▸ Missouri · MS-DRG 195
Simple pneumonia & pleurisy w/o CC/MCC in Missouri
What Missouri hospitals charge for simple pneumonia & pleurisy w/o cc/mcc (MS-DRG 195). Rates sourced from federally-mandated machine-readable files.
Hospitals
15
Rate rows
386
Neg. median
$75
Min
$45.6
Max
$16,457
Cash median
$9,883.02
Across 15 Missouri hospitals, the negotiated rate for Simple pneumonia & pleurisy w/o CC/MCC ranges from $45.6 to $16,457, with a median of $75. The interquartile range is $68.7 to $6,143.43. Cash-pay patients typically pay $9,883.02; gross charges median $16,472.
By payer in Missouri
Top 30 payers for Simple pneumonia & pleurisy w/o CC/MCC in Missouri.
| Payer | Hospitals | Rates | Median rate |
|---|---|---|---|
| Aetna | 7 | 30 | $74.65 |
| Blue Cross Blue Shield | 7 | 35 | $4,123.57 |
| UnitedHealthcare | 7 | 18 | $5,144.14 |
| apwu health plan [216] | 6 | 6 | $5,091.35 |
| beechstreet [551] | 6 | 6 | $75 |
| unicare [568] | 6 | 12 | $70.25 |
| Cigna | 6 | 19 | $80 |
| consociate [478] | 6 | 12 | $7,689 |
| hfn [563] | 6 | 6 | $80 |
| hope trust [806] | 6 | 6 | $58 |
| med-pay [480] | 6 | 12 | $70 |
| medica [661] | 6 | 6 | $80 |
| Multiplan | 6 | 6 | $75 |
| nalc health benefit plan [242] | 6 | 6 | $5,091.35 |
| phcs [244] | 6 | 12 | $77.5 |
| preferred health professionals [561] | 6 | 6 | $75.5 |
| priority health [648] | 6 | 6 | $5,091.35 |
| sarah bush lincoln [636] | 6 | 7 | $8,503.82 |
| allied benefits [498] | 6 | 17 | $60.3 |
| cox health systems insurance company [220] | 6 | 18 | $55 |
| detego health [868] | 6 | 6 | $75 |
| First Health | 6 | 6 | $74.3 |
| health alliance [224] | 6 | 6 | $6,857.03 |
| health systems inc [620] | 6 | 6 | $75 |
| healthcare sol mercy [609] | 6 | 6 | $75 |
| healthlink [225] | 6 | 18 | $65 |
| healthscope benefits [258] | 6 | 11 | $4,788 |
| coresource [497] | 5 | 5 | $60.3 |
| fmh benefit service inc [222] | 5 | 5 | $60.3 |
| Humana | 5 | 8 | $5,064.56 |
Hospital comparison — Simple pneumonia & pleurisy w/o CC/MCC in Missouri
Sorted by lowest negotiated median rate. Up to 100 hospitals.
| Hospital | City | Negotiated median | Cash rate | Gross charge |
|---|---|---|---|---|
| Missouri Baptist Sullivan Hospital | Sullivan | $74.3 | $11,133 | $18,556 |
| Missouri Baptist Hospital Sullivan | Sullivan | $74.3 | $11,133 | $18,556 |
| Mercy Continuing Care Hospital | Chesterfield | $75 | — | — |
| Parkland Health Center - Farmington | Farmington | $75 | $7,500.33 | $12,501 |
| St. Louis Childrens Hospital | St. Louis | $75.25 | $7,913.28 | $13,189 |
| Progress West Hospital | Ofallon | $87 | $9,883.02 | $16,472 |
| Barnes Jewish St. Peters Hospital | St. Peters | $93.5 | $13,245 | $22,075 |
| Mercy Rehabilitation Hospital-Spgf | Springfield | $2,356 | $9,427.5 | $9,427.5 |
| Saint Francis Medical Center | Cape Girardeau | $6,350.62 | — | — |
| Cox-Monett Hospital | Monett | — | — | — |
| Cox Medical Center Branson | Branson | — | — | — |
| Moberly Regional Medical Center | Moberly | — | — | — |
| Northeast Regional Medical Center | Kirksville | — | — | — |
| Coxhealth | Springfield | — | — | — |
| Barton County Memorial Hospital | Lamar | — | — | — |