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Simple Pneumonia and Pleurisy with Major Complications

Florida rates for MS-DRG 193

Simple Pneumonia and Pleurisy with MCC

Rates data updated July 2026.

How much does Simple Pneumonia and Pleurisy with Major Complications cost?

$22,909

Typical facility fee. In Florida, July 2026.

Insurers have agreed to pay about $22,909 for this service. Most negotiated rates run $16,982 to $30,903.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 5 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $22,909 · 10th to 90th $12,303 to $40,738
$10K$20K$50Kfacility $22,909

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$16,982.44
Median
$26,915.35
Typical High
$44,668.36
AvMed
Setting
Facility
Modifier
Global
Typical Low
$9,549.93
Median
$16,218.10
Typical High
$24,547.09
Cigna
Setting
Facility
Modifier
Global
Typical Low
$14,125.38
Median
$22,387.21
Typical High
$34,673.69
Florida Blue
Setting
Facility
Modifier
Global
Typical Low
$10,715.19
Median
$19,498.45
Typical High
$33,884.42
United
Setting
Facility
Modifier
Global
Typical Low
$6,456.54
Median
$22,908.68
Typical High
$32,359.37

Where Florida sits

The same service costs 6.9 times more in Montana than in New Mexico. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Florida· 20th of 51

$22,909

MT $72,444NM $10,471

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.