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California rates for MS-DRG 195

Simple Pneumonia And Pleurisy Without Cc/Mcc

Facilitymedian $15,849 · 10th–90th $8,318$26,9150%10%10th90th$15,849$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
$8,128.31 / $16,595.87 / $26,915.35
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8,912.51 / $15,848.93 / $26,302.68
Blue Shield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8,128.31 / $12,589.25 / $27,542.29
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$9,120.11 / $12,882.50 / $22,387.21
Kaiser Permanente
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$141.25 / $194.98 / $288.40
Lucent Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$22,387.21 / $22,387.21 / $22,387.21
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8,912.51 / $12,882.50 / $26,302.68
Sutter Health Plus
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$14,125.38 / $14,125.38 / $14,125.38
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,011.87 / $11,481.54 / $24,547.09