MS-DRG 195

Simple pneumonia and pleurisy without CC/MCC

In plain words: Simple pneumonia and pleurisy without complications

Current code41 hospitals with prices

Title from CMS's list of Medicare Severity Diagnosis Related Groups (MS-DRGs).

What Washington hospitals publish for this code

Commercial insurance: Rate negotiated with a private insurer or employer plan, including exchange and public-option plans.

Prices for MS-DRG 195 by hospital
HospitalCommercial insurance rates (lowest – highest)Cash priceList price (before discounts)
Arbor Health Morton HospitalMortonFile dated 2026-05-18$8,357 – $37,9305 plans$7,402$11,939
Capital Medical CenterOlympiaFile dated 2026-08-27$8,600 – $16,21618 plans——
Deaconess Medical CenterSpokaneFile dated 2026-08-27$6,191 – $14,31214 plans——
Garfield County Public Hospital District #1PomeroyFile dated 2026-09-02$5,103 – $5,7037 plans$5,103$6,004
Harborview Medical CenterSeattleFile dated 2026-04-01$12,960 – $26,06712 plans——
Highline Medical CenterBurienFile dated 2026-02-28$7,962 – $15,49513 plans——
Island HospitalAnacortes$4,353 – $8,6118 plans——
Kadlec Regional Medical CenterRichlandFile dated 2026-04-01$5,294 – $16,8987 plans——
Legacy Salmon Creek Medical CenterVancouverFile dated 2026-04-01$8,672 – $17,28410 plans——
Lincoln HospitalDavenportFile dated 2026-09-14$11,547 – $19,80010 plans$12,226$13,585
Mary Bridge Children's HospitalTacomaFile dated 2026-08-27$11,926 – $35,82512 plans——
MultiCare Auburn Medical CenterAuburnFile dated 2026-08-27$9,679 – $18,29118 plans——
MultiCare Covington Medical CenterCovingtonFile dated 2026-08-27$9,679 – $18,29118 plans——
MultiCare Good Samaritan HospitalPuyallupFile dated 2026-08-27$9,679 – $18,29118 plans——
MultiCare Valley HospitalSpokane ValleyFile dated 2026-08-27$6,007 – $14,39714 plans——
Olympic Medical CenterPort AngelesFile dated 2026-06-24———
Overlake Hospital Medical Center & ClinicsBellevueFile dated 2026-04-01$5,924 – $16,03619 plans——
PeaceHealth Southwest Medical CenteVancouver$2,587 – $13,3065 plans——
PeaceHealth St John Medical CenterLongview$2,683 – $13,4162 plans——
PeaceHealth St Joseph Medical CenterBellingham$12,3781 plan——
Prov Sacred HRT Med Ctr & Childs Hosp.SpokaneFile dated 2026-04-01$10,488 – $16,80413 plans——
Providence Centralia HospitalCentraliaFile dated 2026-04-01$9,380 – $33,6318 plans——
Providence Holy Family HospitalSpokaneFile dated 2026-04-01$1,176 – $14,63315 plans——
Providence Regional Medical Center EverettEverettFile dated 2026-04-01$6,387 – $19,08919 plans——
Providence St Mary Medical CenterWalla WallaFile dated 2026-04-01$9,121 – $17,2938 plans——
Providence St Peter HospitalOlympiaFile dated 2026-04-01$10,391 – $20,25714 plans——
St Anthony HospitalGig HarborFile dated 2026-02-28$9,463 – $17,18117 plans——
St Clare HospitalLakewoodFile dated 2026-02-28$9,463 – $16,28017 plans——
St Elizabeth HospitalEnumclawFile dated 2026-02-28$8,207 – $15,52613 plans——
St Francis Community HospitalFederal WayFile dated 2026-02-28$9,463 – $16,28017 plans——
St Joseph Medical CenterTacomaFile dated 2026-02-28$9,463 – $16,28017 plans——
St Michael Medical CenterSilverdaleFile dated 2026-02-28$11,777 – $18,2608 plans——
Summit Pacific Medical CenterElmaFile dated 2026-08-31$4,6062 plans$3,109$5,757
Swedish Edmonds HospitalEdmondsFile dated 2026-04-01$6,318 – $19,80617 plans——
Swedish IssaquahIssaquahFile dated 2026-04-01$6,059 – $19,58317 plans——
Swedish Medical CenterSeattleFile dated 2026-04-01$7,194 – $22,62925 plans——
Swedish Medical Center / Cherry HillSeattleFile dated 2026-04-01$6,888 – $26,47819 plans——
Tacoma General Allenmore HospitalTacomaFile dated 2026-08-27$9,679 – $18,29118 plans——
University of Washington Medical CtrSeattleFile dated 2026-04-01$9,145 – $20,99214 plans——
WhidbeyHealth Medical CenterCoupeville—$66,212$66,212
Yakima Valley MemorialYakimaFile dated 2026-08-27$7,071 – $13,65816 plans——

Lowest and highest amounts each hospital lists for this code during a hospital stay, including lines it lists for both settings or without saying which. A doctor’s fee is shown separately when the hospital lists one with the code. “At least” means plans were counted in more than one group and some may be the same plan. This is one line of a bill; most care brings several.

Medicare (traditional) reference

Only for people on original Medicare. These are CMS’s 2026 amounts. They aren’t what private insurance or cash patients pay.

Relative weight (how Medicare pays this stay compared with an average one)
0.6062