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Pennsylvania rates for MS-DRG 194

Simple pneumonia & pleurisy w CC

Facilitymedian $13,183 · 10th–90th $7,244$19,9530%10%10th90th$13,183$2.0K$5.0K$10.0K$20.0K$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
$7,585.78 / $13,489.63 / $19,952.62
Capital Blue Cross
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$11,748.98 / $18,197.01 / $28,840.32
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7,413.10 / $12,882.50 / $19,498.45
Emblem Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$14,125.38 / $14,125.38 / $17,378.01
Geisinger
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7,079.46 / $13,803.84 / $17,378.01
Highmark BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$9,120.11 / $13,489.63 / $19,952.62
Martin's Point
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7,244.36 / $13,182.57 / $19,054.61
UPMC Health Plan
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,888.44 / $7,079.46 / $11,748.98
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,801.89 / $10,471.29 / $19,054.61