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Missouri rates for MS-DRG 194

Simple pneumonia & pleurisy w CC

Facilitymedian $9,333 · 10th–90th $6,166$16,5960%10%10th90th$9,333$2.0K$5.0K$10.0K$20.0K$50.0K$100.0K

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
$8,128.31 / $10,232.93 / $19,054.61
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4,786.30 / $9,332.54 / $15,488.17
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$151,356.12 / $151,356.12 / $151,356.12
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8,128.31 / $9,549.93 / $15,135.61
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6,760.83 / $10,232.93 / $19,498.45
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6,760.83 / $9,120.11 / $13,489.63