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Idaho rates for MS-DRG 194

Simple pneumonia & pleurisy w CC

Facilitymedian $10,471 · 10th–90th $7,079$18,1970%20%10th90th$10,471$5.0K$10.0K$20.0K

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
$7,079.46 / $7,079.46 / $7,079.46
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7,244.36 / $11,748.98 / $19,054.61
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$19,498.45 / $21,379.62 / $26,915.35
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7,079.46 / $15,848.93 / $18,197.01
Regence BlueShield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8,128.31 / $11,748.98 / $17,378.01
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8,317.64 / $10,471.29 / $15,135.61