▸ Virginia · MS-DRG 194
Simple pneumonia & pleurisy w CC in Virginia
What Virginia hospitals charge for simple pneumonia & pleurisy w cc (MS-DRG 194). Rates sourced from federally-mandated machine-readable files.
Hospitals
15
Rate rows
285
Neg. median
$16,138
Min
$2,934.43
Max
$26,925
Cash median
$8,946.91
Across 15 Virginia hospitals, the negotiated rate for Simple pneumonia & pleurisy w CC ranges from $2,934.43 to $26,925, with a median of $16,138. The interquartile range is $8,739.43 to $19,155. Cash-pay patients typically pay $8,946.91; gross charges median $24,822.
By payer in Virginia
Top 27 payers for Simple pneumonia & pleurisy w CC in Virginia.
| Payer | Hospitals | Rates | Median rate |
|---|---|---|---|
| Aetna | 8 | 31 | $12,403 |
| UnitedHealthcare | 8 | 40 | $14,949 |
| Cigna | 7 | 17 | $16,420 |
| Humana | 7 | 21 | $7,675.82 |
| vhn - ultra | 6 | 6 | $15,390 |
| Anthem BCBS | 6 | 17 | $19,371 |
| connecticare | 6 | 6 | $17,375 |
| gateway - tier 1 | 6 | 6 | $23,581 |
| gateway - tier 2 | 6 | 6 | $19,858 |
| gateway - tier 3 | 6 | 6 | $16,879 |
| sentara health plan | 6 | 11 | $14,845 |
| vhn | 6 | 6 | $19,858 |
| vhn - link | 6 | 6 | $22,340 |
| vhn - plus | 6 | 6 | $19,113 |
| vhn - secondary payors | 6 | 6 | $23,581 |
| Medicare | 2 | 4 | $7,550.61 |
| pai [3082] | 1 | 1 | $16,439 |
| select health of sc [4877] | 1 | 1 | $12,954 |
| select health of sc [4890] | 1 | 3 | $12,285 |
| first choice vip care plus [4833] | 1 | 1 | $7,772.69 |
| allcare | 1 | 1 | $7,667.16 |
| national provider network | 1 | 1 | $24,271 |
| Blue Cross Blue Shield | 1 | 21 | $16,439 |
| devoted health plan [4501] | 1 | 1 | $7,402.56 |
| integrated health plan | 1 | 1 | $21,490 |
| Medicaid | 1 | 6 | $11,700 |
| umr [3113] | 1 | 1 | $15,145 |
Hospital comparison — Simple pneumonia & pleurisy w CC in Virginia
Sorted by lowest negotiated median rate. Up to 100 hospitals.
| Hospital | City | Negotiated median | Cash rate | Gross charge |
|---|---|---|---|---|
| Bath County Community Hospital | Hot Springs | $10,868 | $11,015 | $14,686 |
| Bon Secours Depaul Medical Center | Norfolk | $15,145 | — | — |
| Carilion Tazewell Community Hospital | Tazewell | $15,864 | $8,848.69 | $25,282 |
| Carilion Franklin Memorial Hospital | Rocky Mount | $16,138 | $8,380.28 | $23,944 |
| Carilion Stonewall Jackson Hospital | Lexington | $16,138 | $8,380.28 | $23,944 |
| Carilion New River Valley Med Center | Christiansburg | $16,420 | $8,526.8 | $24,362 |
| Carilion Medical Center | Roanoke | $17,418 | $9,045.13 | $25,843 |
| Carilion Giles Community Hospital | Pearisburg | $19,053 | $9,258.17 | $26,452 |
| Childrens Hospital Of The Kings Da | Norfolk | — | — | — |
| Inova Alexandria Hospital | Alexandria | — | — | — |
| Inova Loudoun Hospital Center | Leesburg | — | — | — |
| Inova Fairfax Hospital | Falls Church | — | — | — |
| Inova Fair Oaks Hospital | Fairfax | — | — | — |
| Inova Mount Vernon Hospital | Alexandria | — | — | — |
| Buchanan General Hospital | Grundy | — | $12,423 | $35,495 |