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
Kane, PA
See all hospitals reporting MS-DRG 193 →Price type
UPMC Kane’s median price of $12.7k is about the same as the median hospital's median price ($12.7k), higher than 50% 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: 2 payers, 6 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 | Highmark medicare facility · per diem · inpatient | $3.1k | $3.1k | — | — | — | $3.1k – $3.1k |
| 2 | UnitedHealthcare commercial facility · case rate · inpatient | $11.2k | $11.2k | — | — | — | $11.2k – $11.2k |
| 3 | Highmark commercial - social mission indemnity facility · case rate · inpatient | $12.7k | $12.7k | — | — | — | $12.7k – $12.7k |
| 4 | Highmark managed care - social mission facility · case rate · inpatient | $12.7k | $12.7k | — | — | — | $12.7k – $12.7k |
| 5 | Highmark commercial - indemnity facility · case rate · inpatient | $15.5k | $15.5k | — | — | — | $15.5k – $15.5k |
| 6 | Highmark managed care facility · case rate · inpatient | $15.5k | $15.5k | — | — | — | $15.5k – $15.5k |
Last updated: Mar 6, 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.