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Pennsylvania rates for MS-DRG 193

Simple Pneumonia And Pleurisy With Mcc

Facilitymedian $21,380 · 10th–90th $11,749–$30,9030%10%10th90th$21,380$2.0K$5.0K$10.0K$20.0K$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
$12,022.64 / $21,877.62 / $31,622.78
Capital Blue Cross
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$17,782.79 / $26,915.35 / $36,307.81
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12,022.64 / $21,379.62 / $29,512.09
Emblem Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$23,442.29 / $23,442.29 / $28,183.83
Geisinger
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10,000.00 / $21,877.62 / $26,915.35
Highmark BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12,022.64 / $19,054.61 / $27,542.29
Martin's Point
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$11,748.98 / $20,417.38 / $30,902.95
UPMC Health Plan
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$9,332.54 / $11,220.18 / $19,498.45
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,370.32 / $16,982.44 / $30,902.95