▸ Tennessee · MS-DRG 195
Simple pneumonia & pleurisy w/o CC/MCC in Tennessee
What Tennessee hospitals charge for simple pneumonia & pleurisy w/o cc/mcc (MS-DRG 195). Rates sourced from federally-mandated machine-readable files.
Hospitals
20
Rate rows
871
Neg. median
$5,666.14
Min
$45
Max
$20,300
Cash median
$4,535.05
Across 20 Tennessee hospitals, the negotiated rate for Simple pneumonia & pleurisy w/o CC/MCC ranges from $45 to $20,300, with a median of $5,666.14. The interquartile range is $4,209.57 to $10,716. Cash-pay patients typically pay $4,535.05; gross charges median $19,638.
By payer in Tennessee
Top 30 payers for Simple pneumonia & pleurisy w/o CC/MCC in Tennessee.
| Payer | Hospitals | Rates | Median rate |
|---|---|---|---|
| Blue Cross Blue Shield | 19 | 141 | $5,423.56 |
| Aetna | 18 | 45 | $7,117.76 |
| Cigna | 17 | 146 | $9,656 |
| UnitedHealthcare | 17 | 130 | $11,915 |
| Humana | 12 | 21 | $4,765.8 |
| Ambetter | 11 | 11 | $5,340.54 |
| community plan | 8 | 8 | $3,002.34 |
| Medicare | 8 | 15 | $4,313.52 |
| Oscar Health | 8 | 14 | $8,394.5 |
| Medicare Advantage | 8 | 9 | $4,398.04 |
| smart health | 8 | 30 | $7,275.96 |
| celtic insurance company | 7 | 7 | $8,701.87 |
| health 2 business | 7 | 21 | $8,980.16 |
| oscar | 7 | 7 | $7,253.52 |
| healthspring mcr replacement | 7 | 7 | $4,398.04 |
| optum va | 7 | 7 | $4,398.04 |
| nhc advantage | 7 | 7 | $4,398.04 |
| point comfort underwriters | 7 | 7 | $3,958.24 |
| centurion of tn | 7 | 7 | $4,398.04 |
| Self-Pay (Cash) | 7 | 7 | $4,398.04 |
| river valley plan | 7 | 7 | $3,200.32 |
| amerigroup mcaid replacement | 7 | 35 | $2,727.91 |
| amerigroup mcr replacement | 7 | 7 | $4,398.04 |
| ascension complete | 6 | 6 | $4,400.57 |
| TRICARE | 5 | 5 | $4,520.87 |
| VA Health | 4 | 4 | $5,212.8 |
| triwest va pccc | 3 | 3 | $4,108.11 |
| beech street | 3 | 3 | $85 |
| ccn managed care | 3 | 3 | $85 |
| community services network | 3 | 3 | $65 |
Hospital comparison — Simple pneumonia & pleurisy w/o CC/MCC in Tennessee
Sorted by lowest negotiated median rate. Up to 100 hospitals.