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
Gilbert, AZ
See all hospitals reporting MS-DRG 193 →Price type
Banner Gateway Medical Center’s median price of $13.7k is 9% above the median hospital's median price ($12.7k), higher than 62% 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, 26 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 | Cigna hmo medicare advantage plans facility · fee schedule · inpatient | $12,786 | $12,786 | $12,786 – $12,786 |
| 5 | Cigna ppo medicare advantage plan facility · fee schedule · inpatient | $12,786 | $12,786 | $12,786 – $12,786 |
| 6 | Kaiser medicare advantage facility · fee schedule · inpatient | $12,786 | $12,786 | $12,786 – $12,786 |
| 7 | UnitedHealthcare uhc medicare advantage facility · fee schedule · inpatient | $12,786 | $12,786 | $12,786 – $12,786 |
| 8 | Humana medicare advantage facility · fee schedule · inpatient | $12,978 | $12,978 | $12,786 – $13,169 |
| 9 | Devoted medicare advantage facility · fee schedule · inpatient | $13,425 | $13,425 | $13,425 – $13,425 |
| 10 | Aetna qualified health plan facility · fee schedule · inpatient | $17,389 | $17,389 | $17,389 – $17,389 |
| 11 | UnitedHealthcare individual exchange facility · fee schedule · inpatient | $17,900 | $17,900 | $17,900 – $17,900 |
| 12 | Oscar commercial facility · fee schedule · inpatient | $21,096 | $21,096 | $21,096 – $21,096 |
| 13 | Bcbs Az bxbsaz neighborhood facility · case rate · inpatient | $21,138 | $21,138 | $21,138 – $21,138 |
| 14 | Bcbs Az bcbsaz alliance/blue hpn facility · case rate · inpatient | $22,547 | $22,547 | $22,547 – $22,547 |
| 15 | Bcbs Az bxbsaz alliance chs facility · case rate · inpatient | $23,674 | $23,674 | $23,674 – $23,674 |
| 16 | Bcbs Az medicare supplemental senior preferred facility · case rate · inpatient | $26,252 | $26,252 | $24,319 – $28,184 |
| 17 | Aetna joint venture facility · case rate · inpatient | $28,049 | $28,049 | $28,049 – $28,049 |
| 18 | Bcbs Az bcbsaz workers comp facility · case rate · inpatient | $28,184 | $28,184 | $28,184 – $28,184 |
| 19 | Bcbs Az commercial facility · case rate · inpatient | $28,184 | $28,184 | $28,184 – $28,184 |
| 20 | Aetna designated group facility · case rate · inpatient | $29,802 | $29,802 | $29,802 – $29,802 |
| 21 | UnitedHealthcare uhc doctor's plan facility · case rate · inpatient | $31,763 | $31,763 | $31,763 – $31,763 |
| 22 | UnitedHealthcare uhc core facility · case rate · inpatient | $33,196 | $33,196 | $33,196 – $33,196 |
| 23 | UnitedHealthcare commercial facility · case rate · inpatient | $34,943 | $34,943 | $34,943 – $34,943 |
| 24 | Aetna broad network facility · case rate · inpatient | $35,061 | $35,061 | $35,061 – $35,061 |
| 25 | Cigna localflex facility · case rate · inpatient | $35,893 | $35,893 | $35,893 – $35,893 |
Last updated: May 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.