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Texas rates for MS-DRG 195

Simple Pneumonia And Pleurisy Without Cc/Mcc

Facilitymedian $8,511 · 10th–90th $4,074$14,7910%10%10th90th$8,511$2.0K$5.0K$10.0K$20.0K$50.0K

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
$6,456.54 / $9,120.11 / $14,791.08
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,311.31 / $6,606.93 / $11,220.18
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,623.41 / $9,549.93 / $17,782.79
Lucent Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$22,387.21 / $22,387.21 / $22,387.21
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,467.37 / $8,912.51 / $14,791.08
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,623.41 / $8,128.31 / $19,952.62
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4,168.69 / $7,585.78 / $16,595.87