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Pneumonia (hospital stay) in Cleveland OH

Every commercial insurer rate these hospitals posted, as a dollar amount and as a multiple of the hospital's own Medicare base rate.

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MS-DRG 194

Hospital · insurer	Rate	× Medicare	Plans
University Hospitals St. John Medical Center median $10,050 · local Medicare $5,412 · file 2026-07-14
Aetna	$11,098	2.1×	1
AultCare	$10,050	1.9×	1
Cigna	$7,737	1.4×	1
Elevance/Anthem/Empire	$5,037	0.9×	1
JP Farley	$10,978	2.0×	1
Medical Mutual of Ohio	$9,909	1.8×	3
SummaCare	$10,896	2.0×	1
The Health Plan	$10,376	1.9×	1
University Health Employee Plan (Contigo)	$7,640	1.4×	1
University Hospitals - Elyria Medical Center median $10,050 · local Medicare $5,412 · file 2026-07-14
Aetna	$11,098	2.1×	1
AultCare	$10,050	1.9×	1
Cigna	$7,495	1.4×	1
Elevance/Anthem/Empire	$9,072	1.7×	2
JP Farley	$8,847	1.6×	1
Medical Mutual of Ohio	$10,851	2.0×	4
SummaCare	$10,896	2.0×	1
The Health Plan	$10,376	1.9×	1
University Health Employee Plan (Contigo)	$7,640	1.4×	1
University Hospitals Ahuja Medical Center median $10,454 · local Medicare $5,412 · file 2026-07-14
Aetna	$10,544	1.9×	2
AultCare	$10,050	1.9×	1
Cigna	$9,671	1.8×	1
Elevance/Anthem/Empire	$10,532	1.9×	2
JP Farley	$9,625	1.8×	1
Medical Mutual of Ohio	$11,973	2.2×	3
SummaCare	$10,896	2.0×	1
The Health Plan	$10,376	1.9×	1
UnitedHealthcare	$11,607	2.1×	2
University Health Employee Plan (Contigo)	$7,640	1.4×	1
Cleveland Clinic Fairview Hospital median $10,934 · local Medicare $5,412 · file 2026-06-15
Aetna	$11,371	2.1×	3
Elevance/Anthem/Empire	$10,498	1.9×	2
Humana	$6,403	1.2×	1
MMO	$12,085	2.2×	1
Medical Benefit	$21,000	3.9×	1
Pphp	$7,367	1.4×	1
UnitedHealthcare	$13,441	2.5×	1
Valor	$6,697	1.2×	1
Cleveland Clinic Hillcrest Hospital median $10,934 · local Medicare $5,412 · file 2026-06-15
Aetna	$11,371	2.1×	3
Elevance/Anthem/Empire	$10,498	1.9×	2
Humana	$5,907	1.1×	1
MMO	$12,085	2.2×	1
Medical Benefit	$21,000	3.9×	1
Pphp	$6,671	1.2×	1
UnitedHealthcare	$13,441	2.5×	1
Valor	$6,064	1.1×	1
MetroHealth System median $11,150 · local Medicare $5,412 · file 2026-04-01
Aetna	$9,139	1.7×	2
Cigna	$9,427	1.7×	1
Clarity Health	$16,978	3.1×	1
Elevance/Anthem/Empire	$11,150	2.1×	1
Health E Ohio	$19,590	3.6×	1
Medical Mutual	$9,133	1.7×	2
Metrohealth	$16,325	3.0×	2
Ohio Health Choice	$4,835	0.9×	1
UnitedHealthcare	$11,242	2.1×	1
Cleveland Clinic Lutheran Hospital median $11,945 · local Medicare $5,412 · file 2026-06-15
Aetna	$11,689	2.2×	3
Cigna	$13,741	2.5×	1
Elevance/Anthem/Empire	$14,369	2.7×	1
Humana	$7,280	1.3×	1
MMO	$11,945	2.2×	1
Medical Benefit	$21,000	3.9×	1
Pphp	$8,524	1.6×	1
UnitedHealthcare	$13,172	2.4×	1
Valor	$7,749	1.4×	1
Marymount Hospital median $11,945 · local Medicare $5,412 · file 2026-06-15
Aetna	$11,689	2.2×	3
Cigna	$13,741	2.5×	1
Elevance/Anthem/Empire	$14,369	2.7×	1
Humana	$5,983	1.1×	1
MMO	$11,945	2.2×	1
Medical Benefit	$21,000	3.9×	1
Pphp	$6,784	1.3×	1
UnitedHealthcare	$13,172	2.4×	1
Valor	$6,168	1.1×	1
Medina Hospital median $12,066 · local Medicare $5,412 · file 2026-06-15
Aetna	$11,689	2.2×	3
Cigna	$13,741	2.5×	1
Elevance/Anthem/Empire	$12,186	2.3×	3
MMO	$11,945	2.2×	1
Medical Benefit	$21,000	3.9×	1
Pphp	$5,888	1.1×	1
UnitedHealthcare	$13,172	2.4×	1
Valor	$5,353	1.0×	1
University Hospitals Cleveland Medical Center median $13,598 · local Medicare $5,412 · file 2026-07-14
Aetna	$13,085	2.4×	2
AultCare	$13,416	2.5×	1
Cigna	$13,781	2.5×	1
Elevance/Anthem/Empire	$13,374	2.5×	2
JP Farley	$11,371	2.1×	1
Medical Mutual of Ohio	$15,018	2.8×	3
SummaCare	$14,860	2.7×	1
The Health Plan	$14,107	2.6×	1
UnitedHealthcare	$17,219	3.2×	2
University Health Employee Plan (Contigo)	$9,471	1.8×	1
Cleveland Clinic (main campus) median $16,900 · local Medicare $5,412 · file 2026-06-16
Aetna	$14,291	2.6×	3
Cigna	$18,150	3.4×	1
Elevance/Anthem/Empire	$12,452	2.3×	2
Humana	$7,848	1.5×	1
MMO	$13,944	2.6×	1
Medical Benefit	$21,000	3.9×	1
Ohio Healthy	$21,000	3.9×	1
Parkview Health Plan	$21,000	3.9×	1
Pphp	$9,024	1.7×	1
Quality Care Partners	$16,900	3.1×	2
The Health Plan	$24,000	4.4×	1
UnitedHealthcare	$21,632	4.0×	2
Valor	$8,204	1.5×	1

MS-DRG 193

Hospital · insurer	Rate	× Medicare	Plans
Cleveland Clinic Hillcrest Hospital median $12,774 · local Medicare $8,827 · file 2026-06-15
Aetna	$14,926	1.7×	3
Elevance/Anthem/Empire	$10,498	1.2×	2
Humana	$9,308	1.1×	1
MMO	$19,711	2.2×	1
Medical Benefit	$31,800	3.6×	1
Pphp	$10,621	1.2×	1
UnitedHealthcare	$21,922	2.5×	1
Valor	$9,656	1.1×	1
Cleveland Clinic Fairview Hospital median $13,262 · local Medicare $8,827 · file 2026-06-15
Aetna	$14,926	1.7×	3
Elevance/Anthem/Empire	$10,498	1.2×	2
Humana	$10,007	1.1×	1
MMO	$19,711	2.2×	1
Medical Benefit	$31,800	3.6×	1
Pphp	$11,598	1.3×	1
UnitedHealthcare	$21,922	2.5×	1
Valor	$10,543	1.2×	1
University Hospitals St. John Medical Center median $16,161 · local Medicare $8,827 · file 2026-07-14
Aetna	$18,101	2.1×	1
AultCare	$16,392	1.9×	1
Cigna	$12,618	1.4×	1
Elevance/Anthem/Empire	$8,215	0.9×	1
JP Farley	$10,978	1.2×	1
Medical Mutual of Ohio	$16,161	1.8×	3
SummaCare	$17,771	2.0×	1
The Health Plan	$16,923	1.9×	1
University Health Employee Plan (Contigo)	$12,461	1.4×	1
University Hospitals - Elyria Medical Center median $16,392 · local Medicare $8,827 · file 2026-07-14
Aetna	$18,101	2.1×	1
AultCare	$16,392	1.9×	1
Cigna	$12,224	1.4×	1
Elevance/Anthem/Empire	$14,796	1.7×	2
JP Farley	$14,429	1.6×	1
Medical Mutual of Ohio	$17,698	2.0×	4
SummaCare	$17,771	2.0×	1
The Health Plan	$16,923	1.9×	1
University Health Employee Plan (Contigo)	$12,461	1.4×	1
University Hospitals Ahuja Medical Center median $17,050 · local Medicare $8,827 · file 2026-07-14
Aetna	$17,196	1.9×	2
AultCare	$16,392	1.9×	1
Cigna	$15,773	1.8×	1
Elevance/Anthem/Empire	$17,177	1.9×	2
JP Farley	$15,698	1.8×	1
Medical Mutual of Ohio	$19,528	2.2×	3
SummaCare	$17,771	2.0×	1
The Health Plan	$16,923	1.9×	1
UnitedHealthcare	$18,931	2.1×	2
University Health Employee Plan (Contigo)	$12,461	1.4×	1
Cleveland Clinic Lutheran Hospital median $18,064 · local Medicare $8,827 · file 2026-06-15
Aetna	$18,064	2.0×	3
Cigna	$22,411	2.5×	1
Elevance/Anthem/Empire	$14,369	1.6×	1
Humana	$10,821	1.2×	1
MMO	$19,482	2.2×	1
Medical Benefit	$31,800	3.6×	1
Pphp	$12,662	1.4×	1
UnitedHealthcare	$21,483	2.4×	1
Valor	$11,511	1.3×	1
Marymount Hospital median $18,064 · local Medicare $8,827 · file 2026-06-15
Aetna	$18,064	2.0×	3
Cigna	$22,411	2.5×	1
Elevance/Anthem/Empire	$14,369	1.6×	1
Humana	$9,270	1.1×	1
MMO	$19,482	2.2×	1
Medical Benefit	$31,800	3.6×	1
Pphp	$10,575	1.2×	1
UnitedHealthcare	$21,483	2.4×	1
Valor	$9,613	1.1×	1
MetroHealth System median $18,186 · local Medicare $8,827 · file 2026-04-01
Aetna	$14,905	1.7×	2
Cigna	$15,376	1.7×	1
Clarity Health	$23,327	2.6×	1
Elevance/Anthem/Empire	$18,186	2.1×	1
Health E Ohio	$26,916	3.0×	1
Medical Mutual	$14,896	1.7×	2
Metrohealth	$22,430	2.5×	2
Ohio Health Choice	$7,886	0.9×	1
UnitedHealthcare	$18,336	2.1×	1
Medina Hospital median $18,773 · local Medicare $8,827 · file 2026-06-15
Aetna	$18,064	2.0×	3
Cigna	$22,411	2.5×	1
Elevance/Anthem/Empire	$12,186	1.4×	3
MMO	$19,482	2.2×	1
Medical Benefit	$31,800	3.6×	1
Pphp	$9,604	1.1×	1
UnitedHealthcare	$21,483	2.4×	1
Valor	$8,731	1.0×	1
University Hospitals Cleveland Medical Center median $22,178 · local Medicare $8,827 · file 2026-07-14
Aetna	$21,341	2.4×	2
AultCare	$21,881	2.5×	1
Cigna	$22,476	2.5×	1
Elevance/Anthem/Empire	$21,813	2.5×	2
JP Farley	$18,546	2.1×	1
Medical Mutual of Ohio	$24,494	2.8×	3
SummaCare	$24,236	2.7×	1
The Health Plan	$23,009	2.6×	1
UnitedHealthcare	$28,083	3.2×	2
University Health Employee Plan (Contigo)	$15,447	1.7×	1
Cleveland Clinic (main campus) median $23,308 · local Medicare $8,827 · file 2026-06-16
Aetna	$23,308	2.6×	3
Cigna	$18,150	2.1×	1
Elevance/Anthem/Empire	$20,309	2.3×	2
Humana	$12,129	1.4×	1
MMO	$22,743	2.6×	1
Medical Benefit	$31,800	3.6×	1
Ohio Healthy	$31,800	3.6×	1
Parkview Health Plan	$31,800	3.6×	1
Pphp	$13,974	1.6×	1
Quality Care Partners	$25,500	2.9×	2
The Health Plan	$35,100	4.0×	1
UnitedHealthcare	$35,281	4.0×	2
Valor	$12,704	1.4×	1

MS-DRG 195

Hospital · insurer	Rate	× Medicare	Plans
University Hospitals St. John Medical Center median $7,838 · local Medicare $4,221 · file 2026-07-14
Aetna	$8,655	2.1×	1
AultCare	$7,838	1.9×	1
Cigna	$6,034	1.4×	1
Elevance/Anthem/Empire	$3,928	0.9×	1
JP Farley	$10,978	2.6×	1
Medical Mutual of Ohio	$7,727	1.8×	3
SummaCare	$8,497	2.0×	1
The Health Plan	$8,092	1.9×	1
University Health Employee Plan (Contigo)	$5,958	1.4×	1
University Hospitals - Elyria Medical Center median $7,838 · local Medicare $4,221 · file 2026-07-14
Aetna	$8,655	2.1×	1
AultCare	$7,838	1.9×	1
Cigna	$5,845	1.4×	1
Elevance/Anthem/Empire	$7,075	1.7×	2
JP Farley	$6,900	1.6×	1
Medical Mutual of Ohio	$8,463	2.0×	4
SummaCare	$8,497	2.0×	1
The Health Plan	$8,092	1.9×	1
University Health Employee Plan (Contigo)	$5,958	1.4×	1
University Hospitals Ahuja Medical Center median $8,152 · local Medicare $4,221 · file 2026-07-14
Aetna	$8,223	1.9×	2
AultCare	$7,838	1.9×	1
Cigna	$7,542	1.8×	1
Elevance/Anthem/Empire	$8,213	1.9×	2
JP Farley	$7,506	1.8×	1
Medical Mutual of Ohio	$9,338	2.2×	3
SummaCare	$8,497	2.0×	1
The Health Plan	$8,092	1.9×	1
UnitedHealthcare	$9,052	2.1×	2
University Health Employee Plan (Contigo)	$5,958	1.4×	1
Cleveland Clinic Fairview Hospital median $8,281 · local Medicare $4,221 · file 2026-06-15
Aetna	$7,137	1.7×	3
Elevance/Anthem/Empire	$10,498	2.5×	2
Humana	$4,974	1.2×	1
MMO	$9,425	2.2×	1
Medical Benefit	$11,900	2.8×	1
Pphp	$5,891	1.4×	1
UnitedHealthcare	$10,482	2.5×	1
Valor	$5,355	1.3×	1
Cleveland Clinic Hillcrest Hospital median $8,281 · local Medicare $4,221 · file 2026-06-15
Aetna	$7,137	1.7×	3
Elevance/Anthem/Empire	$10,498	2.5×	2
Humana	$4,559	1.1×	1
MMO	$9,425	2.2×	1
Medical Benefit	$11,900	2.8×	1
Pphp	$5,293	1.3×	1
UnitedHealthcare	$10,482	2.5×	1
Valor	$4,812	1.1×	1
Cleveland Clinic Lutheran Hospital median $8,637 · local Medicare $4,221 · file 2026-06-15
Aetna	$8,637	2.0×	3
Cigna	$10,716	2.5×	1
Elevance/Anthem/Empire	$8,161	1.9×	1
Humana	$5,876	1.4×	1
MMO	$9,010	2.1×	1
Medical Benefit	$11,900	2.8×	1
Pphp	$7,080	1.7×	1
UnitedHealthcare	$10,272	2.4×	1
Valor	$6,436	1.5×	1
Marymount Hospital median $8,637 · local Medicare $4,221 · file 2026-06-15
Aetna	$8,637	2.0×	3
Cigna	$10,716	2.5×	1
Elevance/Anthem/Empire	$8,161	1.9×	1
Humana	$4,680	1.1×	1
MMO	$9,010	2.1×	1
Medical Benefit	$11,900	2.8×	1
Pphp	$5,462	1.3×	1
UnitedHealthcare	$10,272	2.4×	1
Valor	$4,965	1.2×	1
MetroHealth System median $8,696 · local Medicare $4,221 · file 2026-04-01
Aetna	$7,127	1.7×	2
Cigna	$7,352	1.7×	1
Clarity Health	$14,764	3.5×	1
Elevance/Anthem/Empire	$8,696	2.1×	1
Health E Ohio	$17,035	4.0×	1
Medical Mutual	$7,123	1.7×	2
Metrohealth	$14,196	3.4×	2
Ohio Health Choice	$3,771	0.9×	1
UnitedHealthcare	$8,768	2.1×	1
Medina Hospital median $8,824 · local Medicare $4,221 · file 2026-06-15
Aetna	$8,637	2.0×	3
Cigna	$10,716	2.5×	1
Elevance/Anthem/Empire	$6,921	1.6×	3
MMO	$9,010	2.1×	1
Medical Benefit	$11,900	2.8×	1
Pphp	$4,592	1.1×	1
UnitedHealthcare	$10,272	2.4×	1
Valor	$4,175	1.0×	1
University Hospitals Cleveland Medical Center median $10,605 · local Medicare $4,221 · file 2026-07-14
Aetna	$10,205	2.4×	2
AultCare	$10,463	2.5×	1
Cigna	$10,747	2.5×	1
Elevance/Anthem/Empire	$10,430	2.5×	2
JP Farley	$8,868	2.1×	1
Medical Mutual of Ohio	$11,712	2.8×	3
SummaCare	$11,589	2.7×	1
The Health Plan	$11,002	2.6×	1
UnitedHealthcare	$13,429	3.2×	2
University Health Employee Plan (Contigo)	$7,386	1.7×	1
Cleveland Clinic (main campus) median $11,145 · local Medicare $4,221 · file 2026-06-16
Aetna	$11,145	2.6×	3
Cigna	$18,150	4.3×	1
Elevance/Anthem/Empire	$9,711	2.3×	2
Humana	$6,151	1.5×	1
MMO	$10,875	2.6×	1
Medical Benefit	$11,900	2.8×	1
Ohio Healthy	$11,900	2.8×	1
Parkview Health Plan	$11,900	2.8×	1
Pphp	$7,297	1.7×	1
Quality Care Partners	$9,600	2.3×	2
The Health Plan	$17,800	4.2×	1
UnitedHealthcare	$16,870	4.0×	2
Valor	$6,634	1.6×	1

Questions

How much does pneumonia (hospital stay) cost with commercial insurance in Cleveland OH?

11 Cleveland OH hospitals post usable commercial rates for inpatient stay (MS-DRG 194). The median across hospitals is $11,150; hospital medians range from $10,050 to $16,900. Your cost depends on your plan's deductible and coinsurance.