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
Payson, AZ
See all hospitals reporting MS-DRG 193 →Price type
Banner Payson Medical Center’s median price of $27.0k is 113% above the median hospital's median price ($12.7k), higher than 95% 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: 2 payers, 7 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.
Filter by billing methodology
Filter by billing class
| # | ||||
|---|---|---|---|---|
| 1 | Aetna banner employee plans facility · per diem · inpatient | $3,708 | $3,708 | $3,708 – $3,708 |
| 2 | Bcbs Az bcbsaz alliance/blue hpn facility · case rate · inpatient | $27,002 | $27,002 | $27,002 – $27,002 |
| 3 | Bcbs Az bcbsaz medicare facility · case rate · inpatient | $27,002 | $27,002 | $27,002 – $27,002 |
| 4 | Bcbs Az bxbsaz alliance chs facility · case rate · inpatient | $27,002 | $27,002 | $27,002 – $27,002 |
| 5 | Bcbs Az bxbsaz neighborhood facility · case rate · inpatient | $27,002 | $27,002 | $27,002 – $27,002 |
| 6 | Bcbs Az commercial facility · case rate · inpatient | $27,002 | $27,002 | $27,002 – $27,002 |
| 7 | Bcbs Az bcbsaz workers comp facility · case rate · inpatient | $40,099 | $40,099 | $40,099 – $40,099 |
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.