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 McC
Durham, NC
See all hospitals reporting MS-DRG 193 →Price type
Duke Regional Hospital’s median price of $12.1k is 4% below the median hospital's median price ($12.7k), higher than 44% 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: 6 payers, 16 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 whole health facility · other · inpatient | $5,806 | $5,806 | $5,806 – $5,806 |
| 2 | Aetna commercial/hmo/ppo/pos facility · other · inpatient | $6,150 | $6,150 | $6,150 – $6,150 |
| 3 | Humana choicecare facility · percent of total billed charges · inpatientfrom % of charges | $7,381 | $7,381 | $7,381 – $7,381 |
| 4 | Blue Cross Blue Shield medicare advantage/medicare advantage hmo/medicare advantage ppo facility · other · inpatient | $7,877 | $7,877 | $7,877 – $7,877 |
| 5 | Cigna medicare advantage facility · case rate · inpatient | $8,857 | $8,857 | $8,857 – $8,857 |
| 6 | Cigna connect facility · other · inpatient | $9,109 | $9,109 | $9,109 – $9,109 |
| 7 | Medcost ultra facility · percent of total billed charges · inpatientfrom % of charges | $11,386 | $11,386 | $11,386 – $11,386 |
| 8 | Aetna medicare advantage hmo facility · other · inpatient | $11,437 | $11,437 | $11,437 – $11,437 |
| 9 | Aetna medicare advantage ppo facility · other · inpatient | $12,100 | $12,100 | $12,100 – $12,100 |
| 10 | Humana medicare advantage facility · other · inpatient | $12,155 | $12,155 | $12,155 – $12,155 |
| 11 | UnitedHealthcare medicare advantage facility · other · inpatient | $12,170 | $12,170 | $12,170 – $12,170 |
| 12 | UnitedHealthcare managed medicaid facility · case rate · inpatient | $12,986 | $12,986 | $12,986 – $12,986 |
| 13 | Blue Cross Blue Shield managed medicaid facility · case rate · inpatient | $14,526 | $14,526 | $14,526 – $14,526 |
| 14 | Blue Cross Blue Shield commercial/hmo/ppo/select facility · case rate · inpatient | $14,882 | $14,882 | $14,882 – $14,882 |
| 15 | Cigna commercial/hmo/ppo facility · other · inpatient | $15,407 | $15,407 | $15,407 – $15,407 |
| 16 | UnitedHealthcare commercial/epo/ppo facility · case rate · inpatient | $25,468 | $25,468 | $25,468 – $25,468 |
Last updated: Apr 1, 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.