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
Sioux Falls, SD
See all hospitals reporting MS-DRG 193 →Price type
Sanford USD Medical Center’s median price of $12.5k is 1% below the median hospital's median price ($12.7k), higher than 48% 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: 6 payers, 12 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.
Filter by billing methodology
Filter by billing class
| # | ||||
|---|---|---|---|---|
| 1 | Sanford Health Plan medicare replacement case rate · inpatient | $11,301 | $11,301 | $11,301 – $11,301 |
| 2 | Ucare medicare replacement case rate · inpatient | $12,134 | $12,134 | $12,134 – $12,134 |
| 3 | Aetna medicare replacement case rate · inpatient | $12,253 | $12,253 | $12,253 – $12,253 |
| 4 | Bcbs Mn medicare replacement case rate · inpatient | $12,253 | $12,253 | $12,253 – $12,253 |
| 5 | UnitedHealthcare medicare replacement case rate · inpatient | $12,253 | $12,253 | $12,253 – $12,253 |
| 6 | Sanford Health Plan sd exchange true case rate · inpatient | $12,807 | $12,807 | $12,807 – $12,807 |
| 7 | Sanford Health Plan group health/true case rate · inpatient | $14,603 | $14,603 | $14,603 – $14,603 |
| 8 | Sanford Health Plan sd exchange commercial case rate · inpatient | $15,067 | $15,067 | $15,067 – $15,067 |
| 9 | Sanford Health Plan commercial/nd pers case rate · inpatient | $17,180 | $17,180 | $17,180 – $17,180 |
| 10 | Medica choice case rate · inpatient | $21,379 | $21,379 | $21,379 – $21,379 |
| 11 | Medica elect case rate · inpatient | $22,876 | $22,876 | $22,876 – $22,876 |
| 12 | UnitedHealthcare csp top 20 case rate · inpatient | $23,904 | $23,904 | $23,904 – $23,904 |
Last updated: Mar 4, 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.