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Simple Pneumonia and Pleurisy without Complications

Connecticut 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 Connecticut, July 2026.

Insurers have agreed to pay about $15,488 for this service. Most negotiated rates run $12,882 to $16,982.

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 $15,488 · 10th to 90th $10,715 to $20,417
$5.0K$10.0K$20.0Kfacility $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
$10,715.19
Median
$15,488.17
Typical High
$21,379.62
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$10,715.19
Median
$16,218.10
Typical High
$18,197.01
Cigna
Setting
Facility
Modifier
Global
Typical Low
$10,232.93
Median
$15,135.61
Typical High
$20,417.38
United
Setting
Facility
Modifier
Global
Typical Low
$5,495.41
Median
$14,791.08
Typical High
$19,498.45

Where Connecticut sits

The same service costs 9.5 times more in Montana than in New Mexico. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Connecticut $15,488 · 5th of 51
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.