Simple pneumonia & pleurisy w/o CC/MCC in West Virginia
What West Virginia hospitals charge for simple pneumonia & pleurisy w/o cc/mcc (MS-DRG 195). Rates sourced from federally-mandated machine-readable files.
Hospitals
11
Rate rows
61
Neg. median
$6,156.38
Min
$1,252.6
Max
$13,007
Cash median
$10,242
Across 11 West Virginia hospitals, the negotiated rate for Simple pneumonia & pleurisy w/o CC/MCC ranges from $1,252.6 to $13,007, with a median of $6,156.38. The interquartile range is $5,509.22 to $6,464.2. Cash-pay patients typically pay $10,242; gross charges median $10,242.
By payer in West Virginia
Top 26 payers for Simple pneumonia & pleurisy w/o CC/MCC in West Virginia.
| Payer | Hospitals | Rates | Median rate |
|---|---|---|---|
| UnitedHealthcare | 3 | 5 | $6,587.33 |
| Blue Cross Blue Shield | 3 | 4 | $8,389.39 |
| umr | 2 | 2 | $8,552.63 |
| Aetna | 2 | 2 | $5,986.71 |
| fallon carelon hlth [28] | 1 | 1 | $1,252.6 |
| fallon connectorcare [10503] | 1 | 1 | $4,921 |
| fallon mcaid carelon hlth [29] | 1 | 1 | $1,252.97 |
| fallon mcr [10105] | 1 | 1 | $6,464.2 |
| fallon mcr supp [20202] | 1 | 1 | $6,464.2 |
| hne [11108] | 1 | 1 | $3,685 |
| hsno/free care [10801] | 1 | 1 | $6,156.38 |
| Humana | 1 | 1 | $5,509.22 |
| institution [10406] | 1 | 1 | $6,156.38 |
| mgb mcr [10124] | 1 | 1 | $6,156.38 |
| optum ccn region 1 | 1 | 1 | $5,509.22 |
| optum ccn region 2 | 1 | 1 | $5,509.22 |
| senior whole health [10110] | 1 | 1 | $6,587.33 |
| the health plan | 1 | 2 | $4,173.18 |
| tufts [11201] | 1 | 1 | $2,759 |
| tufts connectorcare [10507] | 1 | 1 | $8,575.84 |
| tufts mcr [10112] | 1 | 1 | $6,464.2 |
| WellCare | 1 | 1 | $5,509.22 |
| wellpoint [11112] | 1 | 1 | $6,011 |
| Anthem BCBS | 1 | 1 | $5,509.22 |
| Cigna | 1 | 2 | $4,149.47 |
| commonwealth care alliance [10103] | 1 | 1 | $6,464.2 |
Hospital comparison — Simple pneumonia & pleurisy w/o CC/MCC in West Virginia
Sorted by lowest negotiated median rate. Up to 100 hospitals.
| Hospital | City | Negotiated median | Cash rate | Gross charge |
|---|---|---|---|---|
| Beckley Arh | Beckley | $5,509.22 | — | — |
| Webster County Memorial Hospital | Webster Springs | $6,156.38 | $10,242 | $10,242 |
| Summers County Arh | Hinton | $8,552.63 | — | — |
| Reynolds Memorial Hospital | Glen Dale | — | — | — |
| Princeton Community Hospital | Princeton | — | — | — |
| West Virginia University Hospitals | Morgantown | — | — | — |
| Camden-Clark Memorial Hospital | Parkersburg | — | — | — |
| Wetzel County Hospital | New Martinsville | — | — | — |
| Wheeling Hospital | Wheeling | — | — | — |
| United Hospital Center | Bridgeport | — | — | — |
| City Hospital Inc. | Martinsburg | — | — | — |