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Simple Pneumonia and Pleurisy without Complications

Illinois rates for MS-DRG 195

Simple Pneumonia and Pleurisy without CC/MCC

Rates data updated July 2026.

Facilitymedian $7,413 · 10th–90th $182$10,9650%20%10th90th$7,413$50.0$200.0$1.0K$5.0K$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
$6,165.95
Median
$8,128.31
Typical High
$10,964.78
BCBS
Setting
Facility
Modifier
Global
Typical Low
$4,466.84
Median
$7,244.36
Typical High
$11,220.18
Cigna
Setting
Facility
Modifier
Global
Typical Low
$5,011.87
Median
$7,079.46
Typical High
$12,589.25
Hally Health
Setting
Facility
Modifier
Global
Typical Low
$56.23
Median
$83.18
Typical High
$125.89
United
Setting
Facility
Modifier
Global
Typical Low
$5,623.41
Median
$7,762.47
Typical High
$11,481.54