▸ New York · MS-DRG 194
Simple pneumonia & pleurisy w CC in New York
What New York hospitals charge for simple pneumonia & pleurisy w cc (MS-DRG 194). Rates sourced from federally-mandated machine-readable files.
Hospitals
12
Rate rows
249
Neg. median
$11,659
Min
$663.07
Max
$315,759
Cash median
$7,949.96
Across 12 New York hospitals, the negotiated rate for Simple pneumonia & pleurisy w CC ranges from $663.07 to $315,759, with a median of $11,659. The interquartile range is $8,693.28 to $22,802. Cash-pay patients typically pay $7,949.96; gross charges median $21,025.
By payer in New York
Top 30 payers for Simple pneumonia & pleurisy w CC in New York.
| Payer | Hospitals | Rates | Median rate |
|---|---|---|---|
| Aetna | 11 | 26 | $15,583 |
| UnitedHealthcare | 9 | 23 | $10,649 |
| Humana | 8 | 8 | $8,819.73 |
| Cigna | 7 | 17 | $20,016 |
| WellCare | 7 | 7 | $9,025.57 |
| Emblem Health | 6 | 19 | $16,803 |
| Empire BCBS | 5 | 25 | $18,572 |
| Blue Cross Blue Shield | 5 | 10 | $8,262.4 |
| fidelis | 5 | 5 | $11,418 |
| oxford | 4 | 7 | $23,637 |
| Healthfirst | 4 | 6 | $11,538 |
| magnacare | 4 | 4 | $20,339 |
| mvp | 4 | 5 | $8,747.27 |
| local 1199 | 3 | 3 | $21,663 |
| vns | 3 | 3 | $11,659 |
| oscar | 3 | 4 | $17,296 |
| Medicare | 2 | 7 | $7,949.96 |
| cdphp | 2 | 4 | $18,629 |
| geisinger health plan | 2 | 4 | $13,841 |
| health first | 2 | 2 | $8,621.66 |
| 1199 seiu | 2 | 2 | $8,588.21 |
| metroplus | 2 | 2 | $163,709 |
| upmc | 2 | 2 | $8,621.66 |
| elderplan 1316 | 1 | 1 | $7,949.96 |
| longevity | 1 | 1 | $8,693.28 |
| elderplan | 1 | 1 | $315,759 |
| brighton | 1 | 1 | $23,468 |
| Medicare Advantage | 1 | 2 | $6,005.15 |
| 1199seiu national benefit funds | 1 | 1 | $12,466 |
| centers plan for healthy living | 1 | 1 | $11,418 |
Hospital comparison — Simple pneumonia & pleurisy w CC in New York
Sorted by lowest negotiated median rate. Up to 100 hospitals.
| Hospital | City | Negotiated median | Cash rate | Gross charge |
|---|---|---|---|---|
| Adirondack Medical Center | Saranac Lake | $7,704.78 | $8,123.29 | $13,102 |
| Fredrick Ferris Thompson Hospital | Canandaigua | $7,949.96 | $7,949.96 | — |
| Garnet Health Medical Center - Catsk | Harris | $8,351.13 | — | — |
| Champlain Valley Physicians Hospital | Plattsburgh | $8,747.27 | — | — |
| Garnet Health Medical Center | Middletown | $8,892.19 | — | — |
| Nassau University Medical Center | East Meadow | $9,949.08 | — | — |
| Elizabethtown Community Hospital | Elizabethtown | $10,719 | — | — |
| St. Josephs Medical Center | Yonkers | $11,418 | — | $55,331 |
| South Nassau Communities Hospital | Oceanside | $17,296 | — | — |
| New York Presbyterian Hospital | New York | $19,891 | — | — |
| Memorial Hospital For Cancer And All | New York | $21,472 | — | — |
| New York Eye And Ear Infirmary | New York | $25,329 | — | — |