Simple pneumonia & pleurisy w CC in Pennsylvania
What Pennsylvania hospitals charge for simple pneumonia & pleurisy w cc (MS-DRG 194). Rates sourced from federally-mandated machine-readable files.
Hospitals
63
Rate rows
782
Neg. median
$8,712
Min
$1,114.12
Max
$37,828
Cash median
$7,637.55
Across 63 Pennsylvania hospitals, the negotiated rate for Simple pneumonia & pleurisy w CC ranges from $1,114.12 to $37,828, with a median of $8,712. The interquartile range is $6,938.62 to $12,160. Cash-pay patients typically pay $7,637.55; gross charges median $17,179.
By payer in Pennsylvania
Top 30 payers for Simple pneumonia & pleurisy w CC in Pennsylvania.
| Payer | Hospitals | Rates | Median rate |
|---|---|---|---|
| Blue Cross Blue Shield | 35 | 189 | $10,179 |
| upmc health plan | 33 | 70 | $7,842.98 |
| Aetna | 32 | 58 | $7,761.16 |
| UnitedHealthcare | 30 | 50 | $7,536.95 |
| pa health & wellness | 23 | 23 | $6,974.81 |
| upmc work partners | 23 | 24 | $10,293 |
| Cigna | 22 | 35 | $8,059.72 |
| amerihealth caritas | 18 | 18 | $6,887.66 |
| geisinger | 16 | 18 | $10,497 |
| Humana | 10 | 10 | $6,991.03 |
| keystone health plan | 6 | 12 | $12,230 |
| Multiplan | 4 | 4 | $16,656 |
| keystone autism services | 4 | 4 | $9,643.63 |
| naphcare | 3 | 4 | $13,936 |
| Oscar Health | 3 | 3 | $14,329 |
| innovage | 3 | 3 | $9,776.12 |
| health plan of upper ohio valley | 3 | 7 | $6,627.22 |
| gateway health plan | 3 | 3 | $10,351 |
| keystone first | 2 | 2 | $10,064 |
| city of washington | 2 | 2 | $10,396 |
| health partners plans | 2 | 2 | $10,787 |
| elder health | 2 | 2 | $11,501 |
| senior life | 2 | 2 | $6,497.27 |
| pennsylvania health and wellness | 2 | 2 | $10,543 |
| clover health | 2 | 2 | $10,160 |
| prime health services | 2 | 2 | $13,223 |
| st agnes | 1 | 1 | $8,435.1 |
| univera | 1 | 1 | $8,147.12 |
| upmc | 1 | 1 | $5,213.91 |
| upmc commercial | 1 | 1 | $23,174 |
Hospital comparison — Simple pneumonia & pleurisy w CC in Pennsylvania
Sorted by lowest negotiated median rate. Up to 100 hospitals.