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
SAN ANTONIO, TX
See all hospitals reporting MS-DRG 194 →Price type
Methodist Texsan Hospital’s median price of $8.3k is about the same as the median hospital's median price ($8.3k), higher than 50% of the 2,330 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: 11 payers, 52 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 broadnetworkhix per diem · inpatient | $2,095 | $2,095 | $2,095 – $2,095 |
| 2 | Oscar epo per diem · inpatient | $2,095 | $2,095 | $2,095 – $2,095 |
| 3 | Oscar pos per diem · inpatient | $2,095 | $2,095 | $2,095 – $2,095 |
| 4 | Oscar ppo per diem · inpatient | $2,095 | $2,095 | $2,095 – $2,095 |
| 5 | First Health comm per diem · inpatient | $2,665 | $2,665 | $2,665 – $2,665 |
| 6 | Aetna qhphix per diem · inpatient | $2,775 | $2,775 | $2,775 – $2,775 |
| 7 | UnitedHealthcare smallgroup per diem · inpatient | $3,549 | $3,549 | $3,549 – $3,549 |
| 8 | Aetna narrownetwork per diem · inpatient | $3,866 | $3,866 | $3,866 – $3,866 |
| 9 | Cigna newbusinessnetwork per diem · inpatient | $3,948 | $4,277 | $3,948 – $4,935 |
| 10 | Aetna newbusinessrates per diem · inpatient | $4,389 | $4,389 | $4,389 – $4,389 |
| 11 | Aetna commercialbasenetwork per diem · inpatient | $4,473 | $4,473 | $4,473 – $4,473 |
| 12 | Cigna hmo per diem · inpatient | $4,327 | $4,687 | $4,327 – $5,408 |
| 13 | Cigna openaccessplus per diem · inpatient | $4,327 | $4,687 | $4,327 – $5,408 |
| 14 | UnitedHealthcare charter per diem · inpatient | $4,735 | $4,735 | $4,735 – $4,735 |
| 15 | UnitedHealthcare nexusaco per diem · inpatient | $4,735 | $4,735 | $4,735 – $4,735 |
| 16 | Aetna oon per diem · inpatient | $5,263 | $5,263 | $5,263 – $5,263 |
| 17 | UnitedHealthcare smallgroup case rate · inpatient | $5,563 | $5,563 | $5,563 – $5,563 |
| 18 | UnitedHealthcare allpayerappendix per diem · inpatient | $5,596 | $5,596 | $5,596 – $5,596 |
| 19 | Cigna ppo per diem · inpatient | $5,226 | $5,662 | $5,226 – $6,533 |
| 20 | UnitedHealthcare charter case rate · inpatient | $7,446 | $7,446 | $7,446 – $7,446 |
| 21 | UnitedHealthcare nexusaco case rate · inpatient | $7,446 | $7,446 | $7,446 – $7,446 |
| 22 | Aetna mcr fee schedule · inpatient | $8,059 | $8,059 | $8,059 – $8,059 |
| 23 | Blue Cross Blue Shield mgmcrhmo fee schedule · inpatient | $8,165 | $8,165 | $8,165 – $8,165 |
| 24 | Blue Cross Blue Shield mgmcrpos fee schedule · inpatient | $8,165 | $8,165 | $8,165 – $8,165 |
| 25 | Blue Cross Blue Shield mgmcrppo fee schedule · inpatient | $8,165 | $8,165 | $8,165 – $8,165 |
Last updated: May 1, 2026
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