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
Saint Louis, MO
See all hospitals reporting MS-DRG 193 →Price type
SSM-SLUH, Inc.’s median price of $15.8k is 25% above the median hospital's median price ($12.7k), higher than 75% of the 2,333 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: 8 payers, 32 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 | Blue Cross Blue Shield anthem pathway exchange other · inpatient | $5.6k | $5.6k | — | — | 1–10 | $5.6k – $5.6k |
| 2 | Blue Cross Blue Shield anthem blue access choice all commercial plans other · inpatient | $5.9k | $5.9k | — | — | 1–10 | $5.9k – $5.9k |
| 3 | Aetna better health medicaid managed care plan other · inpatient | $7.6k | $7.6k | — | — | 1–10 | $7.6k – $7.6k |
| 4 | Blue Cross Blue Shield community il medicaid managed care plan other · inpatient | $8.0k | $8.0k | — | — | 1–10 | $8.0k – $8.0k |
| 5 | Aetna all commercial plans other · inpatient | $9.2k | $9.2k | — | — | 1–10 | $9.2k – $9.2k |
| 6 | Medica exchange fee schedule · inpatient | $11.9k | $11.9k | — | — | — | $11.9k – $11.9k |
| 7 | Medica medicare managed care plan other · inpatient | $12.4k | $12.4k | — | — | 1–10 | $12.4k – $12.4k |
| 8 | Aetna gold advantage medicare managed care plan other · inpatient | $12.6k | $12.6k | — | — | 1–10 | $12.6k – $12.6k |
| 9 | Molina dual eligible medicare/medicaid managed care plan other · inpatient | $12.8k | $12.8k | — | — | 1–10 | $12.8k – $12.8k |
| 10 | UnitedHealthcare medicare managed care plan other · inpatient | $12.9k | $12.9k | — | — | 27 | $12.9k – $12.9k |
| 11 | Humana medicare managed care plan other · inpatient | $13.5k | $13.5k | — | — | 1–10 | $13.5k – $13.5k |
| 12 | Blue Cross Blue Shield anthem medicare managed care plan other · inpatient | $13.7k | $13.7k | — | — | 14 | $13.7k – $13.7k |
| 13 | Blue Cross Blue Shield anthem healthy blue medicaid managed care plan other · inpatient | $14.2k | $14.2k | — | — | 1–10 | $14.2k – $14.2k |
| 14 | Blue Cross Blue Shield anthem medicare managed care plan fee schedule · inpatient | $15.5k | $15.5k | — | — | — | $15.5k – $15.5k |
| 15 | Aetna medicare managed care plan fee schedule · inpatient | $15.8k | $15.8k | — | — | — | $15.8k – $15.8k |
| 16 | Aetna total care medicare managed care plan fee schedule · inpatient | $15.8k | $15.8k | — | — | — | $15.8k – $15.8k |
| 17 | Medica medicare managed care plan fee schedule · inpatient | $15.8k | $15.8k | — | — | — | $15.8k – $15.8k |
| 18 | Molina dual eligible medicare/medicaid managed care plan fee schedule · inpatient | $15.8k | $15.8k | — | — | — | $15.8k – $15.8k |
| 19 | Optum transplant medicare managed care plan fee schedule · inpatient | $15.8k | $15.8k | — | — | — | $15.8k – $15.8k |
| 20 | UnitedHealthcare medicare managed care - behavioral health fee schedule · inpatient | $15.8k | $15.8k | — | — | — | $15.8k – $15.8k |
| 21 | UnitedHealthcare optum vaccn government fee schedule · inpatient | $15.8k | $15.8k | — | — | — | $15.8k – $15.8k |
| 22 | UnitedHealthcare optum vaccn government other · inpatient | $15.8k | $15.8k | — | — | 1–10 | $15.8k – $15.8k |
| 23 | UnitedHealthcare medicare managed care plan fee schedule · inpatient | $16.0k | $16.0k | — | — | — | $16.0k – $16.0k |
| 24 | Humana medicare managed care plan fee schedule · inpatient | $16.1k | $16.1k | — | — | — | $16.1k – $16.1k |
| 25 | Aetna advantra medicare managed care plan fee schedule · inpatient | $16.1k | $16.1k | — | — | — | $16.1k – $16.1k |
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.