go back

Simple Pneumonia and Pleurisy with Complications

Florida rates for MS-DRG 194

Simple Pneumonia and Pleurisy with CC

Rates data updated July 2026.

How much does Simple Pneumonia and Pleurisy with Complications cost?

$15,849

Typical facility fee. In Florida, July 2026.

Insurers have agreed to pay about $15,849 for this service. Most negotiated rates run $11,749 to $21,380.

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 $15,849 · 10th to 90th $8,318 to $28,840
$10K$20Kfacility $15,849

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
$10,232.93
Median
$17,378.01
Typical High
$29,512.09
AvMed
Setting
Facility
Modifier
Global
Typical Low
$7,079.46
Median
$12,302.69
Typical High
$16,218.10
Cigna
Setting
Facility
Modifier
Global
Typical Low
$8,709.64
Median
$13,803.84
Typical High
$21,379.62
Florida Blue
Setting
Facility
Modifier
Global
Typical Low
$7,244.36
Median
$13,803.84
Typical High
$30,902.95
United
Setting
Facility
Modifier
Global
Typical Low
$6,309.57
Median
$14,125.38
Typical High
$19,952.62

Where Florida sits

The same service costs 7.6 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.

Florida· 15th of 51

$15,849

MT $48,978NM $6,457

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.