How much does simple pneumonia & pleurisy, w/ CC cost in San Francisco, CA?

CPT 194 — the fair price, every hospital's price, and the Medicare benchmark for San Francisco, CA.

Estimates only. Educational estimates from public Medicare benchmarks and hospital-published prices — not a guarantee, and not legal, medical, or financial advice.
194 Simple pneumonia & pleurisy, w/ CC
⚠ bare numeric assumed MS-DRG; verify
Ask to pay
$36,111
This is the local cash / self-pay price — usually the best rate you can ask for.
What Medicare paysⓘ
no data
Typical price near you
$9,827
Cash / self-pay price
$36,111
Prices near you — 17 facilities, lowest first
FacilityTypePricevs MedicareQuality
Kaiser Permanente San Francisco Medical Center (San Francisco) lowest Hospital $4,545negotiated — ★★★★★
Good Samaritan Hospital (San Jose) Hospital $7,165negotiated — —
Dignity Sequoia Hospital (Redwood City) Hospital $8,815negotiated — ★★★★★
Sutter Mills-Peninsula Medical Center (Burlingame) Hospital $9,159negotiated — ★★★★★
Providence Queen of the Valley Medical Center (Napa) Hospital $9,329negotiated — —
Sutter Alta Bates Summit Medical Center (Oakland) Hospital $9,343negotiated — —
Sutter Eden Medical Center (Castro Valley) Hospital $9,484negotiated — —
Providence Santa Rosa Memorial Hospital (Santa Rosa) Hospital $9,512negotiated — —
Dignity Dominican Hospital (Santa Cruz) Hospital $10,142negotiated — —
Sutter Santa Rosa Regional Hospital (Santa Rosa) Hospital $10,300negotiated — —
Stanford Health Care (Stanford) Hospital $12,292negotiated — ★★★★★
UCSF Medical Center (San Francisco) Hospital $13,933negotiated — ★★★★★
Prices from each hospital's public machine-readable file; imaging & surgery-center prices are published self-pay rates (often the cheapest option). vs Medicare is how many times the Medicare rate each facility charges. 1 unusually low/high price excluded from the typical price as likely data errors.
💬 What to say — negotiation scripts
  • No Medicare benchmark on file for 194 (Simple pneumonia & pleurisy, w/ CC) — I can't anchor to Medicare here. Please send your pricing methodology for this code.
  • Your own published cash / self-pay price for 194 is $36,110.79, and negotiated rates at nearby facilities run $9,244.20–$28,769.90. Please apply a rate in that range to my bill rather than the gross charge.
  • Please send a fully itemized bill listing every CPT/HCPCS/DRG code and its individual charge, so I can review each line against published rates.
  • Separately, what is your financial assistance / charity care policy, and am I eligible? Please send me the application and the income thresholds.
See simple pneumonia & pleurisy, w/ CC prices in another area

What should 194 cost in San Francisco, CA?

For simple pneumonia & pleurisy, w/ CC (CPT 194) in San Francisco, CA, a fair self-pay price is around $9,827, with hospitals ranging from $9,244 to $28,770 across 17 facilities. The card above lists each hospital's price, cheapest first, with CMS quality stars.

Frequently asked questions

How much does simple pneumonia & pleurisy, w/ CC cost in San Francisco, CA?

A fair self-pay price for simple pneumonia & pleurisy, w/ CC (CPT 194) in San Francisco, CA is around $9,827, with hospital prices ranging from $9,244 to $28,770 across 17 facilities. These are estimates from hospital-published prices, not a guarantee.

Can I negotiate the price of simple pneumonia & pleurisy, w/ CC?

Yes. Under the federal Hospital Price Transparency rule hospitals must publish these rates, so you can ask to pay the cash or negotiated rate instead of the gross charge. Paste your bill on the home page for a ready-to-send appeal letter and the exact numbers to cite.

Got a bill for this?

If you were charged more than the fair price, you can usually negotiate it down. Paste your itemized bill to get a personalized appeal letter, the exact numbers to cite, an AI negotiation coach, and a charity-care eligibility check — free.

Compare other procedures in San Francisco, CA

Prices last refreshed September 2026 from each hospital's official CMS machine-readable file. Medicare rate: CY2025 OPPS/PFS/CLFS. Estimates only — not a guarantee.