▸ Michigan · MS-DRG 194
Simple pneumonia & pleurisy w CC in Michigan
What Michigan hospitals charge for simple pneumonia & pleurisy w cc (MS-DRG 194). Rates sourced from federally-mandated machine-readable files.
Hospitals
31
Rate rows
539
Neg. median
$7,207.76
Min
$92.5
Max
$19,155
Cash median
$8,957.43
Across 31 Michigan hospitals, the negotiated rate for Simple pneumonia & pleurisy w CC ranges from $92.5 to $19,155, with a median of $7,207.76. The interquartile range is $5,741.27 to $10,815. Cash-pay patients typically pay $8,957.43; gross charges median $19,291.
By payer in Michigan
Top 30 payers for Simple pneumonia & pleurisy w CC in Michigan.
| Payer | Hospitals | Rates | Median rate |
|---|---|---|---|
| UnitedHealthcare | 24 | 47 | $7,477.74 |
| Humana | 22 | 26 | $5,577.5 |
| Blue Cross Blue Shield | 19 | 69 | $12,024 |
| TRICARE | 18 | 25 | $5,193.32 |
| Aetna | 14 | 28 | $7,110.59 |
| Medicare | 10 | 44 | $7,156.02 |
| smarthealth | 9 | 9 | $7,076.09 |
| WellCare | 9 | 9 | $5,054.35 |
| Ambetter | 8 | 8 | $8,339.68 |
| Medicare Advantage | 8 | 8 | $5,054.35 |
| First Health | 8 | 8 | $7,300 |
| occunet | 7 | 7 | $11,372 |
| pcc employee | 7 | 7 | $10,815 |
| Oscar Health | 7 | 7 | $8,086.96 |
| mi amish medical board | 7 | 7 | $8,229.43 |
| Cigna | 7 | 7 | $10,470 |
| facility billing - op | 7 | 7 | $5,054.35 |
| blue mcr replacement | 7 | 7 | $5,054.35 |
| healthspring mcr replacement | 7 | 7 | $5,155.44 |
| priority health | 5 | 8 | $9,413.96 |
| bcn | 3 | 3 | $6,306.71 |
| Molina | 3 | 5 | $7,207.76 |
| vitalcore physicians group of mi | 3 | 3 | $11,667 |
| cca health michigan | 3 | 3 | $6,306.71 |
| hap | 3 | 8 | $7,882.66 |
| bcbsm/bcn | 3 | 3 | $14,180 |
| CareSource | 3 | 3 | $6,306.71 |
| mclaren health | 3 | 3 | $6,306.71 |
| meridian health plan of mi | 3 | 4 | $8,481.65 |
| bcbsm | 3 | 5 | $7,207.76 |
Hospital comparison — Simple pneumonia & pleurisy w CC in Michigan
Sorted by lowest negotiated median rate. Up to 100 hospitals.