go back

Pennsylvania rates for MS-DRG 195

Simple Pneumonia And Pleurisy Without Cc/Mcc

Facilitymedian $10,471 · 10th–90th $5,623$15,1360%10%10th90th$10,471$2.0K$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
$5,888.44 / $10,471.29 / $15,135.61
Capital Blue Cross
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8,511.38 / $13,803.84 / $22,908.68
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,754.40 / $10,232.93 / $15,488.17
Emblem Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10,964.78 / $10,964.78 / $13,489.63
Geisinger
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,495.41 / $10,964.78 / $14,125.38
Highmark BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,128.61 / $10,471.29 / $13,489.63
Martin's Point
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,623.41 / $10,232.93 / $14,791.08
UPMC Health Plan
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4,466.84 / $5,370.32 / $8,912.51
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,801.89 / $8,128.31 / $14,791.08