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
MS-DRG 42.00: SIMPLE PNEUMONIA AND PLEURISY WITH MCC
Scottsdale, AZ
See all hospitals reporting MS-DRG 193 →Price type
Banner Behavioral Health Hospital’s median price of $12.8k is 1% above the median hospital's median price ($12.7k), higher than 51% 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: 4 payers, 10 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 banner employee plans facility · fee schedule · inpatient | $12,786 | $12,786 | $12,786 – $12,786 |
| 2 | Aetna medicare advantage facility · fee schedule · inpatient | $12,786 | $12,786 | $12,786 – $12,786 |
| 3 | Bcbs Az medicare advantage facility · fee schedule · inpatient | $12,786 | $12,786 | $12,786 – $12,786 |
| 4 | Kaiser medicare advantage facility · fee schedule · inpatient | $12,786 | $12,786 | $12,786 – $12,786 |
| 5 | Devoted medicare advantage facility · fee schedule · inpatient | $13,425 | $13,425 | $13,425 – $13,425 |
| 6 | Bcbs Az bxbsaz neighborhood facility · case rate · inpatient | $15,428 | $15,428 | $15,428 – $15,428 |
| 7 | Bcbs Az bcbsaz alliance/blue hpn facility · case rate · inpatient | $16,456 | $16,456 | $16,456 – $16,456 |
| 8 | Bcbs Az bxbsaz alliance chs facility · case rate · inpatient | $17,279 | $17,279 | $17,279 – $17,279 |
| 9 | Aetna qualified health plan facility · fee schedule · inpatient | $17,389 | $17,389 | $17,389 – $17,389 |
| 10 | Bcbs Az medicare supplemental senior preferred facility · case rate · inpatient | $20,570 | $20,570 | $20,570 – $20,570 |
Last updated: Mar 2, 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.