go back

Simple Pneumonia and Pleurisy with Major Complications

Indiana 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 Indiana, July 2026.

Insurers have agreed to pay about $22,909 for this service. Most negotiated rates run $19,498 to $27,542.

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 4 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $22,909 · 10th to 90th $13,804 to $31,623
$10K$20Kfacility $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
$18,197.01
Median
$24,547.09
Typical High
$33,113.11
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$13,803.84
Median
$22,908.68
Typical High
$29,512.09
Cigna
Setting
Facility
Modifier
Global
Typical Low
$12,302.69
Median
$19,498.45
Typical High
$45,708.82
United
Setting
Facility
Modifier
Global
Typical Low
$11,481.54
Median
$18,620.87
Typical High
$26,302.68

Where Indiana 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.

Indiana· 21st 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.