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 MCC
Hazard, KY
See all hospitals reporting MS-DRG 193 →Price type
Appalachian Regional Healthcare, Inc.’s median price of $11.7k is 8% below the median hospital's median price ($12.7k), higher than 39% of the 2,322 hospitals reporting MS-DRG 193. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 8 payers, 13 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.
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| # | ||||
|---|---|---|---|---|
| 1 | Aetna Better Health medicaid case rate · inpatient | $10,587 | $10,587 | $10,587 – $10,587 |
| 2 | WellCare medicaid case rate · inpatient | $10,587 | $10,587 | $10,587 – $10,587 |
| 3 | Anthem medicaid case rate · inpatient | $11,145 | $11,145 | $11,145 – $11,145 |
| 4 | Humana medicaid case rate · inpatient | $11,145 | $11,145 | $11,145 – $11,145 |
| 5 | Molina medicaid case rate · inpatient | $11,368 | $11,368 | $11,368 – $11,368 |
| 6 | Aetna medicare case rate · inpatient | $11,660 | $11,660 | $11,660 – $11,660 |
| 7 | Anthem medicare advantage case rate · inpatient | $11,660 | $11,660 | $11,660 – $11,660 |
| 8 | Humana medicare case rate · inpatient | $11,660 | $11,660 | $11,660 – $11,660 |
| 9 | Optum veterans affairs plan case rate · inpatient | $11,660 | $11,660 | $11,660 – $11,660 |
| 10 | UnitedHealthcare medicare case rate · inpatient | $11,660 | $11,660 | $11,660 – $11,660 |
| 11 | WellCare medicare case rate · inpatient | $11,660 | $11,660 | $11,660 – $11,660 |
| 12 | UnitedHealthcare commercial case rate · inpatient | $17,886 | $17,886 | $17,886 – $17,886 |
| 13 | Anthem commercial case rate · inpatient | $17,980 | $17,980 | $17,519 – $18,441 |
Last updated: Jan 1, 2026
See Simple pneumonia or pleurisy hospital stay with a major complication or comorbidity pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.