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
SIMPLE PNEUMONIA AND PLEURISY WITH CC
Charlotte, NC
See all hospitals reporting MS-DRG 194 →Price type
Carolinas Medical Center’s median price of $8.9k is 7% above the median hospital's median price ($8.3k), higher than 59% of the 2,323 hospitals reporting MS-DRG 194. 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, 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 | Bcbs Nc local group commercial percent of total billed charges · inpatientfrom % of charges | $5,319 | $5,319 | $5,319 – $5,319 |
| 2 | Bcbs Nc local individual commercial percent of total billed charges · inpatientfrom % of charges | $5,614 | $5,614 | $5,614 – $5,614 |
| 3 | Bcbs Nc hmo-ppo managed care percent of total billed charges · inpatientfrom % of charges | $6,999 | $6,999 | $6,999 – $6,999 |
| 4 | UnitedHealthcare managed medicaid case rate · inpatient | $8,310 | $8,310 | $8,310 – $8,310 |
| 5 | WellCare managed medicaid case rate · inpatient | $8,816 | $8,816 | $8,816 – $8,816 |
| 6 | Amerihealth Caritas managed medicaid case rate · inpatient | $8,904 | $8,904 | $8,904 – $8,904 |
| 7 | Molina managed medicaid case rate · inpatient | $9,632 | $9,632 | $9,632 – $9,632 |
| 8 | Humana medicare advantage case rate · inpatient | $12,066 | $12,066 | $12,066 – $12,066 |
| 9 | Aetna medicare advantage case rate · inpatient | $12,243 | $12,243 | $12,243 – $12,243 |
| 10 | Cigna Healthspring medicare advantage case rate · inpatient | $12,420 | $12,420 | $12,420 – $12,420 |
| 11 | UnitedHealthcare medicare advantage case rate · inpatient | $12,457 | $12,457 | $12,457 – $12,457 |
Last updated: Dec 5, 2025
See Simple pneumonia or pleurisy hospital stay with a complicating condition pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.