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Simple Pneumonia and Pleurisy without Complications

South Dakota 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?

$6,607

Typical facility fee. In South Dakota, October 2026.

Insurers have agreed to pay about $6,607 for this service. Most negotiated rates run $4,677 to $7,244.

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 4 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $6,607 · 10th to 90th $4,571 to $10,965
$5K$10K$20Kfacility $6,607

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
$6,606.93
Median
$6,606.93
Typical High
$6,606.93
Cigna
Setting
Facility
Modifier
None
Typical Low
$6,606.93
Median
$7,079.46
Typical High
$22,387.21
Medica
Setting
Facility
Modifier
None
Typical Low
$4,570.88
Median
$6,456.54
Typical High
$10,715.19
United
Setting
Facility
Modifier
None
Typical Low
$4,570.88
Median
$6,456.54
Typical High
$10,715.19

Where South Dakota 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.

South Dakota· 45th of 51

$6,607

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.