▸ Ohio · MS-DRG 195
Simple pneumonia & pleurisy w/o CC/MCC in Ohio
What Ohio hospitals charge for simple pneumonia & pleurisy w/o cc/mcc (MS-DRG 195). Rates sourced from federally-mandated machine-readable files.
Hospitals
37
Rate rows
862
Neg. median
$6,254.59
Min
$39
Max
$83,173
Cash median
$9,174.41
Across 37 Ohio hospitals, the negotiated rate for Simple pneumonia & pleurisy w/o CC/MCC ranges from $39 to $83,173, with a median of $6,254.59. The interquartile range is $4,655.03 to $8,318.96. Cash-pay patients typically pay $9,174.41; gross charges median $18,349.
By payer in Ohio
Top 30 payers for Simple pneumonia & pleurisy w/o CC/MCC in Ohio.
| Payer | Hospitals | Rates | Median rate |
|---|---|---|---|
| Aetna | 34 | 81 | $7,493.57 |
| UnitedHealthcare | 33 | 80 | $6,173 |
| Humana | 31 | 32 | $5,518.39 |
| Molina | 29 | 34 | $5,769.72 |
| CareSource | 28 | 31 | $6,585.25 |
| medical mutual of ohio | 24 | 57 | $8,277.53 |
| Cigna | 24 | 44 | $5,270.58 |
| devoted health | 22 | 22 | $5,585.56 |
| the health plan | 21 | 30 | $7,803.87 |
| Blue Cross Blue Shield | 19 | 50 | $7,406.24 |
| summacare | 17 | 25 | $8,095.1 |
| Anthem BCBS | 17 | 43 | $6,939.37 |
| WellCare | 15 | 15 | $4,941.76 |
| aultcare | 14 | 18 | $7,502.91 |
| primetime health plan | 13 | 13 | $4,829.7 |
| perennial advantage of ohio | 13 | 13 | $5,071.19 |
| paramount | 13 | 13 | $4,974.59 |
| valor health plans | 13 | 13 | $5,071.19 |
| medigold | 13 | 13 | $5,794.32 |
| Ambetter | 13 | 13 | $8,693.46 |
| jp farley | 10 | 10 | $8,786.3 |
| university health employee plan (contigo) | 10 | 10 | $5,903.2 |
| allwell | 9 | 9 | $5,802.48 |
| medical mutual | 6 | 11 | $5,483.96 |
| buckeye | 4 | 7 | $6,716.27 |
| oscar | 3 | 3 | $6,252.32 |
| essence healthcare | 3 | 3 | $5,552.82 |
| custom design benefits | 3 | 6 | $14,135 |
| optum | 3 | 3 | $5,552.82 |
| medben | 3 | 5 | $15,992 |
Hospital comparison — Simple pneumonia & pleurisy w/o CC/MCC in Ohio
Sorted by lowest negotiated median rate. Up to 100 hospitals.