▸ Wisconsin · MS-DRG 195
Simple pneumonia & pleurisy w/o CC/MCC in Wisconsin
What Wisconsin hospitals charge for simple pneumonia & pleurisy w/o cc/mcc (MS-DRG 195). Rates sourced from federally-mandated machine-readable files.
Hospitals
43
Rate rows
609
Neg. median
$11,520
Min
$201.25
Max
$21,788
Cash median
$2,227.98
Across 43 Wisconsin hospitals, the negotiated rate for Simple pneumonia & pleurisy w/o CC/MCC ranges from $201.25 to $21,788, with a median of $11,520. The interquartile range is $9,549.61 to $13,155. Cash-pay patients typically pay $2,227.98; gross charges median $8,850.
By payer in Wisconsin
Top 30 payers for Simple pneumonia & pleurisy w/o CC/MCC in Wisconsin.
| Payer | Hospitals | Rates | Median rate |
|---|---|---|---|
| UnitedHealthcare | 26 | 72 | $12,650 |
| Anthem BCBS | 21 | 51 | $11,471 |
| Molina | 18 | 19 | $12,023 |
| health payment systems | 16 | 16 | $11,520 |
| centivo | 16 | 17 | $12,929 |
| Medicare | 14 | 16 | $4,105.97 |
| Cigna | 13 | 13 | $13,699 |
| hs technology | 12 | 12 | $12,791 |
| healthpartners | 12 | 24 | $10,983 |
| wisconsin physician service | 12 | 36 | $13,155 |
| quartz group | 12 | 12 | $13,407 |
| common ground | 12 | 36 | $11,455 |
| aurora caregiver | 12 | 12 | $11,100 |
| everpointe elite | 12 | 12 | $10,793 |
| quartz one | 12 | 12 | $11,458 |
| trilogy | 12 | 12 | $12,748 |
| VA Health | 11 | 11 | $4,308.05 |
| Aetna | 11 | 11 | $9,364.16 |
| Humana | 9 | 18 | $16,327 |
| smart health | 7 | 7 | $6,508.19 |
| Blue Cross Blue Shield | 5 | 7 | $4,519.96 |
| network health plan | 5 | 7 | $11,784 |
| smarthealth | 5 | 5 | $11,771 |
| security health plan of wisconsin, inc. | 4 | 4 | $11,465 |
| alliance | 3 | 3 | $14,865 |
| sehn c89 | 3 | 3 | $13,878 |
| arise | 3 | 3 | $17,737 |
| cchp marketplace | 3 | 3 | $14,524 |
| Medicaid | 3 | 5 | $3,745.78 |
| wps | 3 | 3 | $19,707 |
Hospital comparison — Simple pneumonia & pleurisy w/o CC/MCC in Wisconsin
Sorted by lowest negotiated median rate. Up to 100 hospitals.