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Simple Pneumonia and Pleurisy without Complications

Ohio rates for MS-DRG 195

Simple Pneumonia and Pleurisy without CC/MCC

Rates data updated July 2026.

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
Setting
Facility
Modifier
Global
Typical Low
$7,413.10
Median
$10,000.00
Typical High
$12,302.69
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$5,248.07
Median
$7,762.47
Typical High
$11,748.98
Cigna
Setting
Facility
Modifier
Global
Typical Low
$6,025.60
Median
$9,549.93
Typical High
$13,489.63
Medical Mutual of Ohio
Setting
Facility
Modifier
Global
Typical Low
$6,025.60
Median
$8,912.51
Typical High
$13,182.57
SummaCare
Setting
Facility
Modifier
Global
Typical Low
$2,511.89
Median
$4,897.79
Typical High
$12,302.69
United
Setting
Facility
Modifier
Global
Typical Low
$5,011.87
Median
$8,912.51
Typical High
$14,125.38