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Ohio rates for MS-DRG 195

Simple Pneumonia And Pleurisy Without Cc/Mcc

Facilitymedian $8,710 · 10th–90th $5,623$12,3030%10%10th90th$8,710$5.0K$10.0K$20.0K

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
$6,456.54 / $9,120.11 / $14,125.38
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,248.07 / $7,762.47 / $11,748.98
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6,025.60 / $9,549.93 / $13,489.63
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6,025.60 / $8,912.51 / $13,182.57
SummaCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,801.89 / $6,456.54 / $10,000.00
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,370.32 / $8,912.51 / $14,125.38