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
Phoenix, AZ
See all hospitals reporting MS-DRG 193 →Price type
Banner University Medical Center Phoenix’s median price of $14.7k is 16% above the median hospital's median price ($12.7k), higher than 69% 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, 24 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 medicare advantage facility · fee schedule · inpatient | $13,144 | $13,144 | $13,144 – $13,144 |
| 2 | Bcbs Az medicare advantage facility · fee schedule · inpatient | $13,144 | $13,144 | $13,144 – $13,144 |
| 3 | Kaiser medicare advantage facility · fee schedule · inpatient | $13,144 | $13,144 | $13,144 – $13,144 |
| 4 | UnitedHealthcare medicare advantage facility · fee schedule · inpatient | $13,144 | $13,144 | $13,144 – $13,144 |
| 5 | Humana medicare advantage facility · fee schedule · inpatient | $13,539 | $13,539 | $13,539 – $13,539 |
| 6 | Devoted medicare advantage facility · fee schedule · inpatient | $13,802 | $13,802 | $13,802 – $13,802 |
| 7 | Aetna banner employee plans facility · fee schedule · inpatient | $14,722 | $14,722 | $14,722 – $14,722 |
| 8 | Aetna qualified health plan facility · fee schedule · inpatient | $20,150 | $20,150 | $20,150 – $20,150 |
| 9 | UnitedHealthcare individual exchange facility · fee schedule · inpatient | $20,768 | $20,768 | $20,768 – $20,768 |
| 10 | Oscar commercial facility · fee schedule · inpatient | $21,688 | $21,688 | $21,688 – $21,688 |
| 11 | Bcbs Az bxbsaz neighborhood facility · case rate · inpatient | $24,695 | $24,695 | $24,695 – $24,695 |
| 12 | Bcbs Az bcbsaz alliance/blue hpn facility · case rate · inpatient | $26,341 | $26,341 | $26,341 – $26,341 |
| 13 | Aetna joint venture facility · case rate · inpatient | $26,714 | $26,714 | $26,714 – $26,714 |
| 14 | Bcbs Az bxbsaz alliance chs facility · case rate · inpatient | $27,658 | $27,658 | $27,658 – $27,658 |
| 15 | Aetna designated group facility · case rate · inpatient | $28,383 | $28,383 | $28,383 – $28,383 |
| 16 | UnitedHealthcare uhc doctor's plan facility · case rate · inpatient | $31,763 | $31,763 | $31,763 – $31,763 |
| 17 | Bcbs Az bcbsaz workers comp facility · case rate · inpatient | $32,926 | $32,926 | $32,926 – $32,926 |
| 18 | Bcbs Az commercial facility · case rate · inpatient | $32,926 | $32,926 | $32,926 – $32,926 |
| 19 | Bcbs Az medicare supplemental senior preferred facility · case rate · inpatient | $32,926 | $32,926 | $32,926 – $32,926 |
| 20 | UnitedHealthcare uhc core facility · case rate · inpatient | $33,196 | $33,196 | $33,196 – $33,196 |
| 21 | Aetna broad network facility · case rate · inpatient | $33,392 | $33,392 | $33,392 – $33,392 |
| 22 | UnitedHealthcare commercial facility · case rate · inpatient | $34,943 | $34,943 | $34,943 – $34,943 |
| 23 | Cigna localflex facility · case rate · inpatient | $35,893 | $35,893 | $35,893 – $35,893 |
| 24 | Cigna commercial facility · case rate · inpatient | $39,880 | $39,880 | $39,880 – $39,880 |
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.