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Simple Pneumonia and Pleurisy with Complications

South Carolina 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?

$19,498

Typical facility fee. In South Carolina, July 2026.

Insurers have agreed to pay about $19,498 for this service. Most negotiated rates run $13,183 to $29,512.

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 4 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $19,498 · 10th to 90th $9,550 to $38,019
$10K$20K$50Kfacility $19,498

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
$13,182.57
Median
$26,915.35
Typical High
$64,565.42
BCBS
Setting
Facility
Modifier
Global
Typical Low
$8,709.64
Median
$14,454.40
Typical High
$26,915.35
Cigna
Setting
Facility
Modifier
Global
Typical Low
$11,748.98
Median
$17,378.01
Typical High
$24,547.09
United
Setting
Facility
Modifier
Global
Typical Low
$6,918.31
Median
$19,054.61
Typical High
$31,622.78

Where South Carolina 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.

South Carolina· 8th of 51

$19,498

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.