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Simple Pneumonia and Pleurisy with Major Complications

Utah 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?

$23,988

Typical facility fee. In Utah, July 2026.

Insurers have agreed to pay about $23,988 for this service. Most negotiated rates run $19,498 to $26,303.

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 $23,988 · 10th to 90th $16,596 to $31,623
$10K$20Kfacility $23,988

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
$18,620.87
Median
$24,547.09
Typical High
$30,902.95
Cigna
Setting
Facility
Modifier
Global
Typical Low
$19,498.45
Median
$29,512.09
Typical High
$38,904.51
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$15,135.61
Median
$21,379.62
Typical High
$26,915.35
Select Health
Setting
Facility
Modifier
Global
Typical Low
$10,964.78
Median
$12,302.69
Typical High
$28,840.32
United
Setting
Facility
Modifier
Global
Typical Low
$3,890.45
Median
$16,982.44
Typical High
$21,877.62

Where Utah 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.

Utah· 17th of 51

$23,988

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.