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
West Palm Beach, FL
See all hospitals reporting MS-DRG 193 →Price type
Hca Florida Jfk North Hospital’s median price of $12.2k is 3% below the median hospital's median price ($12.7k), higher than 45% 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, 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 | Medica mcr per diem · inpatient | $1,195 | $1,195 | $1,195 – $1,195 |
| 2 | Humana hmo per diem · inpatient | $2,139 | $2,139 | $2,139 – $2,139 |
| 3 | Humana ppo per diem · inpatient | $2,497 | $2,497 | $2,497 – $2,497 |
| 4 | UnitedHealthcare allpayerappendix per diem · inpatient | $2,700 | $2,700 | $2,700 – $2,700 |
| 5 | Humana hmo case rate · inpatient | $6,240 | $6,240 | $6,240 – $6,240 |
| 6 | Humana ppo case rate · inpatient | $7,491 | $7,491 | $7,491 – $7,491 |
| 7 | Oscar hix fee schedule · inpatient | $10,704 | $10,704 | $10,704 – $10,704 |
| 8 | UnitedHealthcare mcr fee schedule · inpatient | $11,843 | $11,843 | $11,843 – $11,843 |
| 9 | Humana mgmcrppo fee schedule · inpatient | $11,879 | $11,879 | $11,879 – $11,879 |
| 10 | Humana mgmcrhmo fee schedule · inpatient | $12,247 | $12,247 | $12,247 – $12,247 |
| 11 | UnitedHealthcare gvt fee schedule · inpatient | $12,247 | $12,247 | $12,247 – $12,247 |
| 12 | Blue Cross Blue Shield mcrhmo fee schedule · inpatient | $12,369 | $12,369 | $12,369 – $12,369 |
| 13 | Blue Cross Blue Shield mcrppo fee schedule · inpatient | $12,369 | $12,369 | $12,369 – $12,369 |
| 14 | Cigna Healthspring mgmcr fee schedule · inpatient | $12,492 | $12,492 | $12,492 – $12,492 |
| 15 | Devoted mcr fee schedule · inpatient | $12,492 | $12,492 | $12,492 – $12,492 |
| 16 | Aetna mcr fee schedule · inpatient | $12,553 | $12,553 | $12,553 – $12,553 |
| 17 | Amerihealth Caritas mgmcr fee schedule · inpatient | $12,614 | $12,614 | $12,614 – $12,614 |
| 18 | UnitedHealthcare allpayerappendix case rate · inpatient | $12,625 | $12,625 | $12,625 – $12,625 |
| 19 | Oscar mcr fee schedule · inpatient | $12,737 | $12,737 | $12,737 – $12,737 |
| 20 | Molina mcr fee schedule · inpatient | $13,227 | $13,227 | $13,227 – $13,227 |
| 21 | Aetna qhp case rate · inpatient | $14,013 | $14,013 | $14,013 – $14,013 |
| 22 | Aetna hmo case rate · inpatient | $16,602 | $16,602 | $16,602 – $16,602 |
| 23 | Cigna hmo fee schedule · inpatient | $18,835 | $18,835 | $18,835 – $18,835 |
| 24 | Cigna ppo fee schedule · inpatient | $18,835 | $18,835 | $18,835 – $18,835 |
| 25 | Aetna ppo case rate · inpatient | $19,995 | $19,995 | $19,995 – $19,995 |
Last updated: Mar 1, 2026
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