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Virginia rates for MS-DRG 195

Simple Pneumonia And Pleurisy Without Cc/Mcc

Facilitymedian $11,749 · 10th–90th $7,586$18,1970%10%20%10th90th$11,749$1.0K$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
$7,079.46 / $10,964.78 / $12,882.50
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7,943.28 / $11,748.98 / $15,848.93
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7,079.46 / $11,748.98 / $16,218.10
Sentara
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8,709.64 / $12,022.64 / $19,952.62
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4,073.80 / $8,912.51 / $16,982.44