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Simple Pneumonia and Pleurisy without Complications

Virginia rates for MS-DRG 195

Simple Pneumonia and Pleurisy without CC/MCC

Rates data updated July 2026.

Facilitymedian $11,482 · 10th–90th $7,762$18,1970%10%10th90th$11,482$1.0K$2.0K$5.0K$10.0K$20.0K

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
$8,709.64
Median
$10,715.19
Typical High
$12,589.25
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$7,943.28
Median
$11,748.98
Typical High
$15,848.93
Cigna
Setting
Facility
Modifier
Global
Typical Low
$7,079.46
Median
$11,748.98
Typical High
$16,218.10
Sentara
Setting
Facility
Modifier
Global
Typical Low
$8,709.64
Median
$11,748.98
Typical High
$19,952.62
United
Setting
Facility
Modifier
Global
Typical Low
$4,073.80
Median
$8,912.51
Typical High
$17,378.01