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
Loveland, CO
See all hospitals reporting MS-DRG 193 →Price type
Banner North Colorado Medical Center - Loveland Campus’s median price of $12.8k is about the same as 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: 7 payers, 11 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 | UnitedHealthcare uhc medicare advantage facility · fee schedule · inpatient | $11,801 | $11,801 | $11,801 – $11,801 |
| 2 | Anthem medicare facility · fee schedule · inpatient | $12,166 | $12,166 | $12,166 – $12,166 |
| 3 | Medica medicare advantage facility · fee schedule · inpatient | $12,166 | $12,166 | $12,166 – $12,166 |
| 4 | Medicare traditional medicare facility · fee schedule · inpatient | $12,166 | $12,166 | $12,166 – $12,166 |
| 5 | Humana medicare advantage facility · fee schedule · inpatient | $12,531 | $12,531 | $12,531 – $12,531 |
| 6 | Devoted medicare advantage facility · fee schedule · inpatient | $12,774 | $12,774 | $12,774 – $12,774 |
| 7 | UnitedHealthcare unitedhealthcare navigate/colorado doctors plan colorado option facility · case rate · inpatient | $20,505 | $20,505 | $20,505 – $20,505 |
| 8 | UnitedHealthcare uhc colorado doctors plan facility · case rate · inpatient | $31,799 | $31,799 | $31,799 – $31,799 |
| 9 | UnitedHealthcare uhc exchange facility · case rate · inpatient | $39,748 | $39,748 | $39,748 – $39,748 |
| 10 | UnitedHealthcare commercial facility · case rate · inpatient | $44,164 | $44,164 | $44,164 – $44,164 |
| 11 | Aetna commercial facility · case rate · inpatient | $47,983 | $47,983 | $47,983 – $47,983 |
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.