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Massachusetts rates for MS-DRG 195

Simple Pneumonia And Pleurisy Without Cc/Mcc

Facilitymedian $9,772 · 10th–90th $4,266$16,2180%10%10th90th$9,772$100.0$500.0$2.0K$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
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4,677.35 / $9,772.37 / $16,218.10
AllWays Health Partners
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6,165.95 / $9,120.11 / $23,988.33
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,495.41 / $9,332.54 / $14,125.38
Fallon Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$79.43 / $89.13 / $13,803.84
Harvard Pilgrim
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6,165.95 / $8,912.51 / $23,988.33
Mass General Brigham
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6,165.95 / $9,120.11 / $23,988.33
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,495.41 / $7,413.10 / $18,620.87