$5,723
Lowest contracted rate
$7,707
Highest contracted rate
1.3×
Spread (high ÷ low)
1
Insurers in file
The spread is 1.3×. Depending on which insurer is paying, St. Joseph's Hospital receives between $5,723 and $7,707 for Pneumonia with CC.
Rate by insurance company
Sorted lowest to highest. When a plan has multiple sub-plans, the median rate is shown.
| Insurance | Contracted rate |
|---|---|
| Medicare | $5,723Lowest |
Source: St. Joseph's Hospital standard charges file, updated 2023.
What this means for you
This is the facility fee St. Joseph's Hospital contracts to accept from each insurer for Pneumonia with CC (DRG 194). It covers the hospital's portion of the bill — the room, nursing, equipment, and OR.
Not included: Surgeon fees, anesthesiologist fees, and specialist fees are billed separately — typically adding 20–40% to the total.
Your actual cost depends on where you stand with your deductible. Before your deductible is met, you pay the full contracted rate. After, you pay your coinsurance percentage.
Get a Good Faith Estimate. Federal law requires hospitals to provide a written cost estimate for planned procedures. Call St. Joseph's Hospital patient financial services and request one for DRG 194 under your specific plan before scheduling.