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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 July 2026.

Facilitymedian $8,128 · 10th–90th $5,012$10,7150%10%20%10th90th$8,128$1.0K$2.0K$5.0K$10.0K

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
$6,025.60
Median
$9,332.54
Typical High
$15,135.61
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$4,786.30
Median
$8,128.31
Typical High
$10,232.93
Cigna
Setting
Facility
Modifier
Global
Typical Low
$5,623.41
Median
$8,709.64
Typical High
$16,218.10
United
Setting
Facility
Modifier
Global
Typical Low
$5,128.61
Median
$8,128.31
Typical High
$10,715.19