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Simple Pneumonia and Pleurisy without Complications

Rhode Island rates for MS-DRG 195

Simple Pneumonia and Pleurisy without CC/MCC

Rates data updated October 2026.

How much does Simple Pneumonia and Pleurisy without Complications cost?

$10,000

Typical facility fee. In Rhode Island, October 2026.

Insurers have agreed to pay about $10,000 for this service. Most negotiated rates run $8,913 to $13,183.

Few insurers publish rates for this combination, so treat this figure as a rough guide.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 3 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $10,000 · 10th to 90th $7,586 to $14,791
$10Kfacility $10,000

Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$9,332.54
Median
$9,332.54
Typical High
$14,791.08
Cigna
Setting
Facility
Modifier
None
Typical Low
$10,000.00
Median
$13,182.57
Typical High
$17,378.01
United
Setting
Facility
Modifier
None
Typical Low
$7,079.46
Median
$8,912.51
Typical High
$10,715.19

Where Rhode Island sits

The same service costs 74.1 times more in Michigan than in Hawaii. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Rhode Island· 26th of 51

$10,000

MI $20,417HI $275

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.