Simple pneumonia or pleurisy hospital stay with a major complication or comorbidity at Hca Florida Capital Hospital

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.

Model: claude-haiku-5-5
Provider: anthropic
API: message_batches
Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 41efcec26401
Generated: October 17, 2026

Original text from hospital filings

SIMPLE PNEUMONIA AND PLEURISY WITH MCC

TALLAHASSEE, FL

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Pricing by billing methodology

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How this price compares nationally

Hca Florida Capital Hospital’s median price of $13.0k is 2% above the median hospital's median price ($12.7k), higher than 53% of the 2,322 hospitals reporting MS-DRG 193. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting MS-DRG 193 at Hca Florida Capital Hospital

Negotiated rates from the hospital’s own file: 9 payers, 31 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	Molina hix per diem · inpatient	$2,201	$2,201	$2,201 – $2,201
2	Humana hmo per diem · inpatient	$4,741	$4,741	$4,741 – $4,741
3	Humana ppo per diem · inpatient	$4,741	$4,741	$4,741 – $4,741
4	UnitedHealthcare allpayerappendix per diem · inpatient	$5,314	$5,314	$5,314 – $5,314
5	Humana hmo case rate · inpatient	$6,636	$6,636	$6,636 – $6,636
6	Humana ppo case rate · inpatient	$6,636	$6,636	$6,636 – $6,636
7	Aetna qhp case rate · inpatient	$10,978	$10,978	$10,978 – $10,978
8	UnitedHealthcare mcr fee schedule · inpatient	$11,658	$11,658	$11,658 – $11,658
9	Humana mgmcrppo fee schedule · inpatient	$11,854	$11,854	$11,854 – $11,854
10	UnitedHealthcare vaccn fee schedule · inpatient	$12,220	$12,220	$12,220 – $12,220
11	Blue Cross Blue Shield mcrhmo fee schedule · inpatient	$12,342	$12,342	$12,342 – $12,342
12	Blue Cross Blue Shield mcrppo fee schedule · inpatient	$12,342	$12,342	$12,342 – $12,342
13	Aetna mcr fee schedule · inpatient	$12,526	$12,526	$12,526 – $12,526
14	Cigna Healthspring mcr fee schedule · inpatient	$12,953	$12,953	$12,953 – $12,953
15	Humana mgmcrhmo fee schedule · inpatient	$12,953	$12,953	$12,953 – $12,953
16	Molina mgmcr fee schedule · inpatient	$12,953	$12,953	$12,953 – $12,953
17	WellCare mcr fee schedule · inpatient	$13,137	$13,137	$13,137 – $13,137
18	Molina hix case rate · inpatient	$13,318	$13,318	$13,318 – $13,318
19	UnitedHealthcare allpayerappendix case rate · inpatient	$13,487	$13,487	$13,487 – $13,487
20	Oscar hix fee schedule · inpatient	$16,368	$16,368	$16,368 – $16,368
21	Blue Cross Blue Shield bsl case rate · inpatient	$20,976	$20,976	$20,976 – $20,976
22	Blue Cross Blue Shield mbn case rate · inpatient	$20,976	$20,976	$20,976 – $20,976
23	Blue Cross Blue Shield sbn case rate · inpatient	$20,976	$20,976	$20,976 – $20,976
24	Aetna hmo case rate · inpatient	$21,047	$21,047	$21,047 – $21,047
25	Aetna ppo case rate · inpatient	$21,047	$21,047	$21,047 – $21,047

Page 1 of 2 · 31 rates

Last updated: Mar 1, 2026

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