Inpatient stay · MS-DRG 193
Pneumonia cost in Michigan, with major complications
In 2024, Medicare and patients paid an average of $11,570 per stay at 69 Michigan hospitals, about the same as the national average of $12,020. That is the 22nd highest of 51 states. Half of Michigan hospitals averaged between $10,809 and $12,332.
Medicare’s name: Simple pneumonia and pleurisy with MCC (MS-DRG 193)
Also known as: Pneumonia
Michigan figures, 2024
- Average payment per case
- $11,570
- Typical range (middle half of hospitals)
- $10,809–$12,332
- Medicare’s share
- $9,169
- Average billed charge
- $36,121
- Hospitals reporting
- 69
Compare with hospitals nationwide
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
Hospitals in Michigan, plus your selected 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.
- Average payment across these 70 hospitals
- $11,520
- Median hospital
- $11,499
- Lowest to highest
- $8,837–$17,929
- Medicare stays
- 4,104
70 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 |
|---|---|---|---|---|---|
| McLaren Port Huron | 30 | $8,837 | 26% below the national average | $7,635 | $23,975 |
| McLaren Bay Region | 54 | $8,861 | 26% below the national average | $7,575 | $33,886 |
| Memorial Healthcare | 42 | $9,415 | 22% below the national average | $8,171 | $39,833 |
| Mymichigan Medical Center Saginaw | 27 | $9,421 | 22% below the national average | $8,125 | $39,098 |
| Oaklawn Hospital | 27 | $9,494 | 21% below the national average | $8,092 | $33,438 |
| Beaumont Hospital, Troy | 196 | $9,511 | 21% below the national average | $7,499 | $40,130 |
| Henry Ford Health West Bloomfield Hospital | 86 | $9,706 | 19% below the national average | $8,247 | $30,785 |
| Beaumont Hospital - Grosse Pointe | 52 | $9,921 | 17% below the national average | $7,934 | $33,231 |
| Covenant Medical Center | 116 | $10,004 | 17% below the national average | $8,426 | $27,982 |
| Chelsea Hospital | 38 | $10,101 | 16% below the national average | $6,895 | $28,115 |
| Corewell Health Trenton Hospital | 68 | $10,348 | 14% below the national average | $8,201 | $46,274 |
| Lakeland Hospital, St Joseph | 28 | $10,391 | 14% below the national average | $8,674 | $26,395 |
| Wyandotte Hospital And Medical Center | 62 | $10,540 | 12% below the national average | $8,465 | $40,750 |
| Bronson Battle Creek Hospital | 63 | $10,621 | 12% below the national average | $8,351 | $33,657 |
| Beaumont Hospital - Taylor | 48 | $10,653 | 11% below the national average | $8,285 | $38,271 |
| Insight Hospital And Medical Center Coldwater | 30 | $10,765 | 10% below the national average | $9,353 | $35,509 |
| Huron Valley-Sinai Hospital | 29 | $10,768 | 10% below the national average | $8,932 | $54,664 |
| McLaren Northern Michigan | 37 | $10,809 | 10% below the national average | $9,644 | $25,773 |
| Mymichigan Medical Center Clare | 21 | $10,884 | About average | $9,563 | $21,385 |
| Methodist HospitalSelected | 314 | $10,916 | About average | $8,419 | $103,634 |
| Ascension Providence Rochester Hospital | 62 | $11,012 | About average | $8,733 | $37,213 |
| ProMedica Charles And Virginia Hickman Hospital | 45 | $11,126 | About average | $9,151 | $45,838 |
| McLaren Macomb | 67 | $11,224 | About average | $9,074 | $27,712 |
| Borgess Medical Center | 45 | $11,239 | About average | $9,141 | $40,694 |
| Mymichigan Medical Center West Branch | 28 | $11,254 | About average | $9,914 | $16,261 |
| Mymichigan Medical Center Alma | 43 | $11,273 | About average | $10,126 | $24,742 |
| Bronson Methodist Hospital | 85 | $11,283 | About average | $8,310 | $37,211 |
| ProMedica Monroe Regional Hospital | 33 | $11,292 | About average | $8,815 | $30,612 |
| Henry Ford Macomb Hospital | 135 | $11,294 | About average | $8,730 | $30,314 |
| Beaumont Hospital - Dearborn | 94 | $11,321 | About average | $8,860 | $41,189 |
| Henry Ford Health Warren Hospital | 106 | $11,341 | About average | $9,483 | $33,374 |
| Mymichigan Medical Center Alpena | 26 | $11,349 | About average | $10,219 | $22,215 |
| Mymichigan Medical Center Midland | 75 | $11,409 | About average | $9,217 | $29,568 |
| McLaren Flint | 62 | $11,439 | About average | $9,150 | $31,168 |
| Spectrum Health United Hospital | 18 | $11,495 | About average | $10,071 | $23,295 |
| McLaren Lapeer Region | 41 | $11,503 | About average | $9,850 | $31,981 |
| Trinity Health Ann Arbor Hospital | 147 | $11,512 | About average | $8,960 | $37,226 |
| Munson Medical Center | 77 | $11,554 | About average | $9,713 | $30,659 |
| University Of Michigan Health-Sparrow Carson | 11 | $11,589 | About average | $9,856 | $23,264 |
| Tawas St Joseph Hospital | 20 | $11,619 | About average | $10,395 | $14,594 |
| Munson Healthcare Cadillac Hospital | 19 | $11,697 | About average | $8,519 | $22,680 |
| Munson Healthcare Otsego Memorial Hospital | 26 | $11,698 | About average | $10,317 | $20,179 |
| Henry Ford Allegiance Health | 143 | $11,902 | About average | $9,511 | $36,876 |
| Garden City Hospital | 17 | $11,938 | About average | $8,676 | $39,429 |
| UPHS Marquette DLP Hospital | 40 | $11,950 | About average | $10,195 | $46,250 |
| Ascension Providence Hospital, Southfield And Novi | 106 | $12,028 | About average | $9,574 | $38,077 |
| Trinity Health Oakland Hospital | 85 | $12,040 | About average | $9,404 | $37,081 |
| Ascension Genesys Hospital | 85 | $12,064 | About average | $9,658 | $34,405 |
| Edward W Sparrow Hospital | 101 | $12,071 | About average | $8,483 | $47,076 |
| Corewell Health Wayne Hospital | 32 | $12,091 | About average | $8,858 | $54,850 |
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.