Simple pneumonia & pleurisy w/o CC/MCC in Pennsylvania
What Pennsylvania hospitals charge for simple pneumonia & pleurisy w/o cc/mcc (MS-DRG 195). Rates sourced from federally-mandated machine-readable files.
Hospitals
62
Rate rows
771
Neg. median
$6,839.88
Min
$851.04
Max
$29,483
Cash median
$5,919.11
Across 62 Pennsylvania hospitals, the negotiated rate for Simple pneumonia & pleurisy w/o CC/MCC ranges from $851.04 to $29,483, with a median of $6,839.88. The interquartile range is $5,516.06 to $9,748.66. Cash-pay patients typically pay $5,919.11; gross charges median $11,577.
By payer in Pennsylvania
Top 30 payers for Simple pneumonia & pleurisy w/o CC/MCC in Pennsylvania.
| Payer | Hospitals | Rates | Median rate |
|---|---|---|---|
| Blue Cross Blue Shield | 35 | 188 | $7,837.88 |
| upmc health plan | 33 | 70 | $6,155.65 |
| Aetna | 32 | 58 | $6,088.67 |
| UnitedHealthcare | 30 | 50 | $5,923.93 |
| pa health & wellness | 23 | 23 | $5,595.67 |
| upmc work partners | 23 | 24 | $10,293 |
| Cigna | 22 | 35 | $6,222.12 |
| amerihealth caritas | 18 | 18 | $5,518.3 |
| geisinger | 16 | 18 | $8,301.62 |
| Humana | 10 | 10 | $5,555.97 |
| keystone health plan | 6 | 12 | $9,449.75 |
| Multiplan | 4 | 4 | $24,716 |
| keystone autism services | 4 | 4 | $7,660.82 |
| naphcare | 3 | 4 | $11,026 |
| Oscar Health | 3 | 3 | $11,175 |
| innovage | 3 | 3 | $7,837.88 |
| health plan of upper ohio valley | 3 | 7 | $5,274.44 |
| gateway health plan | 3 | 3 | $8,298.94 |
| keystone first | 2 | 2 | $8,068.41 |
| city of washington | 2 | 2 | $8,273.63 |
| health partners plans | 2 | 2 | $8,648.57 |
| elder health | 2 | 2 | $9,221.04 |
| senior life | 2 | 2 | $5,171.02 |
| pennsylvania health and wellness | 2 | 2 | $8,452.62 |
| clover health | 2 | 2 | $8,145.25 |
| prime health services | 2 | 2 | $10,601 |
| st agnes | 1 | 1 | $6,578.31 |
| univera | 1 | 1 | $6,426.53 |
| upmc | 1 | 1 | $3,959.39 |
| upmc commercial | 1 | 1 | $18,073 |
Hospital comparison — Simple pneumonia & pleurisy w/o CC/MCC in Pennsylvania
Sorted by lowest negotiated median rate. Up to 100 hospitals.