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Simple Pneumonia and Pleurisy without Complications

Florida 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?

$12,303

Typical facility fee. In Florida, July 2026.

Insurers have agreed to pay about $12,303 for this service. Most negotiated rates run $9,333 to $16,596.

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 $12,303 · 10th to 90th $6,457 to $22,909
$1.0$10.0$100.0$1.0K$10.0K$100.0Kfacility $12,303

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
$8,128.31
Median
$13,489.63
Typical High
$22,908.68
AvMed
Setting
Facility
Modifier
Global
Typical Low
$5,623.41
Median
$9,772.37
Typical High
$15,848.93
Cigna
Setting
Facility
Modifier
Global
Typical Low
$6,760.83
Median
$10,715.19
Typical High
$16,595.87
Florida Blue
Setting
Facility
Modifier
Global
Typical Low
$5,754.40
Median
$10,964.78
Typical High
$22,908.68
United
Setting
Facility
Modifier
Global
Typical Low
$5,370.32
Median
$10,964.78
Typical High
$15,488.17

Where Florida 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.

Florida $12,303 · 15th 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.