go back

Simple Pneumonia and Pleurisy without Complications

Washington rates for MS-DRG 195

Simple Pneumonia and Pleurisy without CC/MCC

Rates data updated July 2026.

Facilitymedian $14,125 · 10th–90th $8,318$20,8930%10%10th90th$14,125$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
$10,471.29
Median
$16,218.10
Typical High
$26,302.68
Asuris Northwest Health
Setting
Facility
Modifier
Global
Typical Low
$7,943.28
Median
$12,882.50
Typical High
$18,197.01
Cigna
Setting
Facility
Modifier
Global
Typical Low
$9,120.11
Median
$13,489.63
Typical High
$20,417.38
Pacific Source
Setting
Facility
Modifier
Global
Typical Low
$8,128.31
Median
$10,964.78
Typical High
$13,182.57
Premera BCBS
Setting
Facility
Modifier
Global
Typical Low
$8,317.64
Median
$11,748.98
Typical High
$17,782.79
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$9,120.11
Median
$12,882.50
Typical High
$17,378.01
United
Setting
Facility
Modifier
Global
Typical Low
$5,754.40
Median
$12,589.25
Typical High
$18,197.01