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
HIALEAH, FL
See all hospitals reporting MS-DRG 193 →Price type
Hca Florida Aventura Hospital’s median price of $14.2k is 13% above the median hospital's median price ($12.7k), higher than 66% 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: 11 payers, 33 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.
Filter by billing methodology
Filter by billing class
| # | ||||
|---|---|---|---|---|
| 1 | Medica mcr per diem · inpatient | $1,180 | $1,180 | $1,180 – $1,180 |
| 2 | Molina hix per diem · inpatient | $1,834 | $1,834 | $1,834 – $1,834 |
| 3 | Humana hmo per diem · inpatient | $2,139 | $2,139 | $2,139 – $2,139 |
| 4 | Humana ppo per diem · inpatient | $2,497 | $2,497 | $2,497 – $2,497 |
| 5 | UnitedHealthcare allpayerappendix per diem · inpatient | $2,700 | $2,700 | $2,700 – $2,700 |
| 6 | Humana hmo case rate · inpatient | $6,240 | $6,240 | $6,240 – $6,240 |
| 7 | Humana ppo case rate · inpatient | $7,491 | $7,491 | $7,491 – $7,491 |
| 8 | Oscar hix fee schedule · inpatient | $10,704 | $10,704 | $10,704 – $10,704 |
| 9 | Molina hix case rate · inpatient | $11,098 | $11,098 | $11,098 – $11,098 |
| 10 | UnitedHealthcare allpayerappendix case rate · inpatient | $11,615 | $11,615 | $11,615 – $11,615 |
| 11 | Aetna qhp case rate · inpatient | $13,046 | $13,046 | $13,046 – $13,046 |
| 12 | UnitedHealthcare mcr fee schedule · inpatient | $13,771 | $13,771 | $13,771 – $13,771 |
| 13 | Cigna Healthspring mgmcr fee schedule · inpatient | $13,956 | $13,956 | $13,956 – $13,956 |
| 14 | UnitedHealthcare gvt fee schedule · inpatient | $14,241 | $14,241 | $14,241 – $14,241 |
| 15 | Blue Cross Blue Shield mcrhmo fee schedule · inpatient | $14,383 | $14,383 | $14,383 – $14,383 |
| 16 | Blue Cross Blue Shield mcrppo fee schedule · inpatient | $14,383 | $14,383 | $14,383 – $14,383 |
| 17 | Devoted mcr fee schedule · inpatient | $14,526 | $14,526 | $14,526 – $14,526 |
| 18 | Aetna mcr fee schedule · inpatient | $14,597 | $14,597 | $14,597 – $14,597 |
| 19 | Amerihealth Caritas mgmcr fee schedule · inpatient | $14,953 | $14,953 | $14,953 – $14,953 |
| 20 | Oscar mcr fee schedule · inpatient | $14,953 | $14,953 | $14,953 – $14,953 |
| 21 | Humana mgmcrhmo fee schedule · inpatient | $15,166 | $15,166 | $13,956 – $16,377 |
| 22 | Humana mgmcrppo fee schedule · inpatient | $15,166 | $15,166 | $13,956 – $16,377 |
| 23 | Molina mcr fee schedule · inpatient | $15,380 | $15,380 | $15,380 – $15,380 |
| 24 | Aetna hmo case rate · inpatient | $16,602 | $16,602 | $16,602 – $16,602 |
| 25 | Cigna hmo fee schedule · inpatient | $18,835 | $18,835 | $18,835 – $18,835 |
Last updated: Mar 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.