Respiratory

How Much Does Pneumonia Treatment Cost?

Pneumonia is an infection that inflames the air sacs in one or both lungs, which may fill with fluid or pus. It can be caused by bacteria, viruses, or fungi. Symptoms include cough with phlegm, fever, chills, and difficulty breathing.

Mild
$500 — $2.0K
Moderate
$8.0K — $25K
Severe
$30K — $100K
Estimated Total Procedure-Based Cost
$99 — $164
Based on common procedures at commercial insurance rates (1.5x-2.5x Medicare)

Treatment Cost Breakdown

Diagnosis & Acute Treatment

3 procedures
$99 — $164
Complete Blood Count (CBC) with Differential
Complete blood cell count (red cells, white blood cell, platelets), automated
CPT 85025
$12 — $19
Medicare: $8
Screening Test for Pathogenic Organisms
Screening test for pathogenic organisms
CPT 87081
$10 — $17
Medicare: $7
Amplifed Dna or Rna Probe Detection of Severe Acute Respiratory Syndrome
Amplifed DNA or RNA probe detection of severe acute respiratory syndrome
CPT 87635
$77 — $128
Medicare: $51

Questions to Ask Your Doctor About Costs

Before your appointment, ask these questions to avoid surprise bills

  • "What is the total estimated cost for my Pneumonia treatment, including all follow-up visits?"
  • "Are there less expensive treatment alternatives that would be equally effective?"
  • "Can any of these procedures be done in an outpatient or office setting instead of a hospital?"
  • "Will all the providers involved in my care (anesthesiologist, radiologist, etc.) be in-network?"
  • "Do you offer payment plans or financial assistance for patients?"
  • "What will my insurance cover, and what is my estimated out-of-pocket responsibility?"

Frequently Asked Questions

How much does Pneumonia treatment cost?

Treatment for Pneumonia typically costs $8.0K — $25K depending on severity and location.

Does insurance cover Pneumonia treatment?

Most health insurance plans cover medically necessary treatment for Pneumonia. Your out-of-pocket cost depends on your deductible, copay, and whether you use in-network providers.

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