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
Enterprise, AL
See all hospitals reporting MS-DRG 193 →Price type
QHG of Enterprise Inc’s median price of $5.6k is 56% below the median hospital's median price ($12.7k), higher than 7% 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: 10 payers, 14 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 | Cigna cigna all facility · per diem · inpatient | $809.00 | $809.00 | $809.00 – $809.00 |
| 2 | Bcbs Al bcbs al all facility · per diem · inpatient | $2,277 | $2,277 | $2,277 – $2,277 |
| 3 | UnitedHealthcare uhc iex facility · case rate · inpatient | $3,721 | $3,721 | $3,721 – $3,721 |
| 4 | UnitedHealthcare uhc apa facility · case rate · inpatient | $5,615 | $5,615 | $5,615 – $5,615 |
| 5 | Blue Cross Blue Shield node bcbs al mcr adv facility · other · inpatient | $8,903 | $8,903 | $8,903 – $8,903 |
| 6 | Humana node humana mcr adv facility · other · inpatient | $9,178 | $9,178 | $9,178 – $9,178 |
| 7 | UnitedHealthcare node uhc mcr adv facility · other · inpatient | $9,178 | $9,178 | $9,178 – $9,178 |
| 8 | Optum node united optum va ccn facility · other · inpatient | $9,330 | $9,330 | $9,330 – $9,330 |
| 9 | Devoted node devoted health mcr adv facility · other · inpatient | $9,361 | $9,361 | $9,361 – $9,361 |
| 10 | Clover node clover mcr adv facility · other · inpatient | $9,423 | $9,423 | $9,423 – $9,423 |
| 11 | Aetna node aetna mcr adv facility · other · inpatient | $9,452 | $9,452 | $9,452 – $9,452 |
| 12 | WellCare node wellcare mcr adv facility · other · inpatient | $9,516 | $9,516 | $9,516 – $9,516 |
| 13 | Cigna cigna new business facility · case rate · inpatient | $10,043 | $10,043 | $10,043 – $10,043 |
| 14 | WellCare node wellcare ambetter marketplace facility · other · inpatient | $12,074 | $12,074 | $12,074 – $12,074 |
Last updated: Apr 1, 2026
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.