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Maine rates for MS-DRG 195

Simple Pneumonia And Pleurisy Without Cc/Mcc

Facilitymedian $11,749 · 10th–90th $8,128$14,7910%20%10th90th$11,749$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. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$9,332.54 / $12,589.25 / $14,791.08
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8,128.31 / $9,772.37 / $19,054.61
Harvard Pilgrim
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10,471.29 / $10,471.29 / $10,471.29
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8,128.31 / $8,128.31 / $8,128.31