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Simple Pneumonia and Pleurisy without Complications

Colorado 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?

$15,488

Typical facility fee. In Colorado, July 2026.

Insurers have agreed to pay about $15,488 for this service. Most negotiated rates run $11,749 to $19,055.

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 6 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $15,488 · 10th to 90th $8,710 to $23,988
$10K$20K$50Kfacility $15,488

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
$7,244.36
Median
$15,848.93
Typical High
$19,054.61
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$10,471.29
Median
$15,848.93
Typical High
$33,884.42
Cigna
Setting
Facility
Modifier
Global
Typical Low
$5,888.44
Median
$10,715.19
Typical High
$17,782.79
Kaiser Permanente
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Select Health
Setting
Facility
Modifier
Global
Typical Low
$8,709.64
Median
$10,964.78
Typical High
$13,182.57
United
Setting
Facility
Modifier
Global
Typical Low
$5,495.41
Median
$11,748.98
Typical High
$18,620.87

Where Colorado 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.

Colorado· 6th of 51

$15,488

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.