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California rates for MS-DRG 194

Simple pneumonia & pleurisy w CC

Facilitymedian $19,953 · 10th–90th $10,471–$35,4810%10%10th90th$19,953$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
$9,549.93 / $18,620.87 / $35,481.34
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$11,481.54 / $19,952.62 / $33,884.42
Blue Shield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10,715.19 / $17,782.79 / $42,657.95
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$11,748.98 / $16,595.87 / $28,840.32
Kaiser Permanente
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$141.25 / $194.98 / $288.40
Lucent Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$28,840.32 / $28,840.32 / $28,840.32
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$11,481.54 / $16,595.87 / $33,884.42
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,011.87 / $14,791.08 / $31,622.78