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New York rates for MS-DRG 194

Simple pneumonia & pleurisy w CC

Facilitymedian $18,197 · 10th–90th $7,762–$31,6230%10%10th90th$18,197$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
$6,456.54 / $14,791.08 / $31,622.78
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$16,982.44 / $25,703.96 / $33,113.11
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$14,454.40 / $19,498.45 / $27,542.29
Emblem Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10,232.93 / $19,952.62 / $50,118.72
Highmark BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6,606.93 / $7,762.47 / $9,332.54
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6,309.57 / $15,848.93 / $25,118.86