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
Duluth, MN
See all hospitals reporting MS-DRG 194 →Price type
Aspirus St. Luke’s Hospital’s median price of $6.6k is 20% below the median hospital's median price ($8.3k), higher than 22% 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: 8 payers, 27 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 | Bcbs Mn blue cross minnesota medicaid other · inpatient | $127.36 | $127.36 | $127.36 – $127.36 |
| 2 | Medica medica minnesota medicaid plans fee schedule · inpatient | $4,237 | $4,237 | $4,237 – $4,237 |
| 3 | Healthpartners healthpartners minnesota medicaid plans fee schedule · inpatient | $5,807 | $5,807 | $5,807 – $5,807 |
| 4 | Ucare ucare medicare advantage plans other · inpatient | $6,285 | $6,285 | $6,285 – $6,285 |
| 5 | Medica medica medicare advantage plans other · inpatient | $6,307 | $6,307 | $6,307 – $6,307 |
| 6 | UnitedHealthcare united healthcare medicare advantage plans other · inpatient | $6,410 | $6,410 | $6,410 – $6,410 |
| 7 | Bcbs Mn blue cross medicare advantage plans other · inpatient | $6,445 | $6,445 | $6,445 – $6,445 |
| 8 | Anthem anthem medicare advantage plans fee schedule · inpatient | $6,513 | $6,513 | $6,513 – $6,513 |
| 9 | Bcbs Mn blue cross medicare advantage plans fee schedule · inpatient | $6,513 | $6,513 | $6,513 – $6,513 |
| 10 | Medica medica medicare advantage plans fee schedule · inpatient | $6,513 | $6,513 | $6,513 – $6,513 |
| 11 | Ucare ucare medicare advantage plans fee schedule · inpatient | $6,513 | $6,513 | $6,513 – $6,513 |
| 12 | UnitedHealthcare united healthcare medicare advantage plans fee schedule · inpatient | $6,513 | $6,513 | $6,513 – $6,513 |
| 13 | UnitedHealthcare va community care network fee schedule · inpatient | $6,513 | $6,513 | $6,513 – $6,513 |
| 14 | Healthpartners healthpartners medicare advantage plans fee schedule · inpatient | $6,643 | $6,643 | $6,643 – $6,643 |
| 15 | Humana humana medicare ppo/pos/hmo network plans other · inpatient | $6,646 | $6,646 | $6,646 – $6,646 |
| 16 | Aetna medicare advantage esa fee schedule · inpatient | $6,708 | $6,708 | $6,708 – $6,708 |
| 17 | UnitedHealthcare va community care network other · inpatient | $6,728 | $6,728 | $6,728 – $6,728 |
| 18 | Humana humana medicare ppo/pos/hmo network plans fee schedule · inpatient | $6,838 | $6,838 | $6,838 – $6,838 |
| 19 | Ucare ucare minnesota medicaid plans other · inpatient | $6,909 | $6,909 | $6,909 – $6,909 |
| 20 | Bcbs Mn blue cross minnesota commercial plans other · inpatient | $7,811 | $7,811 | $7,811 – $7,811 |
| 21 | UnitedHealthcare united healthcare wisconsin medicaid plans other · inpatient | $7,865 | $7,865 | $7,865 – $7,865 |
| 22 | Anthem anthem blue commercial plans fee schedule · inpatient | $8,865 | $8,865 | $8,865 – $8,865 |
| 23 | Anthem anthem federal employee program fee schedule · inpatient | $8,865 | $8,865 | $8,865 – $8,865 |
| 24 | Medica medica commercial plans fee schedule · inpatient | $11,657 | $11,657 | $11,657 – $11,657 |
| 25 | Healthpartners health partners commercial ppo fee schedule · inpatient | $13,571 | $13,571 | $13,571 – $13,571 |
Last updated: Apr 1, 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.