Price Transparency Hospital negotiated rates

Hospital facility prices. What the hospital charges for the facility side of care — the surgeon’s and anesthesiologist’s fees are billed separately and are not included. How we scope prices →

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195 — Simple Pneumonia And Pleurisy Without Cc/mcc

Per-row negotiated rates, exactly as filed by each hospital. Aggregated views below summarise across hospitals; the bottom table shows the underlying rows.

Typical negotiated price $4,845

Usually $4,845–$4,845 (25th–75th percentile) across 4 hospitals · 16 payers.

“Negotiated” is the hospital’s negotiated facility rate for this APR_DRG 195 — the consumer-grade median across the country. It covers the facility charge only; the surgeon’s and anesthesiologist’s fees are billed separately.

Per-month price trends are temporarily unavailable while we rebuild them on quality-filtered rates. The medians, percentiles, and per-hospital rates on this page are the quality-filtered figures.

Hospital rates (per row)

Showing consumer-grade rates only. Flagged / outlier filings (excluded from the medians above) are hidden — tick “Show flagged / outlier rates” to include them.

Hospital Payer Plan Negotiated rate Gross Cash Observed Source
ADAMS COUNTY REGIONAL MEDICAL CENTER Inpatient AMERIHEALTH MEDICAID $17,202.00 2024-12-25 MRF ↗
ADAMS COUNTY REGIONAL MEDICAL CENTER Inpatient CARESOURCE MEDICAID $17,202.00 2024-12-25 MRF ↗
ADAMS COUNTY REGIONAL MEDICAL CENTER Inpatient ANTHEM MEDICAID $17,202.00 2024-12-25 MRF ↗
TITUSVILLE AREA HOSPITAL Inpatient United Healthcare Medicare Medicare Advantage $113.90 2026-02-12 MRF ↗
TITUSVILLE AREA HOSPITAL Inpatient United Healthcare Medicare Medicare Advantage $113.90 2026-02-12 MRF ↗
MAPLE GROVE HOSPITAL Inpatient UNITED HEALTHCARE [2204] UHC MEDICARE ADVANTAGE [4360] $8,583.19 2024-12-31 MRF ↗
MAPLE GROVE HOSPITAL Inpatient ALLINA HEALTH-AETNA [2201] ALLINA HEALTH-AETNA COMMERCIAL [4352] $8,583.19 2024-12-31 MRF ↗
MAPLE GROVE HOSPITAL Inpatient PHCS [1172] ALLIED BENEFIT SYSTEMS PHCS [3378] $8,583.19 2024-12-31 MRF ↗
MAPLE GROVE HOSPITAL Inpatient BEECH STREET [1171] BEECH ST GENERIC [3353] $8,583.19 2024-12-31 MRF ↗
MAPLE GROVE HOSPITAL Inpatient NATIONAL PREFERRED PROV NETWRK [1230] NAT PREF PROV NETWORK GENERIC [3512] $8,583.19 2024-12-31 MRF ↗
MAPLE GROVE HOSPITAL Inpatient ALLINA HEALTH-AETNA [2201] ALLINA HEALTH-AETNA MEDICARE [4353] $8,583.19 2024-12-31 MRF ↗
MAPLE GROVE HOSPITAL Inpatient HEALTH SOUTH [1234] HEALTH SOUTH GENERIC [3514] $8,583.19 2024-12-31 MRF ↗
MAPLE GROVE HOSPITAL Inpatient AMERICA'S PPO [1010] AMERICA'S PPO [3015] $8,583.19 2024-12-31 MRF ↗
MAPLE GROVE HOSPITAL Inpatient AMERICA'S PPO [1010] HEALTHEZ AMERICA'S PPO [3438] $8,583.19 2024-12-31 MRF ↗
MAPLE GROVE HOSPITAL Inpatient MEDICA [1086] MEDICA NORTH MEMORIAL ACCLAIM [4206] $8,583.19 2024-12-31 MRF ↗
MAPLE GROVE HOSPITAL Inpatient MEDICA [1086] MEDICA COMMERCIAL [3453] $8,583.19 2024-12-31 MRF ↗
MAPLE GROVE HOSPITAL Inpatient MEDICA [1086] MEDICA PMAP/MNCARE [4467] $8,583.19 2024-12-31 MRF ↗
MAPLE GROVE HOSPITAL Inpatient MEDICA [1086] MEDICA VANTAGE PLUS [4205] $8,583.19 2024-12-31 MRF ↗
MAPLE GROVE HOSPITAL Inpatient MEDICA [1086] MEDICA DUAL SOLUTION/MSHO [3178] $8,583.19 2024-12-31 MRF ↗
MAPLE GROVE HOSPITAL Inpatient BLUE CROSS [1021] BCBS STRIVE COMMERCIAL [4342] $8,583.19 $4,523.34 2024-12-31 MRF ↗
MAPLE GROVE HOSPITAL Inpatient BLUE CROSS [1021] BCBS PMAP/MNCARE [4483] $8,583.19 $4,523.34 2024-12-31 MRF ↗
MAPLE GROVE HOSPITAL Inpatient BLUE CROSS [1021] BCBS FEDERAL EMPLOYEE [3033] $8,583.19 $4,523.34 2024-12-31 MRF ↗
MAPLE GROVE HOSPITAL Inpatient BLUE CROSS [1021] BCBS MINNESOTA COMMERCIAL [3031] $8,583.19 $4,523.34 2024-12-31 MRF ↗
MAPLE GROVE HOSPITAL Inpatient BLUE CROSS [1021] BCBS MEDICARE ADVANTAGE [4278] $4,845.24 $8,583.19 $4,523.34 2024-12-31 MRF ↗
MAPLE GROVE HOSPITAL Inpatient UCARE [1148] UCARE IFB [4293] $8,583.19 2024-12-31 MRF ↗
MAPLE GROVE HOSPITAL Inpatient UCARE [1148] UCARE MEDICARE ADVANTAGE [3303] $8,583.19 2024-12-31 MRF ↗
MAPLE GROVE HOSPITAL Inpatient UCARE [1148] UCARE MSHO [3304] $8,583.19 2024-12-31 MRF ↗
MAPLE GROVE HOSPITAL Inpatient UCARE [1148] UCARE PMAP/MNCARE [3301] $8,583.19 $4,523.34 2024-12-31 MRF ↗
MAPLE GROVE HOSPITAL Inpatient HEALTH PARTNERS [1061] HEALTHPARTNERS OPEN ACCESS/CHOICE [3119] $8,583.19 2024-12-31 MRF ↗
MAPLE GROVE HOSPITAL Inpatient HEALTH PARTNERS [1061] HEALTHPARTNERS MSHO [3118] $8,583.19 2024-12-31 MRF ↗
MAPLE GROVE HOSPITAL Inpatient HEALTH PARTNERS [1061] HEALTHPARTNERS CARE [3108] $8,583.19 2024-12-31 MRF ↗
MAPLE GROVE HOSPITAL Inpatient HEALTH PARTNERS [1061] HEALTHPARTNERS FREEDOM [3106] $8,583.19 2024-12-31 MRF ↗
MAPLE GROVE HOSPITAL Inpatient HEALTH PAYORS ORG, LTD [1146] HEALTH PAYORS ORG GENERIC [3459] $8,583.19 2024-12-31 MRF ↗
MAPLE GROVE HOSPITAL Inpatient CIGNA HEALTH PARTNERS [1242] HEALTHPARTNERS CIGNA [3540] $8,583.19 2024-12-31 MRF ↗
MAPLE GROVE HOSPITAL Inpatient HENNEPIN HEALTH [1096] HENNEPIN HEALTH SNBC [4275] $8,583.19 2024-12-31 MRF ↗
MAPLE GROVE HOSPITAL Inpatient HENNEPIN HEALTH [1096] HENNEPIN HEALTH PMAP [3212] $8,583.19 2024-12-31 MRF ↗
MAPLE GROVE HOSPITAL Inpatient UNITED HEALTHCARE [2204] UHC COMMERCIAL [4358] $8,583.19 2024-12-31 MRF ↗
SANFORD MEDICAL CENTER ABERDEEN InpatientFacility Sanford Health Plan SD Exchange True $6,123.65 2026-03-04 MRF ↗
SANFORD MEDICAL CENTER ABERDEEN InpatientFacility Sanford Health Plan Group Health/True $6,982.50 2026-03-04 MRF ↗
SANFORD MEDICAL CENTER ABERDEEN InpatientFacility Health Partners State Employees $7,151.00 2026-03-04 MRF ↗
SANFORD MEDICAL CENTER ABERDEEN InpatientFacility Sanford Health Plan SD Exchange Commercial $7,204.30 2026-03-04 MRF ↗
SANFORD MEDICAL CENTER ABERDEEN InpatientFacility Sanford Health Plan Commercial $8,214.71 2026-03-04 MRF ↗
SANFORD MEDICAL CENTER ABERDEEN InpatientFacility Health Partners Commercial $8,283.00 2026-03-04 MRF ↗
TALLAHATCHIE GENERAL HOSPITAL-CAH Inpatient Blue Cross Blue Shield of MS INST Default $10,990.25 $15,700.36 $15,700.36 2026-03-12 MRF ↗
TALLAHATCHIE GENERAL HOSPITAL-CAH Inpatient Blue Cross Blue Shield of MS INST Default $10,990.25 $15,700.36 $15,700.36 2026-03-12 MRF ↗