SIMPLE PNEUMONIA AND PLEURISY WITH MCC
Medicare inpatient claims for MS-DRG 193. National volume + top hospitals + geographic distribution. Sourced from CMS Medicare Inpatient Hospitals by Provider; refreshed annually.
What is MS-DRG 193?
MS-DRG 193 is the Medicare Severity Diagnosis-Related Group for SIMPLE PNEUMONIA AND PLEURISY WITH MCC. When a Medicare patient is discharged, the hospital stay is grouped into a single MS-DRG, and Medicare reimburses the hospital a fixed, predetermined amount for that group rather than itemizing each service.
Across the CMS Medicare Inpatient Hospitals by Provider dataset, 2,544 hospitals reported 262,442 discharges for MS-DRG 193. The average hospital submitted charge was $55K, while the average amount Medicare actually paid was $10K — a 5.6× gap between list price and reimbursement, which is typical for Medicare inpatient claims.