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 501–550. Download as CSV
| Hospital | Cases | Average payment | vs national average | Medicare paid | Billed charge |
|---|---|---|---|---|---|
| South Arkansas Regional Hospital LLC | 28 | $9,866 | 18% below the national average | $8,028 | $88,936 |
| Atrium Health Pineville | 126 | $9,867 | 18% below the national average | $7,945 | $53,033 |
| Barnes-Jewish West County Hospital | 13 | $9,869 | 18% below the national average | $8,204 | $33,516 |
| Trident Medical Center | 87 | $9,872 | 18% below the national average | $8,551 | $103,569 |
| UPMC Memorial | 24 | $9,872 | 18% below the national average | $7,991 | $53,397 |
| Tidelands Waccamaw Community Hospital | 86 | $9,878 | 18% below the national average | $7,909 | $31,910 |
| Terre Haute Regional Hospital | 48 | $9,880 | 18% below the national average | $8,349 | $65,123 |
| Monroe Hospital | 17 | $9,880 | 18% below the national average | $7,513 | $28,976 |
| Great Plains Regional Medical Center | 18 | $9,886 | 18% below the national average | $7,176 | $29,201 |
| Henrico Doctors' Hospital | 142 | $9,888 | 18% below the national average | $7,826 | $93,279 |
| Springfield Regional Medical Center | 43 | $9,889 | 18% below the national average | $7,940 | $46,446 |
| White River Medical Center | 39 | $9,890 | 18% below the national average | $8,036 | $21,738 |
| Ridgeview Medical Center | 38 | $9,891 | 18% below the national average | $7,844 | $42,506 |
| Ochsner Medical Center - Baton Rouge | 22 | $9,899 | 18% below the national average | $8,043 | $26,258 |
| Saint Lukes North Hospital | 31 | $9,899 | 18% below the national average | $7,719 | $67,511 |
| Uva Health Haymarket Medical Center | 36 | $9,902 | 18% below the national average | $6,836 | $36,714 |
| Wilkes-Barre General Hospital | 80 | $9,903 | 18% below the national average | $7,847 | $76,169 |
| St Elizabeth Ft Thomas | 30 | $9,906 | 18% below the national average | $6,824 | $32,480 |
| Memorial Satilla Health | 40 | $9,910 | 18% below the national average | $8,879 | $68,413 |
| Valley View Medical Center | 16 | $9,913 | 18% below the national average | $8,485 | $91,753 |
| Texoma Medical Center | 146 | $9,914 | 18% below the national average | $8,311 | $88,480 |
| Leconte Medical Center | 15 | $9,920 | 17% below the national average | $7,945 | $20,365 |
| Beaumont Hospital - Grosse Pointe | 52 | $9,921 | 17% below the national average | $7,934 | $33,231 |
| St Joseph's Hospital | 31 | $9,922 | 17% below the national average | $8,555 | $102,154 |
| Baptist Memorial Hospital | 145 | $9,924 | 17% below the national average | $7,646 | $48,501 |
| Good Samaritan Regional Health Center | 87 | $9,925 | 17% below the national average | $8,210 | $39,216 |
| North Mississippi Medical Center | 96 | $9,930 | 17% below the national average | $8,378 | $28,853 |
| Mercy Gilbert Medical Center | 112 | $9,932 | 17% below the national average | $8,665 | $76,262 |
| Beckley ARH Hospital | 82 | $9,933 | 17% below the national average | $8,720 | $60,981 |
| Lutheran Hospital Of Indiana | 63 | $9,934 | 17% below the national average | $8,270 | $86,227 |
| Novant Health Mint Hill Medical Center | 23 | $9,936 | 17% below the national average | $7,569 | $38,809 |
| Mercy Hospital Ada | 40 | $9,939 | 17% below the national average | $8,653 | $29,150 |
| CHI Health Mercy Council Bluffs | 20 | $9,940 | 17% below the national average | $8,473 | $31,750 |
| St Nicholas Hospital | 13 | $9,941 | 17% below the national average | $7,263 | $35,314 |
| Community Hospital | 117 | $9,943 | 17% below the national average | $7,821 | $42,718 |
| Ascension St Vincent Kokomo | 58 | $9,943 | 17% below the national average | $8,697 | $37,729 |
| Chambers Memorial Hospital | 18 | $9,943 | 17% below the national average | $8,673 | $14,982 |
| The Medical Center Of Southeast Texas | 12 | $9,943 | 17% below the national average | $8,855 | $57,485 |
| Lake Cumberland Regional Hospital | 69 | $9,944 | 17% below the national average | $8,288 | $79,587 |
| University Hospitals Samaritan Medical Center | 24 | $9,947 | 17% below the national average | $8,183 | $19,313 |
| Baptist Medical Center - Nassau | 40 | $9,949 | 17% below the national average | $8,522 | $54,219 |
| Livingston Regional Hospital | 15 | $9,954 | 17% below the national average | $8,648 | $57,310 |
| Camden Clark Medical Center | 126 | $9,954 | 17% below the national average | $7,253 | $40,130 |
| Bozeman Health Deaconess Hospital | 50 | $9,955 | 17% below the national average | $8,748 | $23,688 |
| Lima Memorial Health System | 48 | $9,956 | 17% below the national average | $8,542 | $28,738 |
| Southern Tennessee Regional Health System Winchest | 18 | $9,956 | 17% below the national average | $7,987 | $64,236 |
| Orlando Health Rockledge Hospital | 60 | $9,958 | 17% below the national average | $8,202 | $69,170 |
| Emory Houston Hospital Warner Robins | 88 | $9,961 | 17% below the national average | $8,312 | $28,822 |
| Western Arizona Regional Medical Center | 64 | $9,963 | 17% below the national average | $8,518 | $108,556 |
| Ascension Ne Wisconsin - St Elizabeth Campus | 29 | $9,963 | 17% below the national average | $8,590 | $26,236 |
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.