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Simple Pneumonia and Pleurisy without Complications

New Mexico 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?

$5,370

Typical facility fee. In New Mexico, October 2026.

Insurers have agreed to pay about $5,370 for this service. Most negotiated rates run $3,981 to $9,772.

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 5 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $5,370 · 10th to 90th $2,692 to $10,965
$2K$5K$10Kfacility $5,370

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
$3,162.28
Median
$7,585.78
Typical High
$14,454.40
BCBS New Mexico
Setting
Facility
Modifier
None
Typical Low
$2,454.71
Median
$4,786.30
Typical High
$10,715.19
Cigna
Setting
Facility
Modifier
None
Typical Low
$3,981.07
Median
$5,495.41
Typical High
$10,232.93
Providence
Setting
Facility
Modifier
None
Typical Low
$3,981.07
Median
$4,897.79
Typical High
$9,772.37
United
Setting
Facility
Modifier
None
Typical Low
$3,162.28
Median
$7,079.46
Typical High
$11,220.18

Where New Mexico 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.

New Mexico· 49th of 51

$5,370

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.