Simple pneumonia or pleurisy hospital stay with a major complication or comorbidity at Mission Hospital

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.

Model: claude-haiku-5-5
Provider: anthropic
API: message_batches
Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 41efcec26401
Generated: October 17, 2026

Original text from hospital filings

SIMPLE PNEUMONIA AND PLEURISY WITH MCC

Asheville, NC

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Pricing by billing methodology

Price type

How this price compares nationally

Mission Hospital’s median price of $13.8k is 9% above the median hospital's median price ($12.7k), higher than 62% of the 2,322 hospitals reporting MS-DRG 193. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting MS-DRG 193 at Mission Hospital

Negotiated rates from the hospital’s own file: 10 payers, 25 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 allpayerappendix per diem · inpatient	$4,140	$4,140	$4,140 – $4,140
2	UnitedHealthcare allpayerappendix case rate · inpatient	$11,097	$11,097	$11,097 – $11,097
3	UnitedHealthcare mcr fee schedule · inpatient	$11,401	$11,401	$11,401 – $11,401
4	UnitedHealthcare vaccn fee schedule · inpatient	$11,436	$11,436	$11,436 – $11,436
5	Aetna mcr fee schedule · inpatient	$11,664	$11,664	$11,664 – $11,664
6	Humana stateemployees fee schedule · inpatient	$11,779	$11,779	$11,779 – $11,779
7	WellCare mcr fee schedule · inpatient	$11,779	$11,779	$11,779 – $11,779
8	Cigna Healthspring mcr fee schedule · inpatient	$11,893	$11,893	$11,893 – $11,893
9	Humana mcr fee schedule · inpatient	$11,893	$11,893	$11,893 – $11,893
10	Amerihealth Caritas mgmcr fee schedule · inpatient	$13,037	$13,037	$13,037 – $13,037
11	Blue Cross Blue Shield mgmcd fee schedule · inpatient	$14,501	$14,501	$14,501 – $14,501
12	WellCare mgmcd fee schedule · inpatient	$14,936	$14,936	$14,936 – $14,936
13	Oscar hix fee schedule · inpatient	$22,165	$22,165	$22,165 – $22,165
14	Amerihealth Caritas commercial-exchange fee schedule · inpatient	$22,388	$22,388	$22,388 – $22,388
15	Medcost signaturenetwork fee schedule · inpatient	$23,801	$23,801	$23,801 – $23,801
16	Aetna ahw fee schedule · inpatient	$27,855	$27,855	$27,855 – $27,855
17	Aetna connect fee schedule · inpatient	$27,855	$27,855	$27,855 – $27,855
18	Aetna simplepay fee schedule · inpatient	$27,855	$27,855	$27,855 – $27,855
19	Blue Cross Blue Shield blueselect fee schedule · inpatient	$28,747	$28,747	$28,747 – $28,747
20	Blue Cross Blue Shield bluevalue fee schedule · inpatient	$28,747	$28,747	$28,747 – $28,747
21	Blue Cross Blue Shield hmo fee schedule · inpatient	$28,747	$28,747	$28,747 – $28,747
22	Blue Cross Blue Shield ppo fee schedule · inpatient	$28,747	$28,747	$28,747 – $28,747
23	Medcost standard percent of total billed charges · inpatientfrom % of charges	$29,401	$29,401	$29,401 – $29,401
24	Aetna aetnapreferred fee schedule · inpatient	$30,029	$30,029	$30,029 – $30,029
25	Ambetter hix case rate · inpatient	$34,950	$34,950	$34,950 – $34,950

Last updated: Sep 1, 2026

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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.