Simple pneumonia & pleurisy w/o CC/MCC in North Carolina
What North Carolina hospitals charge for simple pneumonia & pleurisy w/o cc/mcc (MS-DRG 195). Rates sourced from federally-mandated machine-readable files.
Hospitals
28
Rate rows
898
Neg. median
$5,789.92
Min
$46
Max
$32,779
Cash median
$7,025.18
Across 28 North Carolina hospitals, the negotiated rate for Simple pneumonia & pleurisy w/o CC/MCC ranges from $46 to $32,779, with a median of $5,789.92. The interquartile range is $75 to $6,997.28. Cash-pay patients typically pay $7,025.18; gross charges median $28,311.
By payer in North Carolina
Top 30 payers for Simple pneumonia & pleurisy w/o CC/MCC in North Carolina.
| Payer | Hospitals | Rates | Median rate |
|---|---|---|---|
| WellCare | 27 | 29 | $6,398.51 |
| UnitedHealthcare | 26 | 69 | $6,398.51 |
| Cigna | 25 | 49 | $9,184.83 |
| Blue Cross Blue Shield | 24 | 107 | $9,149.4 |
| Aetna | 24 | 85 | $80 |
| Humana | 23 | 32 | $5,712.35 |
| amerihealth | 16 | 21 | $6,094.36 |
| alliance | 15 | 15 | $6,216.25 |
| partners | 15 | 15 | $6,094.36 |
| trillium | 15 | 15 | $6,277.2 |
| vaya | 14 | 14 | $6,155.31 |
| carolina complete | 14 | 14 | $6,183.71 |
| healthy blue | 12 | 12 | $5,971.14 |
| Ambetter | 11 | 17 | $7,434.42 |
| carolina complete health | 11 | 11 | $5,993.59 |
| amerihealth caritas | 10 | 10 | $6,277.61 |
| medcost | 10 | 19 | $78 |
| three rivers provider network | 9 | 9 | $97 |
| pace of the southern piedmont | 9 | 9 | $5,357.87 |
| Multiplan | 9 | 9 | $75 |
| amps | 9 | 9 | $55 |
| nc department of public safety | 9 | 18 | $8,257.9 |
| phcs | 9 | 9 | $75 |
| liberty health | 9 | 9 | $5,625.76 |
| bcbsfl | 9 | 144 | $70 |
| employers choice network | 9 | 9 | $97 |
| atlantic corporation dba atlantic packaging | 9 | 9 | $46 |
| plotkin health | 9 | 9 | $60 |
| CareSource | 9 | 9 | $6,913.5 |
| primary physician care | 8 | 8 | $74 |
Hospital comparison — Simple pneumonia & pleurisy w/o CC/MCC in North Carolina
Sorted by lowest negotiated median rate. Up to 100 hospitals.