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
HOUSTON, TX
See all hospitals reporting MS-DRG 193 →Price type
Hca Houston Healthcare Tomball’s median price of $12.3k is 3% below the median hospital's median price ($12.7k), higher than 46% 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: 12 payers, 59 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 | Oscar hix per diem · inpatient | $2,131 | $2,131 | $2,131 – $2,131 |
| 2 | Aetna qhpexchange per diem · inpatient | $2,669 | $2,669 | $2,669 – $2,669 |
| 3 | UnitedHealthcare narrownetworkindivexchange per diem · inpatient | $3,293 | $3,293 | $3,293 – $3,293 |
| 4 | UnitedHealthcare smallgroup per diem · inpatient | $3,434 | $3,434 | $3,434 – $3,434 |
| 5 | Aetna nbhmo per diem · inpatient | $3,542 | $3,542 | $3,542 – $3,542 |
| 6 | Aetna nbpos per diem · inpatient | $3,542 | $3,542 | $3,542 – $3,542 |
| 7 | Aetna commhmo per diem · inpatient | $3,765 | $3,765 | $3,765 – $3,765 |
| 8 | Aetna commpos per diem · inpatient | $3,765 | $3,765 | $3,765 – $3,765 |
| 9 | Aetna nbppo per diem · inpatient | $3,923 | $3,923 | $3,923 – $3,923 |
| 10 | Aetna commppo per diem · inpatient | $4,168 | $4,168 | $4,168 – $4,168 |
| 11 | Aetna oonhmo per diem · inpatient | $4,429 | $4,429 | $4,429 – $4,429 |
| 12 | Aetna oonpos per diem · inpatient | $4,429 | $4,429 | $4,429 – $4,429 |
| 13 | Aetna asahmo per diem · inpatient | $4,786 | $4,786 | $4,786 – $4,786 |
| 14 | Aetna asapos per diem · inpatient | $4,786 | $4,786 | $4,786 – $4,786 |
| 15 | Aetna oonppo per diem · inpatient | $4,905 | $4,905 | $4,905 – $4,905 |
| 16 | UnitedHealthcare allpayerappendix per diem · inpatient | $4,905 | $4,905 | $4,905 – $4,905 |
| 17 | UnitedHealthcare narrownetworkindivexchange case rate · inpatient | $5,119 | $5,119 | $5,119 – $5,119 |
| 18 | Aetna asappo per diem · inpatient | $5,299 | $5,299 | $5,299 – $5,299 |
| 19 | UnitedHealthcare smallgroup case rate · inpatient | $5,650 | $5,650 | $5,650 – $5,650 |
| 20 | UnitedHealthcare allpayerappendix case rate · inpatient | $8,072 | $8,072 | $8,072 – $8,072 |
| 21 | Humana medicareadvantagehmo fee schedule · inpatient | $11,767 | $11,767 | $11,767 – $11,767 |
| 22 | Humana medicareadvantageppopffs fee schedule · inpatient | $11,767 | $11,767 | $11,767 – $11,767 |
| 23 | Oscar mgmcr fee schedule · inpatient | $11,901 | $11,901 | $11,901 – $11,901 |
| 24 | Aetna mcr fee schedule · inpatient | $11,986 | $11,986 | $11,986 – $11,986 |
| 25 | Cigna Healthspring mcrhmo fee schedule · inpatient | $12,022 | $12,022 | $12,022 – $12,022 |
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.