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
Philadelphia, PA
See all hospitals reporting MS-DRG 193 →Price type
Pennsylvania Hospital of the University of Pennsylvania Health System’s median price of $17.6k is 39% above the median hospital's median price ($12.7k), higher than 81% 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, 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 | Optum optum urn-transplant commercial facility · other · inpatient | $3,308 | $3,308 | $3,308 – $3,308 |
| 2 | Bcbs Nj horizon blue cross of nj-medicare hmo facility · other · inpatient | $11,242 | $11,242 | $11,242 – $11,242 |
| 3 | Highmark highmark medicare advantage facility · other · inpatient | $11,467 | $11,467 | $11,467 – $11,467 |
| 4 | Cigna Healthspring cigna healthspring facility · other · inpatient | $11,580 | $11,580 | $11,580 – $11,580 |
| 5 | Humana humana medicare facility · other · inpatient | $11,580 | $11,580 | $11,580 – $11,580 |
| 6 | Aetna aetna medicare hmo facility · other · inpatient | $11,917 | $11,917 | $11,917 – $11,917 |
| 7 | Clover clover health plan facility · other · inpatient | $11,917 | $11,917 | $11,917 – $11,917 |
| 8 | UnitedHealthcare united healthcare medicare advantage facility · other · inpatient | $11,917 | $11,917 | $11,917 – $11,917 |
| 9 | Medicare medicare facility · other · inpatient | $12,805 | $12,805 | $12,805 – $12,805 |
| 10 | Bcbs Nj horizon blue cross of nj- hmo pos and direct access facility · fee schedule · inpatient | $15,588 | $15,588 | $15,588 – $15,588 |
| 11 | UnitedHealthcare unitedhealthcare compass exchange facility · case rate · inpatient | $17,581 | $17,581 | $17,581 – $17,581 |
| 12 | UnitedHealthcare unitedhealthcare new business facility · case rate · inpatient | $21,469 | $21,469 | $21,469 – $21,469 |
| 13 | Oscar oscar health plan facility · other · inpatient | $21,769 | $21,769 | $21,769 – $21,769 |
| 14 | Bcbs Nj horizon blue cross of nj-ppo facility · percent of total billed charges · inpatientfrom % of charges | $22,681 | $22,681 | $22,681 – $22,681 |
| 15 | Aetna aetna commercial facility · case rate · inpatient | $22,784 | $22,784 | $22,784 – $22,784 |
| 16 | Aetna aetna commercial hmo with capitation facility · case rate · inpatient | $22,784 | $22,784 | $22,784 – $22,784 |
| 17 | Aetna aetna hmo facility · fee schedule · inpatient | $23,671 | $23,671 | $23,671 – $23,671 |
| 18 | Aetna aetna ppo facility · fee schedule · inpatient | $23,671 | $23,671 | $23,671 – $23,671 |
| 19 | Blue Cross Blue Shield keystone health plan east-ibc hmo facility · other · inpatient | $25,360 | $25,360 | $25,360 – $25,360 |
| 20 | Blue Cross Blue Shield personal choice-ibc ppo facility · other · inpatient | $25,360 | $25,360 | $25,360 – $25,360 |
| 21 | Highmark highmark facility · other · inpatient | $25,407 | $25,407 | $25,407 – $25,407 |
| 22 | Cigna cigna new business facility · case rate · inpatient | $26,116 | $26,116 | $26,116 – $26,116 |
| 23 | Cigna cigna facility · case rate · inpatient | $27,708 | $27,708 | $27,708 – $27,708 |
| 24 | UnitedHealthcare unitedhealthcare non options facility · case rate · inpatient | $28,927 | $28,927 | $28,927 – $28,927 |
| 25 | Blue Cross Blue Shield ibc traditional facility · other · inpatient | $31,130 | $31,130 | $31,130 – $31,130 |
Last updated: Mar 20, 2026
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