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Simple Pneumonia and Pleurisy without Complications

California rates for MS-DRG 195

Simple Pneumonia and Pleurisy without CC/MCC

Rates data updated July 2026.

Facilitymedian $15,849 · 10th–90th $8,913$26,3030%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
Setting
Facility
Modifier
Global
Typical Low
$11,481.54
Median
$18,620.87
Typical High
$26,302.68
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$8,912.51
Median
$15,848.93
Typical High
$26,302.68
Blue Shield
Setting
Facility
Modifier
Global
Typical Low
$6,309.57
Median
$12,589.25
Typical High
$27,542.29
Cigna
Setting
Facility
Modifier
Global
Typical Low
$9,120.11
Median
$12,882.50
Typical High
$22,387.21
Kaiser Permanente
Setting
Facility
Modifier
Global
Typical Low
$141.25
Median
$194.98
Typical High
$302.00
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$22,387.21
Median
$22,387.21
Typical High
$22,387.21
Providence
Setting
Facility
Modifier
Global
Typical Low
$8,912.51
Median
$12,882.50
Typical High
$26,302.68
Sutter Health Plus
Setting
Facility
Modifier
Global
Typical Low
$14,125.38
Median
$14,125.38
Typical High
$14,125.38
United
Setting
Facility
Modifier
Global
Typical Low
$4,677.35
Median
$11,220.18
Typical High
$24,547.09