Simple pneumonia & pleurisy w CC in Massachusetts
What Massachusetts hospitals charge for simple pneumonia & pleurisy w cc (MS-DRG 194). Rates sourced from federally-mandated machine-readable files.
Hospitals
17
Rate rows
324
Neg. median
$8,483.22
Min
$60
Max
$52,140
Cash median
$28,968
Across 17 Massachusetts hospitals, the negotiated rate for Simple pneumonia & pleurisy w CC ranges from $60 to $52,140, with a median of $8,483.22. The interquartile range is $7,641.81 to $14,264. Cash-pay patients typically pay $28,968; gross charges median $28,968.
By payer in Massachusetts
Top 30 payers for Simple pneumonia & pleurisy w CC in Massachusetts.
| Payer | Hospitals | Rates | Median rate |
|---|---|---|---|
| Blue Cross Blue Shield | 8 | 29 | $10,511 |
| UnitedHealthcare | 8 | 25 | $8,644.81 |
| Cigna | 6 | 13 | $7,807.74 |
| Aetna | 5 | 11 | $8,174.94 |
| senior whole health [10110] | 4 | 4 | $8,487.74 |
| mgb hlth partners [11110] | 4 | 22 | $23,674 |
| hsno/free care [10801] | 4 | 4 | $9,079.48 |
| fallon connectorcare [10503] | 4 | 4 | $11,218 |
| tufts [11201] | 4 | 6 | $6,958 |
| fallon mcaid carelon hlth [29] | 4 | 4 | $1,939.47 |
| wellpoint [11112] | 4 | 4 | $8,527.23 |
| institution [10406] | 4 | 7 | $7,641.81 |
| Medicare | 4 | 4 | $10,373 |
| mgb mcr [10124] | 4 | 4 | $8,152.02 |
| tufts connectorcare [10507] | 4 | 4 | $10,373 |
| correctional care [11003] | 3 | 6 | $9,237.74 |
| commonwealth care mcr [10115] | 3 | 3 | $8,483.22 |
| Humana | 3 | 3 | $7,732.66 |
| fallon mcr [10105] | 3 | 3 | $8,483.22 |
| tufts dual [10111] | 3 | 3 | $10,373 |
| tufts mcr [10112] | 2 | 2 | $7,997.88 |
| harvard pilgrim mcr supp [20203] | 2 | 2 | $8,483.22 |
| tufts mcr supp [20209] | 2 | 2 | $8,483.22 |
| mgb connectorcare [10506] | 2 | 8 | $23,522 |
| fallon mcr supp [20202] | 2 | 2 | $7,997.88 |
| fallon carelon hlth [28] | 2 | 2 | $1,637.86 |
| eternalhealth mcr replace [10116] | 2 | 2 | $8,483.22 |
| amerihealth | 2 | 4 | $12,510 |
| hne [11108] | 2 | 2 | $3,685 |
| Medicaid | 2 | 2 | $2,759.32 |
Hospital comparison — Simple pneumonia & pleurisy w CC in Massachusetts
Sorted by lowest negotiated median rate. Up to 100 hospitals.
| Hospital | City | Negotiated median | Cash rate | Gross charge |
|---|---|---|---|---|
| Hospital For Behavioral Medicine | Worcester | $7,433.58 | — | — |
| Healthalliance-Clinton | Leominster | $7,820.82 | $22,701 | $22,701 |
| Chestnut Hill Benevolent Association | Chestnut Hill | $7,882.81 | — | — |
| High Point Hospital | Middleborough | $7,911.83 | — | — |
| Harrington Memorial Hospital | Southbridge | $8,174.94 | $24,513 | $24,513 |
| Umass Memorial Medical Center | Worcester | $8,887.19 | $33,401 | $33,401 |
| Marlborough Hospital | Marlborough | $8,887.19 | $33,401 | $33,401 |
| Beth Israel Deaconess - Plymouth | Plymouth | $15,261 | $3,470 | — |
| Whittier Hospital-Bradford | Bradford | $26,805 | — | — |
| Fairview Hospital | Great Barrington | — | — | — |
| Baystate Franklin Medical Center | Greenfield | — | — | — |
| Baystate Wing Hospital & Medical Ctr | Palmer | — | — | — |
| North Shore Medical Center | Salem | — | — | — |
| Berkshire Medical Center | Pittsfield | — | — | — |
| North Adams Regional Hospital | North Adams | — | — | — |
| Baystate Noble Hospital | Westfield | — | — | — |
| Baystate Medical Center | Springfield | — | — | — |