How much does simple pneumonia & pleurisy, w/ CC cost in California?
CPT 194 — the fair price, every hospital's price, and the Medicare benchmark for California.
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
$13,401
This is the local cash / self-pay price — usually the best rate you can ask for.
Typical
$9,498
Ask $13,401
$3,815 lowboxed = typical rangehigh $77,442
What Medicare paysⓘ
no data
Typical price near you
$9,498
Cash / self-pay price
$13,401
Prices near you — 89 facilities, lowest first
| Facility | Type | Price | vs Medicare | Quality |
|---|---|---|---|---|
| Kaiser Permanente Fontana Medical Center (Fontana) lowest | Hospital | $3,815negotiated | — | — |
| Kaiser Permanente San Diego Zion Medical Center (San Diego) | Hospital | $3,815negotiated | — | ★★★★★ |
| Kaiser Permanente Los Angeles Medical Center (Los Angeles) | Hospital | $3,815negotiated | — | ★★★★★ |
| Eisenhower Medical Center (Rancho Mirage) | Hospital | $4,470cash | — | ★★★★★ |
| Kaiser Permanente Fresno Medical Center (Fresno) | Hospital | $4,545negotiated | — | — |
| Kaiser Permanente San Francisco Medical Center (San Francisco) | Hospital | $4,545negotiated | — | ★★★★★ |
| Kaiser Permanente Sacramento Medical Center (Sacramento) | Hospital | $4,545negotiated | — | ★★★★★ |
| Riverside Community Hospital (Riverside) | Hospital | $5,314negotiated | — | — |
| Los Robles Health System (Thousand Oaks) | Hospital | $5,386negotiated | — | — |
| Kaweah Health Medical Center (Visalia) | Hospital | $6,500negotiated | — | — |
| Good Samaritan Hospital (San Jose) | Hospital | $7,165negotiated | — | — |
| Scripps Green Hospital (La Jolla) | Hospital | $7,462cash | — | ★★★★★ |
| Adventist Health Bakersfield (Bakersfield) | Hospital | $7,819cash | — | — |
| Hoag Memorial Hospital Presbyterian (Newport Beach) | Hospital | $8,054negotiated | — | ★★★★★ |
| Clovis Community Medical Center (Clovis) | Hospital | $8,059negotiated | — | — |
| Dignity St. John's Regional Medical Center (Oxnard) | Hospital | $8,211negotiated | — | — |
| Providence Mission Hospital (Mission Viejo) | Hospital | $8,229negotiated | — | ★★★★★ |
| Sutter Memorial Medical Center (Modesto) | Hospital | $8,267negotiated | — | — |
| Providence St. Jude Medical Center (Fullerton) | Hospital | $8,271negotiated | — | ★★★★★ |
| Tri-City Medical Center (Oceanside) | Hospital | $8,379negotiated | — | — |
| Dignity Mercy Medical Center Redding (Redding) | Hospital | $8,453negotiated | — | — |
| Centinela Hospital Medical Center (Inglewood) | Hospital | $8,617cash | — | — |
| Dignity Bakersfield Memorial Hospital (Bakersfield) | Hospital | $8,621negotiated | — | — |
| Sutter Roseville Medical Center (Roseville) | Hospital | $8,660negotiated | — | ★★★★★ |
| Providence St. Joseph Hospital (Orange) | Hospital | $8,685negotiated | — | ★★★★★ |
| USC Arcadia Hospital (Arcadia) | Hospital | $8,735negotiated | — | — |
| Providence St. Mary Medical Center (Apple Valley) | Hospital | $8,768negotiated | — | — |
| Dignity Sequoia Hospital (Redwood City) | Hospital | $8,815negotiated | — | ★★★★★ |
| Dignity Mercy General Hospital (Sacramento) | Hospital | $8,821negotiated | — | ★★★★★ |
| Dignity Glendale Memorial Hospital (Glendale) | Hospital | $8,858negotiated | — | — |
| Scripps Memorial Hospital Encinitas (Encinitas) | Hospital | $8,860cash | — | ★★★★★ |
| Dignity Northridge Hospital Medical Center (Northridge) | Hospital | $8,881negotiated | — | ★★★★★ |
| Dignity Mercy San Juan Medical Center (Carmichael) | Hospital | $9,046negotiated | — | — |
| 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 St. Bernardine Medical Center (San Bernardino) | Hospital | $9,572negotiated | — | — |
| UCLA Santa Monica Medical Center (Santa Monica) | Hospital | $9,651negotiated | — | ★★★★★ |
| Cedars-Sinai Medical Center (Los Angeles) | Hospital | $9,684negotiated | — | ★★★★★ |
| Scripps Mercy Hospital San Diego (San Diego) | Hospital | $9,691cash | — | ★★★★★ |
| Community Regional Medical Center (Fresno) | Hospital | $9,767negotiated | — | — |
| Providence Holy Cross Medical Center (Mission Hills) | Hospital | $9,932negotiated | — | — |
| Providence Cedars-Sinai Tarzana Medical Center (Tarzana) | Hospital | $9,936negotiated | — | ★★★★★ |
| Dignity St. Mary Medical Center (Long Beach) | Hospital | $9,939negotiated | — | — |
| Adventist Health Glendale (Glendale) | Hospital | $9,984cash | — | ★★★★★ |
| Scripps Mercy Hospital Chula Vista (Chula Vista) | Hospital | $10,139cash | — | — |
| Dignity Dominican Hospital (Santa Cruz) | Hospital | $10,142negotiated | — | — |
| Sutter Santa Rosa Regional Hospital (Santa Rosa) | Hospital | $10,300negotiated | — | — |
| Scripps Memorial Hospital La Jolla (La Jolla) | Hospital | $10,462cash | — | ★★★★★ |
| Loma Linda University Medical Center – Murrieta (Murrieta) | Hospital | $10,491negotiated | — | — |
| Desert Regional Medical Center (Palm Springs) | Hospital | $10,826negotiated | — | — |
| JFK Memorial Hospital (Indio) | Hospital | $10,826negotiated | — | — |
| MemorialCare Saddleback Medical Center (Laguna Hills) | Hospital | $10,899negotiated | — | ★★★★★ |
| Providence Saint Joseph Medical Center (Burbank) | Hospital | $10,914negotiated | — | — |
| Dignity St. Joseph's Medical Center (Stockton) | Hospital | $11,010negotiated | — | — |
| Providence Little Company of Mary Torrance (Torrance) | Hospital | $11,114negotiated | — | ★★★★★ |
| MemorialCare Orange Coast Medical Center (Fountain Valley) | Hospital | $11,120negotiated | — | — |
| MemorialCare Long Beach Medical Center (Long Beach) | Hospital | $11,191negotiated | — | ★★★★★ |
| UC Davis Medical Center (Sacramento) | Hospital | $11,705negotiated | — | ★★★★★ |
| Dignity California Hospital Medical Center (Los Angeles) | Hospital | $11,970negotiated | — | — |
| Stanford Health Care (Stanford) | Hospital | $12,292negotiated | — | ★★★★★ |
| Loma Linda University Medical Center (Loma Linda) | Hospital | $12,978negotiated | — | ★★★★★ |
| Adventist Health Simi Valley (Simi Valley) | Hospital | $13,067cash | — | — |
| UCI Health – Placentia Linda (Placentia) | Hospital | $13,322negotiated | — | — |
| UCI Health – Los Alamitos (Los Alamitos) | Hospital | $13,322negotiated | — | — |
| UCI Health – Lakewood (Lakewood) | Hospital | $13,322negotiated | — | — |
| UCI Medical Center (Orange) | Hospital | $13,322negotiated | — | ★★★★★ |
| UCI Health – Fountain Valley (Fountain Valley) | Hospital | $13,322negotiated | — | — |
| Ronald Reagan UCLA Medical Center (Los Angeles) | Hospital | $13,540negotiated | — | ★★★★★ |
| Adventist Health White Memorial (Los Angeles) | Hospital | $13,736cash | — | — |
| UCSF Medical Center (San Francisco) | Hospital | $13,933negotiated | — | ★★★★★ |
| Keck Hospital of USC (Los Angeles) | Hospital | $14,288negotiated | — | ★★★★★ |
| UC San Diego Health - Hillcrest & Jacobs Medical Center (San Diego) gross charge | Hospital | $23,054cash | — | — |
| Los Angeles General Medical Center (Los Angeles) gross charge | Hospital | $23,458negotiated | — | ★★★★★ |
| Harbor-UCLA Medical Center (Torrance) gross charge | Hospital | $23,932negotiated | — | — |
| Pomona Valley Hospital Medical Center (Pomona) gross charge | Hospital | $25,347negotiated | — | ★★★★★ |
| Stanford Health Care Tri-Valley (Pleasanton) gross charge | Hospital | $27,503negotiated | — | — |
| Lucile Packard Children's Hospital Stanford (Palo Alto) gross charge | Hospital | $30,036cash | — | — |
| Sutter Medical Center Sacramento (Sacramento) gross charge | Hospital | $35,876negotiated | — | ★★★★★ |
| Highland Hospital – Alameda Health System (Oakland) gross charge | Hospital | $36,111cash | — | — |
| Sutter CPMC Van Ness Campus (San Francisco) gross charge | Hospital | $36,446negotiated | — | — |
| Sharp Memorial Hospital (San Diego) gross charge | Hospital | $37,254cash | — | ★★★★★ |
| Sharp Chula Vista Medical Center (Chula Vista) gross charge | Hospital | $46,173cash | — | — |
| Sharp Coronado Hospital (Coronado) gross charge | Hospital | $50,170cash | — | ★★★★★ |
| Riverside University Health System Medical Center (Moreno Valley) gross charge | Hospital | $56,017cash | — | — |
| Natividad Medical Center (Salinas) gross charge | Hospital | $63,861cash | — | — |
| Sharp Grossmont Hospital (La Mesa) gross charge | Hospital | $77,442cash | — | ★★★★★ |
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. 15 unusually low/high prices 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 $13,401.11, and negotiated rates at nearby facilities run $8,619.22–$13,322.47. 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 California?
For simple pneumonia & pleurisy, w/ CC (CPT 194) in California, a fair self-pay price is around $9,498, with hospitals ranging from $8,619 to $13,322 across 89 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 California?
A fair self-pay price for simple pneumonia & pleurisy, w/ CC (CPT 194) in California is around $9,498, with hospital prices ranging from $8,619 to $13,322 across 89 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.
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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.