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 & PLEURISY WITH COMPLICATION
Martinsburg, WV
See all hospitals reporting MS-DRG 194 →Price type
City Hospital, Inc.’s median price of $6.5k is 23% below the median hospital's median price ($8.3k), higher than 20% 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, 15 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 student health facility · per diem · inpatient | $318.00 | $318.00 | $318.00 – $318.00 |
| 2 | Optum behavioral health facility · per diem · inpatient | $1,482 | $1,482 | $1,482 – $1,482 |
| 3 | Highmark chip facility · case rate · inpatient | $4,286 | $4,286 | $4,286 – $4,286 |
| 4 | Aetna better health va mgd medicaid facility · case rate · inpatient | $4,368 | $4,368 | $4,368 – $4,368 |
| 5 | Aetna Better Health chip facility · case rate · inpatient | $4,368 | $4,368 | $4,368 – $4,368 |
| 6 | Highmark mgd mcaid facility · case rate · inpatient | $5,104 | $5,104 | $5,104 – $5,104 |
| 7 | Aetna better health wv mgd medicaid facility · case rate · inpatient | $5,201 | $5,201 | $5,201 – $5,201 |
| 8 | Highmark all pla facility · other · inpatient | $6,389 | $6,389 | $6,389 – $6,389 |
| 9 | Highmark all plans facility · other · inpatient | $6,451 | $6,451 | $6,451 – $6,451 |
| 10 | Aetna all plans facility · other · inpatient | $6,514 | $6,514 | $6,514 – $6,514 |
| 11 | Humana all plans facility · other · inpatient | $6,514 | $6,514 | $6,514 – $6,514 |
| 12 | UnitedHealthcare all plans facility · other · inpatient | $6,762 | $6,762 | $6,762 – $6,762 |
| 13 | Caresource caresource oh exchange facility · other · inpatient | $9,305 | $9,305 | $9,305 – $9,305 |
| 14 | Blue Cross Blue Shield blue cross blue shield ppo facility · case rate · inpatient | $16,050 | $16,050 | $16,050 – $16,050 |
| 15 | UnitedHealthcare united healthcare facility · percent of total billed charges · inpatientfrom % of charges | $23,688 | $23,688 | $23,688 – $23,688 |
Last updated: Jul 9, 2026
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.