▸ Texas · MS-DRG 194
Simple pneumonia & pleurisy w CC in Texas
What Texas hospitals charge for simple pneumonia & pleurisy w cc (MS-DRG 194). Rates sourced from federally-mandated machine-readable files.
Hospitals
67
Rate rows
1,403
Neg. median
$8,661.65
Min
$65
Max
$85,623
Cash median
—
Across 67 Texas hospitals, the negotiated rate for Simple pneumonia & pleurisy w CC ranges from $65 to $85,623, with a median of $8,661.65. The interquartile range is $6,973.95 to $11,533. Cash-pay patients typically pay —; gross charges median —.
By payer in Texas
Top 30 payers for Simple pneumonia & pleurisy w CC in Texas.
| Payer | Hospitals | Rates | Median rate |
|---|---|---|---|
| Blue Cross Blue Shield | 53 | 267 | $9,120.66 |
| UnitedHealthcare | 47 | 121 | $11,584 |
| Humana | 46 | 90 | $6,773.92 |
| Aetna | 42 | 55 | $11,387 |
| Cigna | 38 | 65 | $8,190.16 |
| american health plan | 25 | 25 | $6,690.68 |
| procare advantage | 24 | 24 | $6,832.71 |
| baylor scott & white health plan | 23 | 134 | $7,982.06 |
| university of mary hardin-baylor | 23 | 23 | $7,056.1 |
| superior health plan | 21 | 21 | $6,611.94 |
| triwest | 21 | 21 | $6,372.08 |
| corvel | 20 | 20 | $7,260.66 |
| prime health services | 20 | 22 | $7,380.51 |
| healthsmart | 20 | 40 | $6,992.76 |
| Ambetter | 20 | 20 | $13,515 |
| healthspring | 19 | 19 | $6,611.94 |
| employers health network | 14 | 14 | $8,369.17 |
| Medicare | 9 | 33 | $7,233.83 |
| sedgwick | 8 | 8 | $10,182 |
| commercial | entrust | all plans | 8 | 8 | $16,748 |
| commercial | community health choice | exchange | 7 | 7 | $8,951.99 |
| wellmed | 7 | 7 | $6,773.92 |
| amerigroup | 6 | 6 | $14,146 |
| wellpoint | 6 | 6 | $9,144.79 |
| commercial | phcs | all plans | 6 | 6 | $16,420 |
| commercial | nxhealth | all plans | 5 | 5 | $24,451 |
| commercial | kelseycare | exchange | 5 | 5 | $9,765.67 |
| commercial | independent med system | all plans | 5 | 5 | $11,306 |
| commercial | superior health plan | all plans | 5 | 5 | $10,851 |
| commercial | harris health | ers | 5 | 5 | $10,851 |
Hospital comparison — Simple pneumonia & pleurisy w CC in Texas
Sorted by lowest negotiated median rate. Up to 100 hospitals.