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Every billing code / MS-DRG 193 / Garfield County Public Hospital District #1

MS-DRG 193 at Garfield County Public Hospital District #1

Simple pneumonia and pleurisy with MCC

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

Garfield County Public Hospital District #1, Pomeroy

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

What Garfield County Public Hospital District #1 publishes for this code: during a hospital stay

Who paysHospital’s fee (lowest – highest)Doctor’s fee the hospital lists
Commercial insuranceInsurer rates$11,752 – $13,1357 plans—
UnknownInsurer rates$11,061 – $13,8264 plans—
Cash pricePaying yourself, without insurance$11,752—
List priceBefore any discount; few people pay it$13,826—

Lowest and highest amounts Garfield County Public Hospital District #1 lists for this code during a hospital stay, including lines it lists for both settings or without saying which. Its price file is dated 2026-09-02. 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.

BillWhat it’s forOriginal Medicare allowsPrivate plan estimate
Hospital stayThe hospitalThe 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.