▸ Washington · MS-DRG 195
Simple pneumonia & pleurisy w/o CC/MCC in Washington
What Washington hospitals charge for simple pneumonia & pleurisy w/o cc/mcc (MS-DRG 195). Rates sourced from federally-mandated machine-readable files.
Hospitals
12
Rate rows
212
Neg. median
$7,434.44
Min
$60
Max
$22,629
Cash median
$18,643
Across 12 Washington hospitals, the negotiated rate for Simple pneumonia & pleurisy w/o CC/MCC ranges from $60 to $22,629, with a median of $7,434.44. The interquartile range is $6,287.24 to $12,283. Cash-pay patients typically pay $18,643; gross charges median $22,989.
By payer in Washington
Top 30 payers for Simple pneumonia & pleurisy w/o CC/MCC in Washington.
| Payer | Hospitals | Rates | Median rate |
|---|---|---|---|
| Blue Cross Blue Shield | 10 | 38 | $10,465 |
| UnitedHealthcare | 10 | 22 | $9,918.04 |
| Humana | 9 | 13 | $6,388.73 |
| Aetna | 9 | 17 | $7,252.5 |
| Cigna | 7 | 11 | $11,736 |
| Kaiser Permanente | 6 | 11 | $7,193.75 |
| Molina | 6 | 10 | $7,193.75 |
| providence health plan | 5 | 8 | $6,937.09 |
| first choice | 4 | 8 | $16,036 |
| coordinated care | 4 | 6 | $11,058 |
| community health plan | 3 | 3 | $9,292.7 |
| amerigroup | 3 | 3 | $6,761.49 |
| First Health | 2 | 2 | $80 |
| community health plan of washington | 2 | 2 | $7,150.93 |
| Health Net | 2 | 3 | $7,321.57 |
| moda | 2 | 3 | $6,761.49 |
| Multiplan | 2 | 2 | $7,525.9 |
| first choice health network | 1 | 1 | $75 |
| chp advantage [4001] | 1 | 1 | $7,459.31 |
| umr | 1 | 1 | $8,552.63 |
| healthcare partners | 1 | 1 | $7,128.68 |
| central health plan | 1 | 1 | $7,128.68 |
| atrio | 1 | 1 | $7,114.35 |
| Medicare Advantage | 1 | 2 | $6,504.52 |
| Anthem BCBS | 1 | 1 | $5,509.22 |
| asuris truadvantage [4011] | 1 | 1 | $6,504.52 |
| WellCare | 1 | 1 | $5,509.22 |
| optum ccn region 1 | 1 | 1 | $5,509.22 |
| optum ccn region 2 | 1 | 1 | $5,509.22 |
| pacificsource | 1 | 3 | $8,968.7 |
Hospital comparison — Simple pneumonia & pleurisy w/o CC/MCC in Washington
Sorted by lowest negotiated median rate. Up to 100 hospitals.
| Hospital | City | Negotiated median | Cash rate | Gross charge |
|---|---|---|---|---|
| St. Lukes Rehabilitation Inst. | Spokane | $80.76 | — | — |
| Providence Mount Carmel Hospital | Colville | $94.7 | — | — |
| East Adams Rural Hospital | Ritzville | $5,509.22 | — | — |
| Valley Medical Center | Renton | $6,398.91 | $20,280 | $28,971 |
| Wenatchee Valley Hospital | Wenatchee | $6,504.52 | $17,007 | $17,007 |
| Kadlec Regional Medical Center | Richland | $6,638.55 | — | — |
| Providence St Josephs Hospital | Chewelah | $7,128.68 | — | — |
| Legacy Salmon Creek Hospital | Vancouver | $7,736 | — | — |
| Providence Holy Family Hospital | Spokane | $9,184.43 | — | — |
| Swedish Medical Center | Seattle | $11,150 | — | — |
| Overlake Hospital Medical Center | Bellevue | $11,763 | — | — |
| Kfh - Washington | Seattle | — | — | — |