▸ Michigan · MS-DRG 195
Simple pneumonia & pleurisy w/o CC/MCC in Michigan
What Michigan hospitals charge for simple pneumonia & pleurisy w/o cc/mcc (MS-DRG 195). Rates sourced from federally-mandated machine-readable files.
Hospitals
30
Rate rows
529
Neg. median
$5,749.6
Min
$92.5
Max
$19,155
Cash median
$5,944.91
Across 30 Michigan hospitals, the negotiated rate for Simple pneumonia & pleurisy w/o CC/MCC ranges from $92.5 to $19,155, with a median of $5,749.6. The interquartile range is $4,629.2 to $10,172. Cash-pay patients typically pay $5,944.91; gross charges median $14,338.
By payer in Michigan
Top 30 payers for Simple pneumonia & pleurisy w/o CC/MCC in Michigan.
| Payer | Hospitals | Rates | Median rate |
|---|---|---|---|
| Humana | 21 | 25 | $4,349.13 |
| Blue Cross Blue Shield | 21 | 71 | $12,024 |
| UnitedHealthcare | 21 | 43 | $6,499.91 |
| TRICARE | 18 | 25 | $3,761.78 |
| Aetna | 13 | 27 | $5,703.6 |
| Medicare | 10 | 44 | $5,683.25 |
| WellCare | 9 | 9 | $3,941.76 |
| smarthealth | 9 | 9 | $5,518.46 |
| First Health | 8 | 8 | $7,300 |
| Medicare Advantage | 8 | 8 | $3,941.76 |
| Ambetter | 8 | 8 | $6,503.9 |
| mi amish medical board | 7 | 7 | $6,535.74 |
| healthspring mcr replacement | 7 | 7 | $4,020.6 |
| blue mcr replacement | 7 | 7 | $3,941.76 |
| Cigna | 7 | 7 | $10,470 |
| pcc employee | 7 | 7 | $10,815 |
| Oscar Health | 7 | 7 | $6,306.82 |
| occunet | 7 | 7 | $8,868.96 |
| facility billing - op | 7 | 7 | $3,941.76 |
| priority health | 5 | 8 | $6,605.52 |
| Molina | 3 | 5 | $5,703.6 |
| bcbsm | 3 | 5 | $5,703.6 |
| bcbsm/bcn | 3 | 3 | $9,620.6 |
| bcn | 3 | 3 | $4,892.2 |
| CareSource | 3 | 3 | $4,892.2 |
| cca health michigan | 3 | 3 | $4,892.2 |
| hap | 3 | 8 | $5,986.02 |
| mclaren health | 3 | 3 | $4,892.2 |
| meridian health plan of mi | 3 | 4 | $6,590.86 |
| vitalcore physicians group of mi | 3 | 3 | $9,050.57 |
Hospital comparison — Simple pneumonia & pleurisy w/o CC/MCC in Michigan
Sorted by lowest negotiated median rate. Up to 100 hospitals.