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Simple Pneumonia and Pleurisy with Major Complications

Iowa 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?

$15,849

Typical facility fee. In Iowa, July 2026.

Insurers have agreed to pay about $15,849 for this service. Most negotiated rates run $14,454 to $18,197.

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 6 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $15,849 · 10th to 90th $12,589 to $22,909
$10K$20Kfacility $15,849

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
$12,882.50
Median
$15,848.93
Typical High
$19,952.62
Cigna
Setting
Facility
Modifier
Global
Typical Low
$13,489.63
Median
$13,803.84
Typical High
$20,417.38
Hally Health
Setting
Facility
Modifier
Global
Typical Low
$151.36
Median
$151.36
Typical High
$151.36
Medica
Setting
Facility
Modifier
Global
Typical Low
$12,022.64
Median
$15,488.17
Typical High
$24,547.09
Midlands
Setting
Facility
Modifier
Global
Typical Low
$9,772.37
Median
$9,772.37
Typical High
$25,703.96
United
Setting
Facility
Modifier
Global
Typical Low
$12,022.64
Median
$17,378.01
Typical High
$26,302.68

Where Iowa 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.

Iowa· 38th of 51

$15,849

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.