▸ New Jersey · MS-DRG 195
Simple pneumonia & pleurisy w/o CC/MCC in New Jersey
What New Jersey hospitals charge for simple pneumonia & pleurisy w/o cc/mcc (MS-DRG 195). Rates sourced from federally-mandated machine-readable files.
Hospitals
22
Rate rows
707
Neg. median
$9,184
Min
$60
Max
$39,471
Cash median
$4,827.48
Across 22 New Jersey hospitals, the negotiated rate for Simple pneumonia & pleurisy w/o CC/MCC ranges from $60 to $39,471, with a median of $9,184. The interquartile range is $5,916.74 to $15,748. Cash-pay patients typically pay $4,827.48; gross charges median —.
By payer in New Jersey
Top 30 payers for Simple pneumonia & pleurisy w/o CC/MCC in New Jersey.
| Payer | Hospitals | Rates | Median rate |
|---|---|---|---|
| Cigna | 21 | 47 | $14,726 |
| Aetna | 21 | 79 | $15,512 |
| Blue Cross Blue Shield | 21 | 95 | $9,582.94 |
| UnitedHealthcare | 21 | 73 | $13,326 |
| amerihealth | 20 | 37 | $11,498 |
| WellCare | 20 | 29 | $7,472.76 |
| Humana | 12 | 12 | $5,950.42 |
| clover health | 11 | 11 | $5,837.08 |
| oxford | 9 | 9 | $20,200 |
| amerigroup | 9 | 10 | $5,795.66 |
| brighton health plan | 9 | 9 | $23,353 |
| clover | 9 | 9 | $6,242.03 |
| horizon | 9 | 71 | $14,627 |
| vaccn | 9 | 9 | $5,139.59 |
| seoul medical group | 9 | 9 | $6,355.52 |
| karna | 9 | 9 | $9,242.08 |
| Emblem Health | 8 | 8 | $9,600 |
| qualcare inc | 8 | 15 | $6,765 |
| First Health | 8 | 8 | $60 |
| wellpoint | 8 | 12 | $5,061.58 |
| fidelis care | 8 | 8 | $5,645.36 |
| Medicare | 4 | 6 | $6,031.27 |
| Ambetter | 4 | 4 | $11,617 |
| jefferson health plan | 3 | 3 | $6,063.76 |
| wellpoint full dual advantage | 3 | 3 | $5,667.07 |
| optum health | 3 | 6 | $5,978.21 |
| horizon nj health | 3 | 3 | $3,900 |
| horizon nj total care | 3 | 3 | $5,667.07 |
| braven health | 3 | 3 | $5,667.07 |
| healthspring | 3 | 3 | $5,837.08 |
Hospital comparison — Simple pneumonia & pleurisy w/o CC/MCC in New Jersey
Sorted by lowest negotiated median rate. Up to 100 hospitals.