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Pneumonia (hospital stay) in Columbus 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
Ohio State University Hospitals median $16,381 · local Medicare $5,521 · file 2026-07-01
Aetna	$16,381	3.0×	1
Elevance/Anthem/Empire	$17,875	3.2×	3
MMO	$14,601	2.6×	2
Ohio Dept of Health	$5,064	0.9×	1
UnitedHealthcare	$18,434	3.3×	1
Mount Carmel East median $21,596 · local Medicare $5,521 · file 2026-03-31
Aetna	$16,736	3.0×	4
BCBS (other)	$21,596	3.9×	1
BCBS AZ	$21,596	3.9×	1
BCBS MN	$21,596	3.9×	1
BCBS Michigan	$21,596	3.9×	1
BCBS NC	$21,596	3.9×	1
BCBS TN	$21,596	3.9×	1
CareFirst BCBS	$21,596	3.9×	2
Cigna	$16,868	3.1×	6
Custom Design Benefits	$13,968	2.5×	1
Elevance/Anthem/Empire	$21,596	3.9×	41
Excellus BCBS	$21,596	3.9×	1
HealthPartners	$16,868	3.1×	1
Highmark BCBS	$21,596	3.9×	5
Horizon BCBS NJ	$21,596	3.9×	1
Independence Blue Cross	$21,596	3.9×	1
Medical Mutual	$13,132	2.4×	2
Oscar	$9,099	1.6×	1
Premera Blue Cross	$21,596	3.9×	2
Quality Care Partners	$15,104	2.7×	1
Regence BlueShield	$21,596	3.9×	4
The Health Plan	$6,286	1.1×	1
UnitedHealthcare	$16,980	3.1×	2
Wellmark BCBS	$21,596	3.9×	2
Western & Southern Financial Group	$18,239	3.3×	1
Mount Carmel New Albany Surgical Hospital median $21,596 · local Medicare $5,521 · file 2026-03-31
Aetna	$16,736	3.0×	4
BCBS (other)	$21,596	3.9×	1
BCBS AZ	$21,596	3.9×	1
BCBS MN	$21,596	3.9×	1
BCBS Michigan	$21,596	3.9×	1
BCBS NC	$21,596	3.9×	1
BCBS TN	$21,596	3.9×	1
CareFirst BCBS	$21,596	3.9×	2
Cigna	$16,868	3.1×	6
Custom Design Benefits	$11,538	2.1×	1
Elevance/Anthem/Empire	$21,596	3.9×	41
Excellus BCBS	$21,596	3.9×	1
HealthPartners	$16,868	3.1×	1
Highmark BCBS	$21,596	3.9×	5
Horizon BCBS NJ	$21,596	3.9×	1
Independence Blue Cross	$21,596	3.9×	1
Medical Mutual	$13,132	2.4×	2
Oscar	$9,099	1.6×	1
Premera Blue Cross	$21,596	3.9×	2
Quality Care Partners	$12,477	2.3×	1
Regence BlueShield	$21,596	3.9×	4
The Health Plan	$6,286	1.1×	1
UnitedHealthcare	$16,980	3.1×	2
Wellmark BCBS	$21,596	3.9×	2
Western & Southern Financial Group	$18,208	3.3×	1

MS-DRG 193

Hospital · insurer	Rate	× Medicare	Plans
Ohio State University Hospitals median $26,716 · local Medicare $9,004 · file 2026-07-01
Aetna	$26,716	3.0×	1
Elevance/Anthem/Empire	$29,153	3.2×	3
MMO	$23,815	2.6×	2
Ohio Dept of Health	$8,260	0.9×	1
UnitedHealthcare	$30,066	3.3×	1
Mount Carmel East median $35,222 · local Medicare $9,004 · file 2026-03-31
Aetna	$27,296	3.0×	4
BCBS (other)	$35,222	3.9×	1
BCBS AZ	$35,222	3.9×	1
BCBS MN	$35,222	3.9×	1
BCBS Michigan	$35,222	3.9×	1
BCBS NC	$35,222	3.9×	1
BCBS TN	$35,222	3.9×	1
CareFirst BCBS	$35,222	3.9×	2
Cigna	$27,511	3.1×	6
Custom Design Benefits	$21,194	2.4×	1
Elevance/Anthem/Empire	$35,222	3.9×	41
Excellus BCBS	$35,222	3.9×	1
HealthPartners	$27,511	3.1×	1
Highmark BCBS	$35,222	3.9×	5
Horizon BCBS NJ	$35,222	3.9×	1
Independence Blue Cross	$35,222	3.9×	1
Medical Mutual	$21,418	2.4×	2
Oscar	$14,841	1.6×	1
Premera Blue Cross	$35,222	3.9×	2
Quality Care Partners	$22,918	2.5×	1
Regence BlueShield	$35,222	3.9×	4
The Health Plan	$10,252	1.1×	1
UnitedHealthcare	$27,693	3.1×	2
Wellmark BCBS	$35,222	3.9×	2
Western & Southern Financial Group	$29,748	3.3×	1
Mount Carmel New Albany Surgical Hospital median $35,222 · local Medicare $9,004 · file 2026-03-31
Aetna	$27,296	3.0×	4
BCBS (other)	$35,222	3.9×	1
BCBS AZ	$35,222	3.9×	1
BCBS MN	$35,222	3.9×	1
BCBS Michigan	$35,222	3.9×	1
BCBS NC	$35,222	3.9×	1
BCBS TN	$35,222	3.9×	1
CareFirst BCBS	$35,222	3.9×	2
Cigna	$27,511	3.1×	6
Custom Design Benefits	$18,819	2.1×	1
Elevance/Anthem/Empire	$35,222	3.9×	41
Excellus BCBS	$35,222	3.9×	1
HealthPartners	$27,511	3.1×	1
Highmark BCBS	$35,222	3.9×	5
Horizon BCBS NJ	$35,222	3.9×	1
Independence Blue Cross	$35,222	3.9×	1
Medical Mutual	$21,418	2.4×	2
Oscar	$14,841	1.6×	1
Premera Blue Cross	$35,222	3.9×	2
Quality Care Partners	$20,349	2.3×	1
Regence BlueShield	$35,222	3.9×	4
The Health Plan	$10,252	1.1×	1
UnitedHealthcare	$27,693	3.1×	2
Wellmark BCBS	$35,222	3.9×	2
Western & Southern Financial Group	$29,697	3.3×	1

MS-DRG 195

Hospital · insurer	Rate	× Medicare	Plans
Ohio State University Hospitals median $12,775 · local Medicare $4,305 · file 2026-07-01
Aetna	$12,775	3.0×	1
Elevance/Anthem/Empire	$13,940	3.2×	3
MMO	$11,387	2.6×	2
Ohio Dept of Health	$3,950	0.9×	1
UnitedHealthcare	$14,376	3.3×	1
Mount Carmel East median $16,842 · local Medicare $4,305 · file 2026-03-31
Aetna	$13,052	3.0×	4
BCBS (other)	$16,842	3.9×	1
BCBS AZ	$16,842	3.9×	1
BCBS MN	$16,842	3.9×	1
BCBS Michigan	$16,842	3.9×	1
BCBS NC	$16,842	3.9×	1
BCBS TN	$16,842	3.9×	1
CareFirst BCBS	$16,842	3.9×	2
Cigna	$13,155	3.1×	6
Custom Design Benefits	$11,447	2.7×	1
Elevance/Anthem/Empire	$16,842	3.9×	41
Excellus BCBS	$16,842	3.9×	1
HealthPartners	$13,155	3.1×	1
Highmark BCBS	$16,842	3.9×	5
Horizon BCBS NJ	$16,842	3.9×	1
Independence Blue Cross	$16,842	3.9×	1
Medical Mutual	$10,241	2.4×	2
Oscar	$7,096	1.6×	1
Premera Blue Cross	$16,842	3.9×	2
Quality Care Partners	$12,378	2.9×	1
Regence BlueShield	$16,842	3.9×	4
The Health Plan	$4,902	1.1×	1
UnitedHealthcare	$13,242	3.1×	2
Wellmark BCBS	$16,842	3.9×	2
Western & Southern Financial Group	$14,224	3.3×	1

Questions

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

3 Columbus OH hospitals post usable commercial rates for inpatient stay (MS-DRG 194). The median across hospitals is $21,596; hospital medians range from $16,381 to $21,596. Your cost depends on your plan's deductible and coinsurance.