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Simple Pneumonia and Pleurisy without Complications

Oregon rates for MS-DRG 195

Simple Pneumonia and Pleurisy without CC/MCC

Rates data updated July 2026.

Facilitymedian $14,454 · 10th–90th $8,318$21,8780%10%10th90th$14,454$200.0$1.0K$5.0K$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
$13,182.57
Median
$17,378.01
Typical High
$34,673.69
Cigna
Setting
Facility
Modifier
Global
Typical Low
$9,332.54
Median
$15,135.61
Typical High
$22,908.68
Kaiser Permanente
Setting
Facility
Modifier
Global
Typical Low
$199.53
Median
$199.53
Typical High
$251.19
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$10,000.00
Median
$13,489.63
Typical High
$21,877.62
Pacific Source
Setting
Facility
Modifier
Global
Typical Low
$8,128.31
Median
$10,964.78
Typical High
$13,803.84
Providence
Setting
Facility
Modifier
Global
Typical Low
$11,481.54
Median
$14,791.08
Typical High
$21,877.62
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$10,232.93
Median
$12,302.69
Typical High
$16,595.87
United
Setting
Facility
Modifier
Global
Typical Low
$6,456.54
Median
$14,125.38
Typical High
$16,982.44