▸ Maine · MS-DRG 195
Simple pneumonia & pleurisy w/o CC/MCC in Maine
What Maine hospitals charge for simple pneumonia & pleurisy w/o cc/mcc (MS-DRG 195). Rates sourced from federally-mandated machine-readable files.
Hospitals
4
Rate rows
60
Neg. median
$9,728.09
Min
$4,309.91
Max
$19,977
Cash median
$5,379.5
Across 4 Maine hospitals, the negotiated rate for Simple pneumonia & pleurisy w/o CC/MCC ranges from $4,309.91 to $19,977, with a median of $9,728.09. The interquartile range is $5,785.96 to $14,275. Cash-pay patients typically pay $5,379.5; gross charges median $20,105.
By payer in Maine
Top 22 payers for Simple pneumonia & pleurisy w/o CC/MCC in Maine.
| Payer | Hospitals | Rates | Median rate |
|---|---|---|---|
| UnitedHealthcare | 3 | 8 | $7,957.71 |
| Medicare | 3 | 3 | $4,931.83 |
| workers compensation | 3 | 3 | $7,409.37 |
| Aetna | 2 | 6 | $8,038.13 |
| Anthem BCBS | 2 | 5 | $11,357 |
| Humana | 2 | 4 | $5,710.31 |
| gateway - tier 3 | 1 | 1 | $13,672 |
| Cigna | 1 | 2 | $14,013 |
| martins point | 1 | 1 | $9,728.09 |
| Medicaid | 1 | 1 | $4,309.91 |
| gateway - tier 1 | 1 | 1 | $19,100 |
| Self-Pay (Cash) | 1 | 1 | $5,828.02 |
| sentara health plan | 1 | 2 | $9,210.7 |
| TRICARE | 1 | 1 | $9,728.09 |
| connecticare | 1 | 1 | $14,074 |
| vhn | 1 | 1 | $16,084 |
| vhn - link | 1 | 1 | $18,095 |
| vhn - plus | 1 | 1 | $15,481 |
| vhn - secondary payors | 1 | 1 | $19,100 |
| vhn - ultra | 1 | 1 | $12,465 |
| WellCare | 1 | 1 | $5,634.66 |
| gateway - tier 2 | 1 | 1 | $16,084 |
Hospital comparison — Simple pneumonia & pleurisy w/o CC/MCC in Maine
Sorted by lowest negotiated median rate. Up to 100 hospitals.
| Hospital | City | Negotiated median | Cash rate | Gross charge |
|---|---|---|---|---|
| Bridgton Hospital | Bridgton | $4,722.32 | $4,722 | — |
| Central Maine Medical Center | Lewiston | $5,828.02 | $5,828 | — |
| Rumford Hospital | Rumford | $6,170.6 | $4,931 | — |
| Franklin Memorial Hospital | Farmington | $13,551 | $7,036.84 | $20,105 |