MS-DRG 193 at Trios Health

Simple pneumonia and pleurisy with MCC

In plain words: Simple pneumonia and pleurisy with major complications (MCC)

Trios Health, Kennewick

Title from CMS's list of Medicare Severity Diagnosis Related Groups (MS-DRGs).

What Trios Health publishes for this code: during a hospital stay

Trios Health’s prices for MS-DRG 193, during a hospital stay
Who pays	Hospital’s fee (lowest – highest)	Doctor’s fee the hospital lists
Commercial insuranceInsurer rates	$17,744 – $23,2253 plans	—
Medicare AdvantageInsurer rates	$10,6681 plan	—
Medicare (traditional)Insurer rates	$10,3575 plans	—
Other government programInsurer rates	$10,3576 plans	—
UnknownInsurer rates	$10,875 – $21,0763 plans	—
Cash pricePaying yourself, without insurance	—	—
List priceBefore any discount; few people pay it	$75,677	—

Lowest and highest amounts Trios Health lists for this code during a hospital stay, including lines it lists for both settings or without saying which. This is one line of a bill; most care brings several.

Bills to expect

The hospital’s fee is the price above. Doctors usually send their own bills. Their amounts here are what original Medicare allows in the rest of Washington for 2026, and a private-plan estimate of 118% to 179% of that (the range found across studies of what insurers pay doctors). Those are estimates, not quotes.

Bills to expect for MS-DRG 193 at Trios Health
Bill	What it’s for	Original Medicare allows	Private plan estimate
Hospital stayThe hospital	The stay: the room, nursing, operating room, drugs, tests and therapy	—	The price above
Hospital doctorA hospitalist group (only sometimes)	A hospital doctor who looks after you (first day)	$157	$185 – $281

Original Medicare amounts are only for people on original Medicare. Your share depends on your plan’s deductible, copay and coinsurance.

Compare MS-DRG 193 at every Washington hospital, with Medicare’s reference amounts.