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
Covington, TN
See all hospitals reporting MS-DRG 193 →Price type
Baptist Memorial Hospital-Tipton’s median price of $18.9k is 50% above the median hospital's median price ($12.7k), higher than 84% 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, 21 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 | Blue Cross Blue Shield coverkids facility · case rate · inpatient | $3,322 | $3,322 | $3,322 – $3,322 |
| 2 | Blue Cross Blue Shield tenncare facility · case rate · inpatient | $3,600 | $3,600 | $3,600 – $3,600 |
| 3 | Blue Cross Blue Shield bluecare facility · case rate · inpatient | $6,664 | $6,664 | $6,664 – $6,664 |
| 4 | Blue Cross Blue Shield network e facility · case rate · inpatient | $9,678 | $9,678 | $9,678 – $9,678 |
| 5 | Humana ppo facility · case rate · inpatient | $10,351 | $10,351 | $10,351 – $10,351 |
| 6 | Blue Cross Blue Shield network l facility · case rate · inpatient | $10,753 | $10,753 | $10,753 – $10,753 |
| 7 | Blue Cross Blue Shield network s facility · case rate · inpatient | $12,205 | $12,205 | $12,205 – $12,205 |
| 8 | Blue Cross Blue Shield lppo facility · case rate · inpatient | $12,389 | $12,389 | $12,389 – $12,389 |
| 9 | Devoted medicare facility · case rate · inpatient | $12,389 | $12,389 | $12,389 – $12,389 |
| 10 | Blue Cross Blue Shield medicare facility · case rate · inpatient | $12,571 | $12,571 | $12,389 – $12,753 |
| 11 | Blue Cross Blue Shield trueblue individual metallic-level plan facility · case rate · inpatient | $12,729 | $12,729 | $12,729 – $12,729 |
| 12 | Aetna medicare facility · case rate · inpatient | $12,753 | $12,753 | $12,753 – $12,753 |
| 13 | Blue Cross Blue Shield dsnp facility · case rate · inpatient | $12,753 | $12,753 | $12,753 – $12,753 |
| 14 | Humana medicare facility · case rate · inpatient | $12,753 | $12,753 | $12,753 – $12,753 |
| 15 | Blue Cross Blue Shield firstsource ppo/healthadvantage hmo/preferred payment plan/trueblue exchange ppo/trueblue non-exchange ppo facility · case rate · inpatient | $16,076 | $16,076 | $16,076 – $16,076 |
| 16 | Oscar commercial facility · case rate · inpatient | $16,251 | $16,251 | $16,251 – $16,251 |
| 17 | Cigna local plus facility · case rate · inpatient | $17,335 | $17,335 | $17,335 – $17,335 |
| 18 | MultiPlan mpi primary network facility · case rate · inpatient | $17,586 | $17,586 | $17,586 – $17,586 |
| 19 | Cigna ppo facility · case rate · inpatient | $19,068 | $19,068 | $19,068 – $19,068 |
| 20 | Blue Cross Blue Shield network p facility · case rate · inpatient | $19,706 | $19,706 | $19,706 – $19,706 |
| 21 | Molina exchange facility · case rate · inpatient | $22,470 | $22,470 | $22,470 – $22,470 |
Last updated: Feb 27, 2026
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