▸ Tennessee · MS-DRG 194
Simple pneumonia & pleurisy w CC in Tennessee
What Tennessee hospitals charge for simple pneumonia & pleurisy w cc (MS-DRG 194). Rates sourced from federally-mandated machine-readable files.
Hospitals
20
Rate rows
871
Neg. median
$7,889.87
Min
$45
Max
$20,300
Cash median
$8,983.29
Across 20 Tennessee hospitals, the negotiated rate for Simple pneumonia & pleurisy w CC ranges from $45 to $20,300, with a median of $7,889.87. The interquartile range is $5,531.05 to $11,860. Cash-pay patients typically pay $8,983.29; gross charges median $38,008.
By payer in Tennessee
Top 30 payers for Simple pneumonia & pleurisy w CC in Tennessee.
| Payer | Hospitals | Rates | Median rate |
|---|---|---|---|
| Blue Cross Blue Shield | 19 | 141 | $7,131.34 |
| Aetna | 18 | 45 | $9,126.82 |
| Cigna | 17 | 146 | $10,527 |
| UnitedHealthcare | 17 | 130 | $11,915 |
| Humana | 12 | 21 | $6,275.82 |
| Ambetter | 11 | 11 | $6,847.97 |
| community plan | 8 | 8 | $3,930.46 |
| Medicare | 8 | 15 | $5,531.05 |
| Oscar Health | 8 | 14 | $8,394.5 |
| Medicare Advantage | 8 | 9 | $5,639.42 |
| smart health | 8 | 30 | $9,536.72 |
| celtic insurance company | 7 | 7 | $10,474 |
| health 2 business | 7 | 21 | $11,654 |
| oscar | 7 | 7 | $9,300.89 |
| healthspring mcr replacement | 7 | 7 | $5,639.42 |
| optum va | 7 | 7 | $5,639.42 |
| nhc advantage | 7 | 7 | $5,639.42 |
| point comfort underwriters | 7 | 7 | $5,075.48 |
| centurion of tn | 7 | 7 | $5,639.42 |
| Self-Pay (Cash) | 7 | 7 | $5,639.42 |
| river valley plan | 7 | 7 | $4,103.64 |
| amerigroup mcaid replacement | 7 | 35 | $3,585.98 |
| amerigroup mcr replacement | 7 | 7 | $5,639.42 |
| ascension complete | 6 | 6 | $5,642.66 |
| TRICARE | 5 | 5 | $5,796.94 |
| VA Health | 4 | 4 | $6,391.38 |
| triwest va pccc | 3 | 3 | $5,267.67 |
| beech street | 3 | 3 | $85 |
| ccn managed care | 3 | 3 | $85 |
| community services network | 3 | 3 | $65 |
Hospital comparison — Simple pneumonia & pleurisy w CC in Tennessee
Sorted by lowest negotiated median rate. Up to 100 hospitals.
| Hospital | City | Negotiated median | Cash rate | Gross charge |
|---|---|---|---|---|
| Morristown-Hamblen Hospital | Morristown | $5,731.8 | — | — |
| Saint Thomas Midtown Hospital | Nashville | $5,755 | — | — |
| Fort Loudoun Medical Center | Lenoir City | $5,886.99 | — | — |
| Roane County Medical Center | Harriman | $5,934.94 | — | — |
| Henry County Medical Center | Paris | $6,777.74 | — | — |
| Milan General Hospital | Milan | $6,908.17 | — | — |
| Methodist H/C Memphis Hospt. | Memphis | $7,889.87 | $6,593.18 | $29,969 |
| Camden General Hospital | Camden | $8,249.46 | — | — |
| Bolivar General Hospital | Bolivar | $8,593.38 | — | — |
| West Tn Healthcare Volunteer Hospita | Martin | $8,870.51 | — | — |
| Jackson-Madison County General Hosp | Jackson | $9,126.82 | — | — |
| Dyersburg Regional Medical Center | Dyersburg | $9,126.82 | — | — |
| Saint Thomas Highland Hospital | Sparta | $9,536.72 | — | — |
| Saint Thomas Stones River Hospital | Woodbury | $9,550.36 | — | — |
| St Thomas Dekalb Hospital | Smithville | $9,550.36 | — | — |
| Saint Thomas Rutherford Hospital | Murfreesboro | $9,564 | — | — |
| Ascension St Thomas River Park | Mcminnville | $9,564 | — | — |
| Saint Thomas West Hospital | Nashville | $9,564 | — | — |
| St Thomas Hickman Hospital | Centerville | $11,835 | — | — |
| St Thomas Ascension | Nashville | — | $11,373 | $46,046 |