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Wisconsin rates for MS-DRG 195

Simple Pneumonia And Pleurisy Without Cc/Mcc

Facilitymedian $11,482 · 10th–90th $6,310$16,5960%10%10th90th$11,482$100.0$500.0$2.0K$10.0K

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
$9,549.93 / $11,220.18 / $11,748.98
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6,918.31 / $12,022.64 / $17,378.01
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7,244.36 / $10,000.00 / $17,782.79
DeanCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8,317.64 / $9,332.54 / $12,022.64
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6,918.31 / $11,220.18 / $18,197.01
Quartz
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$104.71 / $7,244.36 / $9,332.54
Security Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10,471.29 / $12,882.50 / $13,489.63
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6,606.93 / $11,748.98 / $14,791.08