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 CC
Austin, TX
See all hospitals reporting MS-DRG 194 →Price type
Heart Hosp Of Austin’s median price of $7.4k is 11% below the median hospital's median price ($8.3k), higher than 35% of the 2,323 hospitals reporting MS-DRG 194. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 13 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 | $1,633 | $1,633 | $1,633 – $1,633 |
| 2 | Oscar hmo per diem · inpatient | $1,633 | $1,633 | $1,633 – $1,633 |
| 3 | Oscar epo per diem · inpatient | $1,944 | $1,944 | $1,944 – $1,944 |
| 4 | Oscar pos per diem · inpatient | $1,944 | $1,944 | $1,944 – $1,944 |
| 5 | Oscar ppo per diem · inpatient | $1,944 | $1,944 | $1,944 – $1,944 |
| 6 | First Health ppo per diem · inpatient | $2,423 | $2,423 | $2,423 – $2,423 |
| 7 | UnitedHealthcare narrownetworkhix per diem · inpatient | $3,085 | $3,085 | $3,085 – $3,085 |
| 8 | UnitedHealthcare smallgroup per diem · inpatient | $3,683 | $3,683 | $3,683 – $3,683 |
| 9 | Aetna narrownetwork per diem · inpatient | $3,765 | $3,765 | $3,765 – $3,765 |
| 10 | Cigna newbusinessnetwork per diem · inpatient | $4,649 | $4,895 | $4,649 – $5,387 |
| 11 | Cigna hmo per diem · inpatient | $4,962 | $5,225 | $4,962 – $5,750 |
| 12 | Cigna openaccess per diem · inpatient | $4,962 | $5,225 | $4,962 – $5,750 |
| 13 | Cigna openaccessplus per diem · inpatient | $4,962 | $5,225 | $4,962 – $5,750 |
| 14 | UnitedHealthcare allpayerappendix per diem · inpatient | $5,820 | $5,820 | $5,820 – $5,820 |
| 15 | UnitedHealthcare narrownetworkhix case rate · inpatient | $6,024 | $6,024 | $6,024 – $6,024 |
| 16 | Cigna ppo per diem · inpatient | $5,937 | $6,251 | $5,937 – $6,880 |
| 17 | UnitedHealthcare smallgroup case rate · inpatient | $6,426 | $6,426 | $6,426 – $6,426 |
| 18 | Humana mgmcr fee schedule · inpatient | $7,016 | $7,016 | $7,016 – $7,016 |
| 19 | Humana mgmcrppo fee schedule · inpatient | $7,016 | $7,016 | $7,016 – $7,016 |
| 20 | Aetna mcr fee schedule · inpatient | $7,102 | $7,102 | $7,102 – $7,102 |
| 21 | UnitedHealthcare mcr fee schedule · inpatient | $7,131 | $7,131 | $7,131 – $7,131 |
| 22 | Blue Cross Blue Shield mcrppo fee schedule · inpatient | $7,196 | $7,196 | $7,196 – $7,196 |
| 23 | Blue Cross Blue Shield mgmcrhmo fee schedule · inpatient | $7,196 | $7,196 | $7,196 – $7,196 |
| 24 | Devoted mcr fee schedule · inpatient | $7,340 | $7,340 | $7,340 – $7,340 |
| 25 | Cigna Healthspring dualeligible fee schedule · inpatient | $7,412 | $7,412 | $7,412 – $7,412 |
Last updated: Sep 1, 2026
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