▸ Illinois · MS-DRG 195
Simple pneumonia & pleurisy w/o CC/MCC in Illinois
What Illinois hospitals charge for simple pneumonia & pleurisy w/o cc/mcc (MS-DRG 195). Rates sourced from federally-mandated machine-readable files.
Hospitals
59
Rate rows
936
Neg. median
$5,927.56
Min
$25.4
Max
$24,268
Cash median
$13,245
Across 59 Illinois hospitals, the negotiated rate for Simple pneumonia & pleurisy w/o CC/MCC ranges from $25.4 to $24,268, with a median of $5,927.56. The interquartile range is $5,039.21 to $8,739.22. Cash-pay patients typically pay $13,245; gross charges median $22,953.
By payer in Illinois
Top 30 payers for Simple pneumonia & pleurisy w/o CC/MCC in Illinois.
| Payer | Hospitals | Rates | Median rate |
|---|---|---|---|
| Blue Cross Blue Shield | 45 | 142 | $6,741.02 |
| UnitedHealthcare | 44 | 110 | $6,717.96 |
| Aetna | 42 | 92 | $5,612.16 |
| Humana | 29 | 47 | $5,652.56 |
| Molina | 28 | 28 | $6,074.16 |
| Cigna | 25 | 43 | $7,667.7 |
| Ambetter | 17 | 17 | $10,540 |
| WellCare | 14 | 15 | $5,668.28 |
| Medicare | 10 | 25 | $5,226.91 |
| meridian | 10 | 10 | $5,614.16 |
| Oscar Health | 9 | 9 | $10,903 |
| hstechnology | 9 | 9 | $13,956 |
| healthlink | 9 | 9 | $9,144.68 |
| Multiplan | 8 | 9 | $90 |
| smarthealth | 7 | 7 | $7,317.67 |
| Bright Health | 6 | 6 | $6,533.64 |
| health alliance plan | 6 | 10 | $5,984.72 |
| First Health | 5 | 5 | $100 |
| caterpillar | 5 | 5 | $8,644.39 |
| TRICARE | 4 | 4 | $5,226.91 |
| amerivantage | 4 | 4 | $5,303.76 |
| medica exchange inspire | 4 | 4 | $8,739.22 |
| medica exchange insure | 4 | 4 | $9,737.99 |
| iowa total care | 4 | 4 | $4,439.57 |
| health partners open network | 4 | 4 | $6,694.65 |
| phcs | 3 | 3 | $75.7 |
| community partners health plan (cphp) | 3 | 3 | $8,406.19 |
| osfdan | 3 | 3 | $80 |
| oscar | 3 | 3 | $7,253.52 |
| amerigroup | 3 | 3 | $4,439.57 |
Hospital comparison — Simple pneumonia & pleurisy w/o CC/MCC in Illinois
Sorted by lowest negotiated median rate. Up to 100 hospitals.