▸ Texas · MS-DRG 195
Simple pneumonia & pleurisy w/o CC/MCC in Texas
What Texas hospitals charge for simple pneumonia & pleurisy w/o cc/mcc (MS-DRG 195). Rates sourced from federally-mandated machine-readable files.
Hospitals
67
Rate rows
1,404
Neg. median
$6,921.43
Min
$65
Max
$83,193
Cash median
—
Across 67 Texas hospitals, the negotiated rate for Simple pneumonia & pleurisy w/o CC/MCC ranges from $65 to $83,193, with a median of $6,921.43. The interquartile range is $5,358.33 to $9,112.07. Cash-pay patients typically pay —; gross charges median —.
By payer in Texas
Top 30 payers for Simple pneumonia & pleurisy w/o CC/MCC in Texas.
| Payer | Hospitals | Rates | Median rate |
|---|---|---|---|
| Blue Cross Blue Shield | 53 | 267 | $6,939.78 |
| UnitedHealthcare | 47 | 121 | $8,926.3 |
| Humana | 46 | 91 | $5,413.08 |
| Aetna | 42 | 55 | $8,664 |
| Cigna | 38 | 65 | $6,219.53 |
| american health plan | 25 | 25 | $5,080.83 |
| procare advantage | 24 | 24 | $5,308.43 |
| baylor scott & white health plan | 23 | 134 | $6,069.8 |
| university of mary hardin-baylor | 23 | 23 | $5,358.33 |
| superior health plan | 21 | 21 | $5,021.04 |
| triwest | 21 | 21 | $4,838.89 |
| corvel | 20 | 20 | $5,794.63 |
| prime health services | 20 | 22 | $5,900.76 |
| healthsmart | 20 | 40 | $5,647.57 |
| Ambetter | 20 | 20 | $10,411 |
| healthspring | 19 | 19 | $5,021.04 |
| employers health network | 14 | 14 | $6,367.98 |
| Medicare | 9 | 33 | $5,872.41 |
| sedgwick | 8 | 8 | $8,330.92 |
| commercial | entrust | all plans | 8 | 8 | $13,894 |
| commercial | community health choice | exchange | 7 | 7 | $7,638.92 |
| wellmed | 7 | 7 | $5,413.08 |
| amerigroup | 6 | 6 | $12,840 |
| wellpoint | 6 | 6 | $7,307.66 |
| commercial | phcs | all plans | 6 | 6 | $12,604 |
| commercial | nxhealth | all plans | 5 | 5 | $20,119 |
| commercial | kelseycare | exchange | 5 | 5 | $7,927.75 |
| commercial | independent med system | all plans | 5 | 5 | $8,625.52 |
| commercial | superior health plan | all plans | 5 | 5 | $8,808.62 |
| commercial | harris health | ers | 5 | 5 | $8,808.62 |
Hospital comparison — Simple pneumonia & pleurisy w/o CC/MCC in Texas
Sorted by lowest negotiated median rate. Up to 100 hospitals.