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Simple Pneumonia and Pleurisy without Complications

New York rates for MS-DRG 195

Simple Pneumonia and Pleurisy without CC/MCC

Rates data updated July 2026.

Facilitymedian $15,849 · 10th–90th $6,026$24,5470%10%10th90th$15,849$2.0K$5.0K$10.0K$20.0K$50.0K

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
$5,011.87
Median
$11,748.98
Typical High
$20,892.96
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$13,182.57
Median
$20,892.96
Typical High
$25,703.96
Cigna
Setting
Facility
Modifier
Global
Typical Low
$11,748.98
Median
$16,982.44
Typical High
$21,379.62
Emblem Health
Setting
Facility
Modifier
Global
Typical Low
$7,943.28
Median
$15,488.17
Typical High
$32,359.37
Highmark BCBS
Setting
Facility
Modifier
Global
Typical Low
$6,165.95
Median
$6,165.95
Typical High
$6,165.95
United
Setting
Facility
Modifier
Global
Typical Low
$4,897.79
Median
$13,182.57
Typical High
$20,892.96