▸ Maine · MS-DRG 194
Simple pneumonia & pleurisy w CC in Maine
What Maine hospitals charge for simple pneumonia & pleurisy w cc (MS-DRG 194). Rates sourced from federally-mandated machine-readable files.
Hospitals
4
Rate rows
66
Neg. median
$12,187
Min
$5,675.49
Max
$26,925
Cash median
$6,726.5
Across 4 Maine hospitals, the negotiated rate for Simple pneumonia & pleurisy w CC ranges from $5,675.49 to $26,925, with a median of $12,187. The interquartile range is $7,128.16 to $17,239. Cash-pay patients typically pay $6,726.5; gross charges median $23,944.
By payer in Maine
Top 24 payers for Simple pneumonia & pleurisy w CC in Maine.
| Payer | Hospitals | Rates | Median rate |
|---|---|---|---|
| Humana | 4 | 6 | $7,028.72 |
| UnitedHealthcare | 4 | 10 | $9,743.81 |
| Medicare | 3 | 3 | $6,276.87 |
| workers compensation | 3 | 3 | $9,500.74 |
| Aetna | 2 | 6 | $9,839.58 |
| Anthem BCBS | 2 | 5 | $14,562 |
| gateway - tier 2 | 1 | 1 | $19,155 |
| gateway - tier 3 | 1 | 1 | $16,282 |
| gateway - tier 1 | 1 | 1 | $22,746 |
| martins point | 1 | 1 | $13,685 |
| Medicaid | 1 | 1 | $5,675.49 |
| connecticare | 1 | 1 | $16,761 |
| Multiplan | 1 | 1 | $19,554 |
| Self-Pay (Cash) | 1 | 1 | $7,177.21 |
| sentara health plan | 1 | 2 | $11,241 |
| TRICARE | 1 | 1 | $13,685 |
| community health options | 1 | 1 | $17,142 |
| vhn | 1 | 1 | $19,155 |
| vhn - link | 1 | 1 | $21,549 |
| vhn - plus | 1 | 1 | $18,437 |
| vhn - secondary payors | 1 | 1 | $22,746 |
| vhn - ultra | 1 | 1 | $14,845 |
| WellCare | 1 | 1 | $6,929.28 |
| Cigna | 1 | 2 | $16,689 |
Hospital comparison — Simple pneumonia & pleurisy w CC in Maine
Sorted by lowest negotiated median rate. Up to 100 hospitals.
| Hospital | City | Negotiated median | Cash rate | Gross charge |
|---|---|---|---|---|
| Bridgton Hospital | Bridgton | $6,010.23 | $6,010 | — |
| Rumford Hospital | Rumford | $6,276.87 | $6,276 | — |
| Central Maine Medical Center | Lewiston | $7,177.21 | $7,177 | — |
| Franklin Memorial Hospital | Farmington | $16,138 | $8,380.28 | $23,944 |