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 451–500. Download as CSV
| Hospital | Cases | Average payment | vs national average | Medicare paid | Billed charge |
|---|---|---|---|---|---|
| AdventHealth Ocala | 91 | $9,756 | 19% below the national average | $8,624 | $66,057 |
| American Fork Hospital | 17 | $9,759 | 19% below the national average | $8,156 | $25,844 |
| Hillcrest Hospital Claremore | 24 | $9,759 | 19% below the national average | $7,051 | $41,387 |
| AdventHealth Palm Coast Parkway | 41 | $9,764 | 19% below the national average | $6,390 | $47,183 |
| Baptist Memorial Hospital - Carroll County | 14 | $9,765 | 19% below the national average | $8,832 | $23,662 |
| Pardee Hospital Henderson County | 16 | $9,765 | 19% below the national average | $8,388 | $36,394 |
| Centerpoint Medical Center | 88 | $9,769 | 19% below the national average | $7,857 | $94,319 |
| Shannon Medical Center | 77 | $9,771 | 19% below the national average | $8,532 | $52,085 |
| Riverside Shore Memorial Hospital | 16 | $9,773 | 19% below the national average | $8,345 | $23,876 |
| Texas Health Harris Methodist Hurst-Euless-Bedford | 67 | $9,776 | 19% below the national average | $8,301 | $54,039 |
| Columbus Regional Hospital | 67 | $9,777 | 19% below the national average | $8,349 | $28,753 |
| Johnson Memorial Hospital | 15 | $9,778 | 19% below the national average | $8,366 | $37,076 |
| AdventHealth North Pinellas | 34 | $9,781 | 19% below the national average | $8,533 | $60,542 |
| Texas Health Presbyterian Hospital Flower Mound | 55 | $9,783 | 19% below the national average | $7,519 | $48,851 |
| IU Health West Hospital | 64 | $9,786 | 19% below the national average | $8,716 | $56,807 |
| AdventHealth Dade City | 26 | $9,788 | 19% below the national average | $8,533 | $64,228 |
| DeKalb Regional Medical Center | 16 | $9,791 | 19% below the national average | $8,620 | $52,226 |
| Wheeling Hospital, Inc | 36 | $9,792 | 19% below the national average | $7,401 | $28,991 |
| Harlingen Medical Center | 21 | $9,793 | 19% below the national average | $8,473 | $75,140 |
| Meadowview Regional Medical Center | 20 | $9,794 | 19% below the national average | $8,815 | $42,533 |
| Medical West, An Affiliate Of UAB Health System | 47 | $9,795 | 19% below the national average | $8,131 | $32,447 |
| Marion General Hospital | 82 | $9,799 | 18% below the national average | $8,234 | $30,753 |
| Kentucky River Medical Center | 23 | $9,801 | 18% below the national average | $8,665 | $64,199 |
| Advocate Good Shepherd Hospital | 105 | $9,801 | 18% below the national average | $7,787 | $44,035 |
| Bon Secours Southside Medical Center | 51 | $9,803 | 18% below the national average | $8,126 | $101,501 |
| HCA Florida Putnam Hospital | 49 | $9,804 | 18% below the national average | $8,555 | $70,436 |
| Palestine Regional Medical Center | 40 | $9,805 | 18% below the national average | $8,867 | $66,039 |
| CGH Medical Center | 45 | $9,806 | 18% below the national average | $8,755 | $52,432 |
| Tristar Horizon Medical Center | 52 | $9,807 | 18% below the national average | $7,939 | $51,914 |
| Anderson Hospital | 82 | $9,807 | 18% below the national average | $8,548 | $45,549 |
| St Luke's Hospital - Monroe Campus | 32 | $9,809 | 18% below the national average | $8,497 | $84,743 |
| Lovelace Westside Hospital | 22 | $9,809 | 18% below the national average | $7,351 | $60,739 |
| Johnston Health | 50 | $9,818 | 18% below the national average | $8,408 | $37,230 |
| Saint Joseph Medical Center | 71 | $9,819 | 18% below the national average | $8,627 | $60,881 |
| Highpoint Health-Sumner With Ascension Saint Thoma | 45 | $9,822 | 18% below the national average | $7,847 | $67,557 |
| Ahn Wexford Hospital | 39 | $9,830 | 18% below the national average | $6,587 | $43,461 |
| Holy Cross Hospital-Davis | 27 | $9,833 | 18% below the national average | $7,680 | $36,035 |
| Santa Rosa Medical Center | 39 | $9,840 | 18% below the national average | $8,585 | $68,170 |
| Bmh-Golden Triangle | 34 | $9,843 | 18% below the national average | $8,147 | $31,501 |
| Doctors Hospital | 44 | $9,846 | 18% below the national average | $8,241 | $84,193 |
| Gulf Coast Medical Center Lee Health | 147 | $9,850 | 18% below the national average | $7,825 | $56,307 |
| Houston Methodist Sugarland Hospital | 98 | $9,853 | 18% below the national average | $8,247 | $56,270 |
| Northwest Medical Center | 66 | $9,854 | 18% below the national average | $8,393 | $72,025 |
| Owensboro Health Muhlenberg Community Hospital | 29 | $9,856 | 18% below the national average | $8,731 | $19,540 |
| AdventHealth Murray | 13 | $9,857 | 18% below the national average | $8,604 | $49,499 |
| Trinity Rock Island | 67 | $9,859 | 18% below the national average | $8,172 | $31,280 |
| St Elizabeth Edgewood | 102 | $9,861 | 18% below the national average | $7,273 | $30,881 |
| HCA Florida Fort Walton-Destin Hospital | 95 | $9,861 | 18% below the national average | $8,737 | $132,807 |
| Indiana University Health Bloomington Hospital | 82 | $9,862 | 18% below the national average | $8,412 | $43,383 |
| Roper St Francis Hospital-Berkeley Inc | 30 | $9,866 | 18% below the national average | $7,662 | $35,206 |
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.