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Simple Pneumonia and Pleurisy without Complications

West Virginia rates for MS-DRG 195

Simple Pneumonia and Pleurisy without CC/MCC

Rates data updated July 2026.

Facilitymedian $5,888 · 10th–90th $4,571$10,7150%20%10th90th$5,888$2.0K$5.0K$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. Small sample; interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$5,888.44
Median
$5,888.44
Typical High
$5,888.44
Cigna
Setting
Facility
Modifier
Global
Typical Low
$6,606.93
Median
$8,709.64
Typical High
$12,022.64
Highmark BCBS
Setting
Facility
Modifier
Global
Typical Low
$6,606.93
Median
$8,317.64
Typical High
$12,302.69
United
Setting
Facility
Modifier
Global
Typical Low
$4,265.80
Median
$4,677.35
Typical High
$8,709.64