▸ New York · MS-DRG 195
Simple pneumonia & pleurisy w/o CC/MCC in New York
What New York hospitals charge for simple pneumonia & pleurisy w/o cc/mcc (MS-DRG 195). Rates sourced from federally-mandated machine-readable files.
Hospitals
10
Rate rows
198
Neg. median
$9,296.54
Min
$4,785.78
Max
$312,921
Cash median
$6,350.99
Across 10 New York hospitals, the negotiated rate for Simple pneumonia & pleurisy w/o CC/MCC ranges from $4,785.78 to $312,921, with a median of $9,296.54. The interquartile range is $6,822.89 to $18,434. Cash-pay patients typically pay $6,350.99; gross charges median —.
By payer in New York
Top 30 payers for Simple pneumonia & pleurisy w/o CC/MCC in New York.
| Payer | Hospitals | Rates | Median rate |
|---|---|---|---|
| Aetna | 9 | 21 | $13,660 |
| UnitedHealthcare | 8 | 21 | $8,305 |
| Humana | 8 | 8 | $6,922.8 |
| Cigna | 6 | 16 | $14,900 |
| Emblem Health | 5 | 16 | $17,126 |
| WellCare | 5 | 5 | $7,128.05 |
| Blue Cross Blue Shield | 4 | 6 | $6,652.27 |
| fidelis | 4 | 4 | $8,216.98 |
| oxford | 3 | 5 | $20,383 |
| local 1199 | 3 | 3 | $16,483 |
| oscar | 3 | 4 | $13,489 |
| mvp | 3 | 3 | $6,661.93 |
| Healthfirst | 3 | 5 | $9,270.8 |
| magnacare | 3 | 3 | $20,847 |
| Empire BCBS | 3 | 19 | $15,289 |
| geisinger health plan | 2 | 4 | $11,006 |
| health first | 2 | 2 | $6,842.32 |
| upmc | 2 | 2 | $6,842.32 |
| cdphp | 2 | 4 | $14,303 |
| vns | 2 | 2 | $161,096 |
| metroplus | 2 | 2 | $161,096 |
| wellpath | 1 | 1 | $9,963.9 |
| 1199seiu national benefit funds | 1 | 1 | $9,468.43 |
| brighton | 1 | 1 | $18,302 |
| capital district physicians' health plan | 1 | 1 | $6,642.6 |
| elderplan | 1 | 1 | $312,921 |
| elderplan 1316 | 1 | 1 | $6,350.99 |
| emblemhealth | 1 | 1 | $7,274.93 |
| fidelis care | 1 | 1 | $6,642.6 |
| horizon | 1 | 2 | $16,450 |
Hospital comparison — Simple pneumonia & pleurisy w/o CC/MCC in New York
Sorted by lowest negotiated median rate. Up to 100 hospitals.
| Hospital | City | Negotiated median | Cash rate | Gross charge |
|---|---|---|---|---|
| Fredrick Ferris Thompson Hospital | Canandaigua | $6,350.99 | $6,350.99 | — |
| Champlain Valley Physicians Hospital | Plattsburgh | $6,642.6 | — | — |
| Garnet Health Medical Center - Catsk | Harris | $6,661.93 | — | — |
| Garnet Health Medical Center | Middletown | $7,022.71 | — | — |
| Nassau University Medical Center | East Meadow | $7,556.45 | — | — |
| Elizabethtown Community Hospital | Elizabethtown | $8,726.23 | — | — |
| South Nassau Communities Hospital | Oceanside | $13,489 | — | — |
| New York Presbyterian Hospital | New York | $15,513 | — | — |
| New York Eye And Ear Infirmary | New York | $19,753 | — | — |
| Memorial Hospital For Cancer And All | New York | $24,291 | — | — |