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 CC
Helena, CA
See all hospitals reporting MS-DRG 194 →Price type
St Helena Hospital’s median price of $12.1k is 46% above the median hospital's median price ($8.3k), higher than 82% of the 2,323 hospitals reporting MS-DRG 194. 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, 21 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 | Phcs phcs-all plans per diem · inpatient | $2,281 | $2,281 | $2,281 – $2,281 |
| 2 | Magellan magellan mcare ip only percent of total billed charges · inpatientfrom % of charges | $5,023 | $5,023 | $5,023 – $5,023 |
| 3 | Blue Cross Blue Shield blue shield epn-all other plans per diem · inpatient | $8,224 | $8,224 | $8,224 – $8,224 |
| 4 | Blue Cross Blue Shield blue shield bh mcr adv case rate · inpatient | $8,274 | $8,274 | $8,274 – $8,274 |
| 5 | Blue Cross Blue Shield blue shield mcr adv case rate · inpatient | $8,274 | $8,274 | $8,274 – $8,274 |
| 6 | Blue Cross Blue Shield tricare blue shield case rate · inpatient | $8,274 | $8,274 | $8,274 – $8,274 |
| 7 | UnitedHealthcare uhc mcr adv case rate · inpatient | $8,274 | $8,274 | $8,274 – $8,274 |
| 8 | Blue Cross Blue Shield blue shield non-epn per diem · inpatient | $8,380 | $8,380 | $8,380 – $8,380 |
| 9 | Blue Cross Blue Shield blue cross exchange per diem · inpatient | $9,799 | $9,799 | $9,799 – $9,799 |
| 10 | Aetna aetna-all plans per diem · inpatient | $9,871 | $9,871 | $9,871 – $9,871 |
| 11 | Blue Cross Blue Shield blue cross non mcs per diem · inpatient | $11,035 | $11,035 | $11,035 – $11,035 |
| 12 | Blue Cross Blue Shield blue cross mcs - all other plans per diem · inpatient | $13,242 | $13,242 | $13,242 – $13,242 |
| 13 | UnitedHealthcare uhc select/select plus percent of total billed charges · inpatientfrom % of charges | $15,466 | $15,466 | $15,466 – $15,466 |
| 14 | UnitedHealthcare uhc jll percent of total billed charges · inpatientfrom % of charges | $16,712 | $16,712 | $16,712 – $16,712 |
| 15 | UnitedHealthcare uhc all payer - all other plans percent of total billed charges · inpatientfrom % of charges | $17,594 | $17,594 | $17,594 – $17,594 |
| 16 | Kaiser kaiser mcr adv per diem · inpatient | $20,115 | $20,115 | $20,115 – $20,115 |
| 17 | Kaiser kaiser-all other plans per diem · inpatient | $20,115 | $20,115 | $20,115 – $20,115 |
| 18 | First Health coventry/first health-all plans percent of total billed charges · inpatientfrom % of charges | $21,681 | $21,681 | $21,681 – $21,681 |
| 19 | UnitedHealthcare umr uhc ppo percent of total billed charges · inpatientfrom % of charges | $22,111 | $22,111 | $22,111 – $22,111 |
| 20 | UnitedHealthcare uhc options ppo percent of total billed charges · inpatientfrom % of charges | $22,154 | $22,154 | $22,154 – $22,154 |
| 21 | Cigna cigna-all other plans percent of total billed charges · inpatientfrom % of charges | $25,294 | $25,294 | $25,294 – $25,294 |
Last updated: Jul 15, 2026
See Simple pneumonia or pleurisy hospital stay with a complicating condition pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.