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
Tucson, AZ
See all hospitals reporting MS-DRG 193 →Price type
Banner University Medical Center Tucson’s median price of $15.0k is 19% above the median hospital's median price ($12.7k), higher than 70% 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, 23 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 medicare advantage facility · fee schedule · inpatient | $14,291 | $14,291 | $14,291 – $14,291 |
| 2 | Bcbs Az medicare advantage facility · fee schedule · inpatient | $14,291 | $14,291 | $14,291 – $14,291 |
| 3 | Cigna hmo medicare advantage plans facility · fee schedule · inpatient | $14,291 | $14,291 | $14,291 – $14,291 |
| 4 | Cigna ppo medicare advantage plan facility · fee schedule · inpatient | $14,291 | $14,291 | $14,291 – $14,291 |
| 5 | Kaiser medicare advantage facility · fee schedule · inpatient | $14,291 | $14,291 | $14,291 – $14,291 |
| 6 | UnitedHealthcare uhc medicare advantage facility · fee schedule · inpatient | $14,291 | $14,291 | $14,291 – $14,291 |
| 7 | Humana medicare advantage facility · fee schedule · inpatient | $14,505 | $14,505 | $14,291 – $14,719 |
| 8 | Devoted medicare advantage facility · fee schedule · inpatient | $15,005 | $15,005 | $15,005 – $15,005 |
| 9 | Aetna joint venture facility · case rate · inpatient | $17,080 | $17,080 | $17,080 – $17,080 |
| 10 | Aetna banner employee plans facility · fee schedule · inpatient | $17,863 | $17,863 | $17,863 – $17,863 |
| 11 | Aetna designated group facility · case rate · inpatient | $19,215 | $19,215 | $19,215 – $19,215 |
| 12 | Aetna broad network facility · case rate · inpatient | $21,349 | $21,349 | $21,349 – $21,349 |
| 13 | UnitedHealthcare commercial facility · case rate · inpatient | $23,048 | $23,048 | $23,048 – $23,048 |
| 14 | Oscar commercial facility · fee schedule · inpatient | $23,579 | $23,579 | $23,579 – $23,579 |
| 15 | Cigna commerical/hmo benefit plan/local flex plan/network benefit plan/open access plan facility · case rate · inpatient | $24,099 | $24,099 | $24,099 – $24,099 |
| 16 | Bcbs Az bcbsaz alliance/blue hpn facility · case rate · inpatient | $24,319 | $24,319 | $24,319 – $24,319 |
| 17 | Bcbs Az bcbsaz workers comp facility · case rate · inpatient | $24,319 | $24,319 | $24,319 – $24,319 |
| 18 | Bcbs Az bxbsaz alliance chs facility · case rate · inpatient | $24,319 | $24,319 | $24,319 – $24,319 |
| 19 | Bcbs Az bxbsaz neighborhood facility · case rate · inpatient | $24,319 | $24,319 | $24,319 – $24,319 |
| 20 | Bcbs Az commercial facility · case rate · inpatient | $24,319 | $24,319 | $24,319 – $24,319 |
| 21 | Bcbs Az medicare supplemental senior preferred facility · case rate · inpatient | $24,319 | $24,319 | $24,319 – $24,319 |
| 22 | Aetna qualified health plan facility · fee schedule · inpatient | $24,351 | $24,351 | $24,351 – $24,351 |
| 23 | UnitedHealthcare individual exchange facility · fee schedule · inpatient | $25,009 | $25,009 | $25,009 – $25,009 |
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.