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

CPT 194 — the fair price, every hospital's price, and the Medicare benchmark for San Diego, 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
$16,758
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
$10,300
Cash / self-pay price
$16,758
Prices near you — 12 facilities, lowest first
FacilityTypePricevs MedicareQuality
Kaiser Permanente San Diego Zion Medical Center (San Diego) lowest Hospital $3,815negotiated — ★★★★★
Scripps Green Hospital (La Jolla) Hospital $7,462cash — ★★★★★
Tri-City Medical Center (Oceanside) Hospital $8,379negotiated — —
Scripps Memorial Hospital Encinitas (Encinitas) Hospital $8,860cash — ★★★★★
Scripps Mercy Hospital San Diego (San Diego) Hospital $9,691cash — ★★★★★
Scripps Mercy Hospital Chula Vista (Chula Vista) Hospital $10,139cash — —
Scripps Memorial Hospital La Jolla (La Jolla) Hospital $10,462cash — ★★★★★
UC San Diego Health - Hillcrest & Jacobs Medical Center (San Diego) Hospital $23,054cash — —
Sharp Memorial Hospital (San Diego) Hospital $37,254cash — ★★★★★
Sharp Chula Vista Medical Center (Chula Vista) Hospital $46,173cash — —
Sharp Coronado Hospital (Coronado) Hospital $50,170cash — ★★★★★
Sharp Grossmont Hospital (La Mesa) 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.
💬 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 $16,758.20, and negotiated rates at nearby facilities run $8,499.15–$43,942.85. 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 Diego, CA?

For simple pneumonia & pleurisy, w/ CC (CPT 194) in San Diego, CA, a fair self-pay price is around $10,300, with hospitals ranging from $8,499 to $43,943 across 12 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 Diego, CA?

A fair self-pay price for simple pneumonia & pleurisy, w/ CC (CPT 194) in San Diego, CA is around $10,300, with hospital prices ranging from $8,499 to $43,943 across 12 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 Diego, 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.