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Simple Pneumonia and Pleurisy without Complications

Kentucky rates for MS-DRG 195

Simple Pneumonia and Pleurisy without CC/MCC

Rates data updated October 2026.

How much does Simple Pneumonia and Pleurisy without Complications cost?

$7,762

Typical facility fee. In Kentucky, October 2026.

Insurers have agreed to pay about $7,762 for this service. Most negotiated rates run $5,888 to $9,550.

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 $7,762 · 10th to 90th $4,467 to $10,715
$5K$10Kfacility $7,762

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$8,128.31
Median
$11,748.98
Typical High
$15,135.61
Anthem BCBS
Setting
Facility
Modifier
None
Typical Low
$4,466.84
Median
$7,585.78
Typical High
$10,000.00
Cigna
Setting
Facility
Modifier
None
Typical Low
$5,888.44
Median
$8,709.64
Typical High
$16,218.10
United
Setting
Facility
Modifier
None
Typical Low
$5,248.07
Median
$7,585.78
Typical High
$11,220.18

Where Kentucky sits

The same service costs 74.1 times more in Michigan than in Hawaii. 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.

Kentucky· 40th of 51

$7,762

MI $20,417HI $275

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.