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Simple Pneumonia and Pleurisy without Complications

Tennessee 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?

$7,244

Typical facility fee. In Tennessee, October 2026.

Insurers have agreed to pay about $7,244 for this service. Most negotiated rates run $5,370 to $9,772.

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 5 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $7,244 · 10th to 90th $4,266 to $12,882
$2K$5K$10K$20Kfacility $7,244

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

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$5,248.07
Median
$10,964.78
Typical High
$33,113.11
Ambetter
Setting
Facility
Modifier
None
Typical Low
$17,782.79
Median
$17,782.79
Typical High
$17,782.79
BCBS Tennessee
Setting
Facility
Modifier
None
Typical Low
$4,073.80
Median
$5,754.40
Typical High
$8,709.64
Cigna
Setting
Facility
Modifier
None
Typical Low
$5,370.32
Median
$8,511.38
Typical High
$34,673.69
United
Setting
Facility
Modifier
None
Typical Low
$3,890.45
Median
$8,317.64
Typical High
$12,022.64

Where Tennessee 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.

Tennessee· 42nd of 51

$7,244

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.