go back

Simple Pneumonia and Pleurisy without Complications

Texas rates for MS-DRG 195

Simple Pneumonia and Pleurisy without CC/MCC

Rates data updated July 2026.

Facilitymedian $8,128 · 10th–90th $4,074$14,7910%10%10th90th$8,128$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
Setting
Facility
Modifier
Global
Typical Low
$6,025.60
Median
$9,120.11
Typical High
$17,378.01
BCBS
Setting
Facility
Modifier
Global
Typical Low
$3,311.31
Median
$6,606.93
Typical High
$11,220.18
Cigna
Setting
Facility
Modifier
Global
Typical Low
$5,623.41
Median
$9,549.93
Typical High
$17,782.79
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$22,387.21
Median
$22,387.21
Typical High
$22,387.21
Providence
Setting
Facility
Modifier
Global
Typical Low
$5,623.41
Median
$8,128.31
Typical High
$19,952.62
United
Setting
Facility
Modifier
Global
Typical Low
$4,073.80
Median
$7,413.10
Typical High
$16,218.10