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Simple Pneumonia and Pleurisy without Complications

Arizona rates for MS-DRG 195

Simple Pneumonia and Pleurisy without CC/MCC

Rates data updated July 2026.

How much does Simple Pneumonia and Pleurisy without Complications cost?

$11,749

Typical facility fee. In Arizona, July 2026.

Insurers have agreed to pay about $11,749 for this service. Most negotiated rates run $8,913 to $16,218.

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 5 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $11,749 · 10th to 90th $6,761 to $17,783
$5K$10K$20Kfacility $11,749

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
$6,918.31
Median
$12,589.25
Typical High
$17,782.79
BCBS
Setting
Facility
Modifier
Global
Typical Low
$4,677.35
Median
$12,022.64
Typical High
$19,952.62
Cigna
Setting
Facility
Modifier
Global
Typical Low
$7,413.10
Median
$10,232.93
Typical High
$18,620.87
Medica
Setting
Facility
Modifier
Global
Typical Low
$9,120.11
Median
$11,481.54
Typical High
$16,595.87
United
Setting
Facility
Modifier
Global
Typical Low
$5,888.44
Median
$10,471.29
Typical High
$16,218.10

Where Arizona sits

The same service costs 9.5 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.

Arizona· 18th of 51

$11,749

MT $48,978NM $5,129

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.