | 1 | 1 | $16,647 |
| novanet | 1 | 1 | $5,767.48 |
| occunet | 1 | 1 | $8,868.96 |
| pcc employee | 1 | 1 | $10,815 |
| peach state | 1 | 2 | $8,362.14 |
| prime health services | 1 | 1 | $5,888.9 |
| provider select | 1 | 1 | $6,010.32 |
| riverwood behavioral health | 1 | 2 | $10,409 |
Hospital comparison — Simple pneumonia & pleurisy w/o CC/MCC 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 | $4,674.71 | — | — |
| St. Marys Sacred Heart Hospital | Lavonia | $7,300 | — | — |
| St. Josephs Of Atlanta | Atlanta | $7,531.34 | — | — |
| Emory Decatur | Decatur | $8,672.51 | — | — |
| Emory University Hospital Midtown | Atlanta | $9,897.45 | — | — |
| Emory University Hospital | Atlanta | $9,897.45 | — | — |
| Southern Regional Medical Center | Riverdale | $10,305 | $10,404 | — |
| Emory Long Term Acute Care | Decatur | $12,041 | — | — |
| Ngmc Lumpkin Llc | Dahlonega | $12,843 | — | — |
| Ngmc Barrow | Winder | $12,843 | — | — |
| Northeast Georgia Medical Center | Gainesville | $13,751 | — | — |
| Memorial Hospital | Bainbridge | — | — | — |
| Chatuge Regional Hospital | Hiwassee | — | — | — |
| Southwell Medical | Adel | — | — | — |
| Union General Hospital | Blairsville | — | — | — |