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Simple Pneumonia and Pleurisy without Complications

Maine rates for MS-DRG 195

Simple Pneumonia and Pleurisy without CC/MCC

Rates data updated July 2026.

Facilitymedian $12,589 · 10th–90th $8,128$14,7910%20%10th90th$12,589$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
Setting
Facility
Modifier
Global
Typical Low
$9,332.54
Median
$12,589.25
Typical High
$14,791.08
Cigna
Setting
Facility
Modifier
Global
Typical Low
$8,128.31
Median
$9,772.37
Typical High
$19,054.61
Harvard Pilgrim
Setting
Facility
Modifier
Global
Typical Low
$10,471.29
Median
$10,471.29
Typical High
$10,471.29
United
Setting
Facility
Modifier
Global
Typical Low
$8,128.31
Median
$8,128.31
Typical High
$8,128.31