go back

Simple Pneumonia and Pleurisy without Complications

Utah rates for MS-DRG 195

Simple Pneumonia and Pleurisy without CC/MCC

Rates data updated July 2026.

Facilitymedian $12,589 · 10th–90th $7,943$30,9030%10%10th90th$12,589$5.0K$10.0K$20.0K$50.0K$100.0K$200.0K

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
$8,912.51
Median
$12,589.25
Typical High
$30,902.95
Cigna
Setting
Facility
Modifier
Global
Typical Low
$9,332.54
Median
$13,182.57
Typical High
$18,620.87
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$7,244.36
Median
$10,471.29
Typical High
$12,589.25
Select Health
Setting
Facility
Modifier
Global
Typical Low
$5,754.40
Median
$6,760.83
Typical High
$13,803.84
United
Setting
Facility
Modifier
Global
Typical Low
$3,890.45
Median
$8,912.51
Typical High
$12,302.69