How much does simple pneumonia & pleurisy, w/ CC cost in Utah?

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

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
$13,405
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
$8,613
Cash / self-pay price
$13,405
Prices near you — 17 facilities, lowest first
FacilityTypePricevs MedicareQuality
Lone Peak Hospital (Draper) lowest Hospital $5,255negotiated — ★★★★★
Timpanogos Regional Hospital (Orem) Hospital $5,255negotiated — ★★★★★
Lakeview Hospital (Bountiful) Hospital $5,255negotiated — ★★★★★
Ogden Regional Medical Center (Ogden) Hospital $5,255negotiated — ★★★★★
Mountain View Hospital (Payson) Hospital $5,255negotiated — ★★★★★
Brigham City Community Hospital (Brigham City) Hospital $5,255negotiated — —
St. Mark's Hospital (Salt Lake City) Hospital $7,187negotiated — ★★★★★
Cache Valley Hospital (North Logan) Hospital $8,131negotiated — —
Uintah Basin Medical Center (Roosevelt) Hospital $8,613negotiated — ★★★★★
Holy Cross Hospital - Salt Lake (Salt Lake City) Hospital $10,267negotiated — ★★★★★
Holy Cross Hospital - Jordan Valley (West Jordan) Hospital $10,267negotiated — ★★★★★
Holy Cross Hospital - Davis (Layton) Hospital $10,267negotiated — ★★★★★
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 $13,404.73, and negotiated rates at nearby facilities run $5,254.68–$11,841.39. 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 Utah?

For simple pneumonia & pleurisy, w/ CC (CPT 194) in Utah, a fair self-pay price is around $8,613, with hospitals ranging from $5,255 to $11,841 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 Utah?

A fair self-pay price for simple pneumonia & pleurisy, w/ CC (CPT 194) in Utah is around $8,613, with hospital prices ranging from $5,255 to $11,841 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 Utah

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.