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New York rates for MS-DRG 193

Simple Pneumonia And Pleurisy With Mcc

Facilitymedian $29,512 · 10th–90th $12,023$51,2860%5%10%10th90th$29,512$100.0$500.0$2.0K$10.0K$50.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10,471.29 / $26,915.35 / $51,286.14
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$27,542.29 / $41,686.94 / $53,703.18
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$15,488.17 / $31,622.78 / $44,668.36
Emblem Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$16,982.44 / $32,359.37 / $81,283.05
Highmark BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$11,481.54 / $12,589.25 / $13,803.84
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8,317.64 / $23,442.29 / $40,738.03