Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.
Original text from hospital filings
SIMPLE PNEUMONIA AND PLEURISY WITH CC
Tulare, CA
See all hospitals reporting MS-DRG 194 →Price type
Adventist Health Tulare’s median price of $12.7k is 53% above the median hospital's median price ($8.3k), higher than 84% of the 2,323 hospitals reporting MS-DRG 194. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 6 payers, 14 plan rates. A facility fee, a professional fee, a per diem and a case rate are different bills, so each is listed on its own. Open a payer to see it across hospitals.
Filter by billing methodology
Filter by billing class
| # | ||||
|---|---|---|---|---|
| 1 | Blue Cross Blue Shield tricare blue shield-all plans case rate · inpatient | $8,287 | $8,287 | $8,287 – $8,287 |
| 2 | UnitedHealthcare uhc mcr adv case rate · inpatient | $8,287 | $8,287 | $8,287 – $8,287 |
| 3 | Blue Cross Blue Shield blue shield epn per diem · inpatient | $8,658 | $8,658 | $8,658 – $8,658 |
| 4 | UnitedHealthcare uhc jll per diem · inpatient | $10,182 | $10,182 | $10,182 – $10,182 |
| 5 | Blue Cross Blue Shield blue shield mcare case rate · inpatient | $10,283 | $10,283 | $10,283 – $10,283 |
| 6 | UnitedHealthcare uhc all payer - all other plans per diem · inpatient | $10,719 | $10,719 | $10,719 – $10,719 |
| 7 | Blue Cross Blue Shield blue shield-all other plans per diem · inpatient | $12,024 | $12,024 | $12,024 – $12,024 |
| 8 | Aetna aetna-all plans per diem · inpatient | $12,354 | $12,354 | $12,354 – $12,354 |
| 9 | Cigna cigna-all plans per diem · inpatient | $13,085 | $13,085 | $13,085 – $13,085 |
| 10 | Medicaid medi-cal percent of total billed charges · inpatientfrom % of charges | $16,858 | $16,858 | $16,858 – $16,858 |
| 11 | Blue Cross Blue Shield blue cross mcal percent of total billed charges · inpatientfrom % of charges | $19,674 | $19,674 | $19,674 – $19,674 |
| 12 | Blue Cross Blue Shield blue cross exchange per diem · inpatient | $20,586 | $20,586 | $20,586 – $20,586 |
| 13 | Blue Cross Blue Shield blue cross non mcs - all other plans per diem · inpatient | $23,112 | $23,112 | $23,112 – $23,112 |
| 14 | MultiPlan multiplan - all plans percent of total billed charges · inpatientfrom % of charges | $30,041 | $30,041 | $30,041 – $30,041 |
Last updated: May 22, 2026
See Simple pneumonia or pleurisy hospital stay with a complicating condition pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.