▸ Kentucky · MS-DRG 194
Simple pneumonia & pleurisy w CC in Kentucky
What Kentucky hospitals charge for simple pneumonia & pleurisy w cc (MS-DRG 194). Rates sourced from federally-mandated machine-readable files.
Hospitals
15
Rate rows
193
Neg. median
$6,960.35
Min
$4,697.78
Max
$12,011
Cash median
$14,485
Across 15 Kentucky hospitals, the negotiated rate for Simple pneumonia & pleurisy w CC ranges from $4,697.78 to $12,011, with a median of $6,960.35. The interquartile range is $5,972.54 to $9,101.29. Cash-pay patients typically pay $14,485; gross charges median $36,214.
By payer in Kentucky
Top 27 payers for Simple pneumonia & pleurisy w CC in Kentucky.
| Payer | Hospitals | Rates | Median rate |
|---|---|---|---|
| Anthem BCBS | 13 | 39 | $10,741 |
| UnitedHealthcare | 11 | 20 | $6,960.35 |
| Aetna | 9 | 19 | $6,612.33 |
| WellCare | 9 | 17 | $6,960.35 |
| Humana | 8 | 16 | $6,933.8 |
| Molina | 7 | 7 | $5,583.23 |
| optum ccn region 1 | 7 | 7 | $6,960.35 |
| optum ccn region 2 | 7 | 7 | $6,960.35 |
| caresoure kentucky | 5 | 5 | $11,693 |
| umr | 2 | 2 | $10,967 |
| carolina complete | 1 | 1 | $8,389.08 |
| christian county health dept-cchd | 1 | 1 | $5,454.36 |
| Cigna | 1 | 1 | $5,972.54 |
| healthy blue | 1 | 1 | $8,389.08 |
| partners | 1 | 1 | $8,389.08 |
| the health plan | 1 | 2 | $6,353.9 |
| trillium | 1 | 1 | $8,640.76 |
| alliance | 1 | 1 | $8,556.86 |
| va community care network | 1 | 1 | $5,972.54 |
| vaya | 1 | 1 | $8,472.98 |
| amerigroup | 1 | 1 | $5,972.54 |
| Ambetter | 1 | 1 | $5,906.46 |
| amerihealth | 1 | 2 | $6,773.85 |
| alliance coal | 1 | 1 | $8,958.81 |
| beacon health | 1 | 1 | $5,454.36 |
| Blue Cross Blue Shield | 1 | 4 | $8,637.88 |
| CareSource | 1 | 1 | $8,062.93 |
Hospital comparison — Simple pneumonia & pleurisy w CC in Kentucky
Sorted by lowest negotiated median rate. Up to 100 hospitals.
| Hospital | City | Negotiated median | Cash rate | Gross charge |
|---|---|---|---|---|
| Jennie Stuart Medical Center | Hopkinsville | $5,972.54 | — | — |
| Highlands Regional Medical Center | Prestonsburg | $6,960.35 | — | — |
| Middlesboro Arh | Middlesboro | $6,960.35 | — | — |
| Whitesburg Arh | Whitesburg | $6,960.35 | — | — |
| Harlan Arh | Harlan | $6,960.35 | — | — |
| Tug Valley Arh | South Williamson | $6,960.35 | — | — |
| Paintsville Arh Hospital | Paintsville | $6,960.35 | — | — |
| Hazard Arh | Hazard | $7,149.32 | — | — |
| Baptist Health Lexington | Lexington | $8,389.08 | — | — |
| Morgan Co. Arh | West Liberty | $10,967 | — | — |
| Mcdowell Arh | Mcdowell | $10,967 | — | — |
| Barbourville Arh Hospital | Barbourville | $11,024 | — | — |
| Our Lady Of The Way | Martin | $11,024 | — | — |
| Mary Breckinridge Hospital | Hyden | $11,024 | — | — |
| Spring View Hospital | Lebanon | — | $14,485 | $36,214 |