go back

Simple Pneumonia and Pleurisy with Major Complications

Georgia 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?

$25,704

Typical facility fee. In Georgia, July 2026.

Insurers have agreed to pay about $25,704 for this service. Most negotiated rates run $17,378 to $34,674.

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 $25,704 · 10th to 90th $9,550 to $38,019
$5K$10K$20K$50Kfacility $25,704

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
$15,848.93
Median
$25,703.96
Typical High
$38,018.94
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$8,128.31
Median
$26,915.35
Typical High
$37,153.52
Cigna
Setting
Facility
Modifier
Global
Typical Low
$14,454.40
Median
$19,952.62
Typical High
$37,153.52
Kaiser Permanente
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
United
Setting
Facility
Modifier
Global
Typical Low
$3,467.37
Median
$15,135.61
Typical High
$28,183.83

Where Georgia 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.

Georgia· 12th of 51

$25,704

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.