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New York rates for MS-DRG 195

Simple Pneumonia And Pleurisy Without Cc/Mcc

Facilitymedian $14,791 · 10th–90th $5,012$24,5470%10%10th90th$14,791$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
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4,786.30 / $11,748.98 / $24,547.09
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$13,182.57 / $19,952.62 / $25,703.96
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$11,748.98 / $16,982.44 / $21,379.62
Emblem Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7,943.28 / $15,488.17 / $38,904.51
Highmark BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6,165.95 / $6,165.95 / $6,165.95
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,128.61 / $13,803.84 / $20,892.96