go back

Washington rates for MS-DRG 195

Simple Pneumonia And Pleurisy Without Cc/Mcc

Facilitymedian $15,488 · 10th–90th $9,550–$26,3030%10%10th90th$15,488$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
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10,471.29 / $16,218.10 / $33,884.42
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7,585.78 / $11,220.18 / $15,135.61
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$9,120.11 / $13,489.63 / $20,417.38
Pacific Source
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8,128.31 / $10,964.78 / $13,182.57
Premera BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8,317.64 / $11,748.98 / $17,782.79
Regence BlueShield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7,585.78 / $12,302.69 / $16,595.87
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,888.44 / $12,589.25 / $18,197.01