Inpatient stay · MS-DRG 193
Simple pneumonia and pleurisy with MCC
In 2024, Medicare and patients paid an average of $12,020 per stay at 2,442 hospitals. Half of hospitals averaged between $10,078 and $13,215.
Also known as: Pneumonia
National figures, 2024
- Average payment per case
- $12,020
- Typical range (middle half of hospitals)
- $10,078–$13,215
- Medicare’s share
- $9,868
- Average billed charge
- $60,101
- Hospitals reporting
- 2,442
Compare hospitals
Narrow by a state, city or ZIP code (optionally a distance around it), and/or pick specific hospitals. With both, your picks are added to the area’s hospitals.
2,442 hospitals reported at least 11 Medicare stays for this in 2024; showing 1–50. Download as CSV
| Hospital | Cases | Average payment | vs national average | Medicare paid | Billed charge |
|---|---|---|---|---|---|
| Southwestern Vermont Medical Center | 13 | $4,714 | 61% below the national average | $3,436 | $21,580 |
| Marietta Memorial Hospital | 59 | $5,659 | 53% below the national average | $3,656 | $35,552 |
| Central Vermont Medical Center | 48 | $6,627 | 45% below the national average | $3,575 | $27,411 |
| Memorial Hospital | 18 | $6,666 | 45% below the national average | $5,669 | $31,820 |
| Rutland Regional Medical Center | 29 | $6,921 | 42% below the national average | $5,600 | $33,991 |
| AdventHealth South Overland Park, Inc | 16 | $7,304 | 39% below the national average | $6,080 | $40,715 |
| Shelby Baptist Medical Center | 32 | $7,547 | 37% below the national average | $5,876 | $74,051 |
| Coastal Carolina Hospital | 15 | $7,639 | 36% below the national average | $6,551 | $62,915 |
| Kansas Medical Center LLC | 12 | $7,701 | 36% below the national average | $6,205 | $14,065 |
| Novant Health Ballantyne Medical Center | 22 | $7,745 | 36% below the national average | $6,152 | $30,630 |
| Lone Peak Hospital | 19 | $7,790 | 35% below the national average | $6,209 | $44,443 |
| Tennova Healthcare-Jefferson Memorial Hospital | 31 | $7,833 | 35% below the national average | $6,571 | $43,711 |
| Piedmont Columbus Regional Northside | 33 | $7,890 | 34% below the national average | $6,704 | $34,071 |
| Reynolds Memorial Hospital, Inc | 25 | $7,896 | 34% below the national average | $6,329 | $16,446 |
| Highland Community Hospital | 14 | $7,898 | 34% below the national average | $6,732 | $34,625 |
| Arkansas Heart Hospital-Encore | 36 | $7,898 | 34% below the national average | $6,642 | $16,914 |
| Acadian Medical Center | 19 | $7,915 | 34% below the national average | $6,712 | $49,644 |
| Three Crosses Regional Hospital LLC | 22 | $7,923 | 34% below the national average | $6,662 | $19,221 |
| Lubbock Heart Hospital Lp | 18 | $7,926 | 34% below the national average | $6,566 | $30,502 |
| Texas Health Hospital Frisco | 28 | $7,940 | 34% below the national average | $6,890 | $38,585 |
| Pelham Medical Center | 28 | $7,949 | 34% below the national average | $6,283 | $43,005 |
| Arkansas Heart Hospital, LLC | 51 | $7,988 | 34% below the national average | $6,868 | $22,100 |
| Rock Regional Hospital, LLC | 29 | $8,048 | 33% below the national average | $6,866 | $24,879 |
| Highland Hills Medical Center | 11 | $8,073 | 33% below the national average | $7,035 | $14,804 |
| Baptist Neighborhood Hospital Thousand Oaks | 14 | $8,178 | 32% below the national average | $6,662 | $49,267 |
| Boone Hospital Center | 93 | $8,201 | 32% below the national average | $7,060 | $34,513 |
| Delray Medical Center | 190 | $8,202 | 32% below the national average | $6,823 | $136,479 |
| Thibodaux Regional Medical Center | 51 | $8,214 | 32% below the national average | $7,094 | $51,470 |
| Via Christi Hospital Wichita St Teresa, Inc | 74 | $8,219 | 32% below the national average | $7,139 | $32,888 |
| Lake Health | 66 | $8,219 | 32% below the national average | $7,008 | $36,797 |
| Brattleboro Memorial Hospital | 29 | $8,221 | 32% below the national average | $6,337 | $34,801 |
| Belton Regional Medical Center | 27 | $8,229 | 32% below the national average | $7,186 | $69,026 |
| Oklahoma Heart Hospital, LLC | 28 | $8,244 | 31% below the national average | $7,254 | $33,105 |
| Integris Community Hospital - Council Crossing | 11 | $8,254 | 31% below the national average | $7,216 | $24,044 |
| Riverside Doctors' Hospital Of Williamsburg | 19 | $8,256 | 31% below the national average | $7,055 | $23,587 |
| East Ohio Regional Hospital | 25 | $8,276 | 31% below the national average | $7,232 | $21,130 |
| Novant Health East Cooper Medical Center | 22 | $8,287 | 31% below the national average | $5,955 | $70,900 |
| Williamson Medical Center | 64 | $8,288 | 31% below the national average | $7,008 | $29,738 |
| Saint Francis Bartlett Medical Center | 81 | $8,305 | 31% below the national average | $6,947 | $84,808 |
| Stormont Vail Health Flint Hills, LLC | 14 | $8,323 | 31% below the national average | $6,093 | $29,024 |
| Slidell Memorial Hospital | 50 | $8,349 | 31% below the national average | $6,963 | $46,591 |
| Baxter Health | 49 | $8,381 | 30% below the national average | $7,265 | $25,400 |
| Ascension St John Broken Arrow | 16 | $8,398 | 30% below the national average | $7,380 | $19,885 |
| HCA Florida Englewood Hospital | 58 | $8,433 | 30% below the national average | $7,194 | $93,698 |
| Sentara Martha Jefferson Hospital | 58 | $8,440 | 30% below the national average | $7,000 | $23,923 |
| Resolute Health Hospital | 35 | $8,447 | 30% below the national average | $6,871 | $84,193 |
| Riverview Regional Medical Center | 44 | $8,473 | 30% below the national average | $7,120 | $56,684 |
| Saint Luke's East Hospital | 96 | $8,473 | 30% below the national average | $7,175 | $80,204 |
| Southwest General Health Center | 104 | $8,478 | 29% below the national average | $6,916 | $33,893 |
| Mercy Regional Medical Center | 22 | $8,479 | 29% below the national average | $7,367 | $68,134 |
National trend
Average payment and billed charge per stay, and how many Medicare stays were reported each year.
- Average payment
- Average billed charge
View data as a table
| Year of care | Average payment | Average billed charge |
|---|---|---|
| 2020 | $11K | $48K |
| 2021 | $11K | $51K |
| 2022 | $11K | $54K |
| 2023 | $11K | $57K |
| 2024 | $12K | $60K |
By state, 2024
Case-weighted average payment across each state’s reporting hospitals, lowest first.
Show all 51 states
| State | Hospitals | Cases | Average payment | Typical range |
|---|---|---|---|---|
| Vermont | 6 | 262 | $9,426 | $6,701–$9,770 |
| Arkansas | 33 | 1,963 | $9,529 | $8,894–$10,238 |
| Louisiana | 37 | 1,716 | $9,767 | $8,917–$10,825 |
| Mississippi | 37 | 1,478 | $9,770 | $9,347–$11,005 |
| Kentucky | 55 | 2,917 | $9,950 | $9,327–$10,515 |
| Iowa | 27 | 1,449 | $10,045 | $9,260–$10,723 |
| Alabama | 45 | 2,103 | $10,084 | $9,068–$10,679 |
| Tennessee | 63 | 3,473 | $10,291 | $9,193–$11,087 |
| West Virginia | 21 | 1,236 | $10,349 | $9,004–$10,989 |
| Oklahoma | 47 | 2,073 | $10,363 | $9,418–$11,102 |
| Montana | 10 | 539 | $10,500 | $10,134–$10,750 |
| Kansas | 29 | 1,425 | $10,596 | $9,058–$11,411 |
| Indiana | 70 | 3,772 | $10,628 | $9,943–$11,742 |
| Ohio | 101 | 5,322 | $10,698 | $9,466–$11,768 |
| North Dakota | 6 | 357 | $10,728 | $10,588–$11,333 |
| Missouri | 56 | 3,051 | $10,786 | $9,580–$12,142 |
| Florida | 159 | 11,649 | $10,910 | $9,822–$11,670 |
| Nebraska | 16 | 628 | $11,028 | $9,541–$12,211 |
| Virginia | 66 | 3,796 | $11,067 | $10,106–$11,398 |
| Idaho | 10 | 463 | $11,075 | $10,623–$12,345 |
| South Carolina | 46 | 2,319 | $11,106 | $9,432–$12,285 |
| Wisconsin | 53 | 1,776 | $11,266 | $9,692–$11,708 |
| South Dakota | 9 | 482 | $11,284 | $10,310–$11,442 |
| Pennsylvania | 109 | 5,303 | $11,339 | $9,567–$12,100 |
| Colorado | 38 | 1,429 | $11,366 | $10,240–$11,989 |
| Utah | 22 | 709 | $11,433 | $10,452–$12,142 |
| New Hampshire | 13 | 951 | $11,445 | $10,591–$12,024 |
| Texas | 179 | 9,947 | $11,464 | $10,156–$12,256 |
| North Carolina | 72 | 4,202 | $11,518 | $9,994–$11,552 |
| Michigan | 69 | 3,790 | $11,570 | $10,809–$12,332 |
| Arizona | 49 | 2,886 | $11,725 | $10,136–$12,798 |
| Illinois | 102 | 5,608 | $11,824 | $10,292–$13,128 |
| Maine | 13 | 522 | $11,946 | $10,542–$12,978 |
| New Mexico | 20 | 891 | $12,045 | $9,727–$14,723 |
| Minnesota | 42 | 1,680 | $12,046 | $10,808–$12,460 |
| Georgia | 73 | 3,741 | $12,085 | $10,636–$12,356 |
| Delaware | 6 | 888 | $12,102 | $11,368–$12,438 |
| Washington | 42 | 2,122 | $12,459 | $11,587–$12,871 |
| Massachusetts | 49 | 5,043 | $12,619 | $11,034–$14,374 |
| Nevada | 19 | 1,412 | $12,697 | $12,104–$13,276 |
| Rhode Island | 9 | 390 | $12,735 | $10,495–$14,249 |
| New Jersey | 56 | 4,920 | $13,120 | $11,594–$15,542 |
| Oregon | 24 | 903 | $13,291 | $11,516–$13,994 |
| Connecticut | 25 | 1,807 | $14,233 | $12,350–$14,176 |
| Wyoming | 7 | 381 | $14,626 | $14,411–$16,677 |
| California | 223 | 12,363 | $15,080 | $13,473–$15,942 |
| Maryland | 40 | 2,223 | $15,376 | $13,600–$18,230 |
| District of Columbia | 5 | 223 | $15,648 | $16,092–$20,175 |
| New York | 116 | 7,313 | $15,898 | $12,250–$17,002 |
| Hawaii | 11 | 475 | $16,180 | $14,201–$17,585 |
| Alaska | 7 | 278 | $16,879 | $15,183–$21,198 |
About these numbers
Average payment is what Medicare paid plus the patient’s deductible and coinsurance (and any other insurer), averaged over the hospital’s Medicare cases. It covers the hospital’s part of the care; doctors bill separately. Billed charges are the hospital’s list prices, which few patients pay.
Medicare sets its payments by formula, adjusting for local wages, teaching programs, the share of low-income patients and unusually costly cases. Those adjustments drive most differences between hospitals, so a lower payment doesn’t mean better or worse care, and Medicare patients’ own costs usually vary much less than the totals. Private insurance pays different, usually higher, prices.
Source: CMS Medicare Inpatient Hospitals by Provider and Service (Medicare fee-for-service claims). CMS omits hospitals with fewer than 11 stays. More in the glossary.