▸ Virginia · MS-DRG 195
Simple pneumonia & pleurisy w/o CC/MCC in Virginia
What Virginia hospitals charge for simple pneumonia & pleurisy w/o cc/mcc (MS-DRG 195). Rates sourced from federally-mandated machine-readable files.
Hospitals
14
Rate rows
263
Neg. median
$11,168
Min
$2,934.43
Max
$20,783
Cash median
$7,036.84
Across 14 Virginia hospitals, the negotiated rate for Simple pneumonia & pleurisy w/o CC/MCC ranges from $2,934.43 to $20,783, with a median of $11,168. The interquartile range is $6,511.25 to $14,074. Cash-pay patients typically pay $7,036.84; gross charges median $18,855.
By payer in Virginia
Top 25 payers for Simple pneumonia & pleurisy w/o CC/MCC in Virginia.
| Payer | Hospitals | Rates | Median rate |
|---|---|---|---|
| Aetna | 8 | 31 | $7,676.76 |
| UnitedHealthcare | 8 | 40 | $11,494 |
| Cigna | 7 | 17 | $12,367 |
| Humana | 7 | 18 | $6,042.59 |
| vhn - ultra | 6 | 6 | $11,344 |
| Anthem BCBS | 6 | 17 | $15,107 |
| connecticare | 6 | 6 | $12,808 |
| gateway - tier 1 | 6 | 6 | $17,382 |
| gateway - tier 2 | 6 | 6 | $14,638 |
| gateway - tier 3 | 6 | 6 | $12,442 |
| sentara health plan | 6 | 11 | $8,958.04 |
| vhn | 6 | 6 | $14,638 |
| vhn - link | 6 | 6 | $16,468 |
| vhn - plus | 6 | 6 | $14,089 |
| vhn - secondary payors | 6 | 6 | $17,382 |
| Medicare | 2 | 4 | $6,325.21 |
| select health of sc [4877] | 1 | 1 | $10,852 |
| first choice vip care plus [4833] | 1 | 1 | $6,511.25 |
| allcare | 1 | 1 | $5,979.42 |
| umr [3113] | 1 | 1 | $11,811 |
| Blue Cross Blue Shield | 1 | 21 | $11,168 |
| devoted health plan [4501] | 1 | 1 | $6,201.19 |
| integrated health plan | 1 | 1 | $12,597 |
| pai [3082] | 1 | 1 | $11,168 |
| national provider network | 1 | 1 | $14,227 |
Hospital comparison — Simple pneumonia & pleurisy w/o CC/MCC in Virginia
Sorted by lowest negotiated median rate. Up to 100 hospitals.
| Hospital | City | Negotiated median | Cash rate | Gross charge |
|---|---|---|---|---|
| Carilion Tazewell Community Hospital | Tazewell | $9,299.55 | $5,187 | $14,820 |
| Carilion Medical Center | Roanoke | $9,738.26 | $5,056.96 | $14,448 |
| Carilion New River Valley Med Center | Christiansburg | $11,114 | $5,771.22 | $16,489 |
| Bon Secours Depaul Medical Center | Norfolk | $11,168 | — | — |
| Carilion Stonewall Jackson Hospital | Lexington | $13,551 | $7,036.84 | $20,105 |
| Carilion Franklin Memorial Hospital | Rocky Mount | $13,551 | $7,036.84 | $20,105 |
| Bath County Community Hospital | Hot Springs | $13,952 | $14,141 | $18,855 |
| Carilion Giles Community Hospital | Pearisburg | $15,532 | $7,656.87 | $21,877 |
| 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 | — | — | — |