▸ Kentucky · MS-DRG 195
Simple pneumonia & pleurisy w/o CC/MCC in Kentucky
What Kentucky hospitals charge for simple pneumonia & pleurisy w/o cc/mcc (MS-DRG 195). Rates sourced from federally-mandated machine-readable files.
Hospitals
13
Rate rows
171
Neg. median
$5,428.19
Min
$3,567.45
Max
$9,366.95
Cash median
$7,509.51
Across 13 Kentucky hospitals, the negotiated rate for Simple pneumonia & pleurisy w/o CC/MCC ranges from $3,567.45 to $9,366.95, with a median of $5,428.19. The interquartile range is $4,749.66 to $7,028.26. Cash-pay patients typically pay $7,509.51; gross charges median $18,774.
By payer in Kentucky
Top 27 payers for Simple pneumonia & pleurisy w/o CC/MCC in Kentucky.
| Payer | Hospitals | Rates | Median rate |
|---|---|---|---|
| Anthem BCBS | 11 | 33 | $8,376.79 |
| UnitedHealthcare | 10 | 18 | $5,428.19 |
| Aetna | 8 | 17 | $5,428.19 |
| WellCare | 8 | 15 | $5,428.19 |
| Humana | 7 | 14 | $5,341.91 |
| Molina | 6 | 6 | $4,248.2 |
| optum ccn region 1 | 6 | 6 | $5,428.19 |
| optum ccn region 2 | 6 | 6 | $5,428.19 |
| caresoure kentucky | 4 | 4 | $9,119.36 |
| umr | 2 | 2 | $8,552.63 |
| carolina complete | 1 | 1 | $6,370.59 |
| christian county health dept-cchd | 1 | 1 | $4,142.65 |
| Cigna | 1 | 1 | $4,749.66 |
| healthy blue | 1 | 1 | $6,370.59 |
| partners | 1 | 1 | $6,370.59 |
| the health plan | 1 | 2 | $4,900.67 |
| trillium | 1 | 1 | $6,561.71 |
| alliance | 1 | 1 | $6,498 |
| va community care network | 1 | 1 | $4,749.66 |
| vaya | 1 | 1 | $6,434.3 |
| amerigroup | 1 | 1 | $4,749.66 |
| Ambetter | 1 | 1 | $4,485.31 |
| amerihealth | 1 | 2 | $5,144 |
| alliance coal | 1 | 1 | $7,124.49 |
| beacon health | 1 | 1 | $4,142.65 |
| Blue Cross Blue Shield | 1 | 4 | $6,559.52 |
| CareSource | 1 | 1 | $6,412.04 |
Hospital comparison — Simple pneumonia & pleurisy w/o CC/MCC 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 | $4,749.66 | — | — |
| Highlands Regional Medical Center | Prestonsburg | $5,428.19 | — | — |
| Whitesburg Arh | Whitesburg | $5,428.19 | — | — |
| Harlan Arh | Harlan | $5,428.19 | — | — |
| Tug Valley Arh | South Williamson | $5,428.19 | — | — |
| Paintsville Arh Hospital | Paintsville | $5,428.19 | — | — |
| Hazard Arh | Hazard | $5,575.57 | — | — |
| Baptist Health Lexington | Lexington | $6,402.45 | — | — |
| Morgan Co. Arh | West Liberty | $8,552.63 | — | — |
| Mcdowell Arh | Mcdowell | $8,552.63 | — | — |
| Our Lady Of The Way | Martin | $8,597.23 | — | — |
| Barbourville Arh Hospital | Barbourville | $8,597.23 | — | — |
| Spring View Hospital | Lebanon | — | $7,509.51 | $18,774 |