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Simple Pneumonia and Pleurisy without Complications

Idaho rates for MS-DRG 195

Simple Pneumonia and Pleurisy without CC/MCC

Rates data updated July 2026.

Facilitymedian $9,120 · 10th–90th $5,754$14,4540%10%10th90th$9,120$5.0K$10.0K$20.0K

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
$5,495.41
Median
$5,495.41
Typical High
$9,772.37
BCBS
Setting
Facility
Modifier
Global
Typical Low
$5,754.40
Median
$9,120.11
Typical High
$14,791.08
Cigna
Setting
Facility
Modifier
Global
Typical Low
$15,135.61
Median
$16,595.87
Typical High
$20,892.96
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$10,232.93
Median
$12,882.50
Typical High
$14,454.40
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$6,165.95
Median
$8,912.51
Typical High
$13,489.63
Select Health
Setting
Facility
Modifier
Global
Typical Low
$6,606.93
Median
$8,128.31
Typical High
$13,182.57
United
Setting
Facility
Modifier
Global
Typical Low
$6,456.54
Median
$8,128.31
Typical High
$11,748.98