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
MS DRG -SIMPLE PNEUMONIA AND PLEURISY WITH CC;APR DRG -OTHER PNEUMONIA;SOI -Minor
ST, LA
See all hospitals reporting MS-DRG 194 →Price type
Kaplan General Hospital, Inc’s median price of $9.7k is 17% above the median hospital's median price ($8.3k), higher than 67% 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: 5 payers, 5 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 | UnitedHealthcare all payor case rate · inpatient | $5,513 | $5,513 | $5,513 – $5,513 |
| 2 | Aetna all payor other · inpatient | $8,884 | $8,884 | $7,407 – $10,361 |
| 3 | Tricare all payor percent of total billed charges · inpatientfrom % of charges | $9,619 | $9,619 | $8,020 – $11,219 |
| 4 | Cigna all payor percent of total billed charges · inpatientfrom % of charges | $9,902 | $9,902 | $8,256 – $11,549 |
| 5 | Bcbs La all payor percent of total billed charges · inpatientfrom % of charges | $11,588 | $11,671 | $9,318 – $14,188 |
Last updated: Apr 1, 2026
See Simple pneumonia or pleurisy hospital stay with a complicating condition pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.