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
Edina, MN
See all hospitals reporting MS-DRG 193 →Price type
Fairview Health Services’s median price of $10.9k is 14% below the median hospital's median price ($12.7k), higher than 29% 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, 17 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 | Medica managed medicaid/accessability case rate · inpatient | $5,752 | $5,752 | $5,752 – $5,752 |
| 2 | Medica msho/medicare advantage snp case rate · inpatient | $10,264 | $10,264 | $10,264 – $10,264 |
| 3 | Sanford Health Plan medicare advantage case rate · inpatient | $10,264 | $10,264 | $10,264 – $10,264 |
| 4 | UnitedHealthcare medicare advantage case rate · inpatient | $10,264 | $10,264 | $10,264 – $10,264 |
| 5 | WellCare medicare advantage case rate · inpatient | $10,264 | $10,264 | $10,264 – $10,264 |
| 6 | Ucare medicare advantage/msho case rate · inpatient | $10,469 | $10,469 | $10,469 – $10,469 |
| 7 | Bcbs Mn medicare advantage case rate · inpatient | $10,675 | $10,675 | $10,675 – $10,675 |
| 8 | Medica medicare advantage non-snp case rate · inpatient | $10,880 | $10,880 | $10,880 – $10,880 |
| 9 | Ucare individual and family with m health fairview case rate · inpatient | $18,054 | $18,054 | $18,054 – $18,054 |
| 10 | UnitedHealthcare core case rate · inpatient | $21,452 | $21,452 | $21,452 – $21,452 |
| 11 | Medica bold case rate · inpatient | $23,746 | $23,746 | $23,746 – $23,746 |
| 12 | UnitedHealthcare commercial case rate · inpatient | $23,811 | $23,811 | $23,811 – $23,811 |
| 13 | Ucare individual and family case rate · inpatient | $24,038 | $24,038 | $24,038 – $24,038 |
| 14 | Medica city of st. paul/essential-uplan case rate · inpatient | $24,577 | $24,577 | $24,577 – $24,577 |
| 15 | Medica vantage self insured case rate · inpatient | $25,724 | $25,724 | $25,724 – $25,724 |
| 16 | Medica individual and family business except aco case rate · inpatient | $26,384 | $26,384 | $26,384 – $26,384 |
| 17 | Medica choice case rate · inpatient | $27,307 | $27,307 | $27,307 – $27,307 |
Last updated: Feb 6, 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.