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: $9,86882% of the payment
Average billed charge: $60,101
Hospitals reporting: 2,442136,649 stays

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2,442 hospitals reported at least 11 Medicare stays for this in 2024; showing 551–600. Download as CSV

Medicare payments per case for Simple pneumonia and pleurisy with MCC by hospital, 2024
Hospital	Cases	Average payment	vs national average	Medicare paid	Billed charge
Allen HospitalWaterloo, IA · CCN 160110	39	$9,964	17% below the national average	$7,318	$21,223
Southwestern Medical CenterLawton, OK · CCN 370097	16	$9,970	17% below the national average	$6,850	$37,416
UCHealth Grandview HospitalColorado Springs, CO · CCN 060130	11	$9,978	17% below the national average	$8,494	$45,576
St Elizabeth FlorenceFlorence, KY · CCN 180045	65	$9,980	17% below the national average	$7,036	$25,232
Ascension St Vincent EvansvilleEvansville, IN · CCN 150100	69	$9,984	17% below the national average	$8,452	$34,536
UNC Lenoir Health CareKinston, NC · CCN 340027	47	$9,987	17% below the national average	$8,696	$19,957
Houston Methodist Clear Lake HospitalNassau Bay, TX · CCN 450709	16	$9,989	17% below the national average	$7,515	$51,322
SGMC HealthValdosta, GA · CCN 110122	87	$9,989	17% below the national average	$8,835	$31,375
Byrd Regional HospitalLeesville, LA · CCN 190164	24	$9,993	17% below the national average	$8,973	$71,449
Carle Bromenn Medical CenterNormal, IL · CCN 140127	42	$9,993	17% below the national average	$8,339	$35,513
Baylor Scott & White Medical Center - CentennialFrisco, TX · CCN 450885	29	$9,994	17% below the national average	$8,812	$51,463
High Point Regional Health SystemHigh Point, NC · CCN 340004	43	$9,997	17% below the national average	$8,982	$35,204
T J Samson Community HospitalGlasgow, KY · CCN 180017	77	$10,002	17% below the national average	$8,616	$20,775
Covenant Medical CenterSaginaw, MI · CCN 230070	116	$10,004	17% below the national average	$8,426	$27,982
Merit Health River RegionVicksburg, MS · CCN 250031	35	$10,004	17% below the national average	$7,691	$130,491
St David's Medical CenterAustin, TX · CCN 450431	121	$10,005	17% below the national average	$8,391	$78,026
Franciscan Health Crown PointCrown Point, IN · CCN 150126	104	$10,005	17% below the national average	$8,050	$42,649
HCA Florida West HospitalPensacola, FL · CCN 100231	99	$10,009	17% below the national average	$8,721	$72,707
Genesis Medical CenterSilvis, IL · CCN 140275	13	$10,014	17% below the national average	$8,414	$23,975
Kettering Health MiamisburgMiamisburg, OH · CCN 360239	35	$10,015	17% below the national average	$8,246	$42,070
Sarasota Memorial HospitalSarasota, FL · CCN 100087	284	$10,015	17% below the national average	$8,530	$52,024
Mercy Hospital JeffersonCrystal City, MO · CCN 260023	75	$10,018	17% below the national average	$8,122	$37,508
Catholic Medical CenterManchester, NH · CCN 300034	45	$10,018	17% below the national average	$8,735	$37,247
Baylor Scott & White Medical Center - Round RockRound Rock, TX · CCN 670034	50	$10,020	17% below the national average	$8,036	$47,687
Baptist Health Deaconess MadisonvilleMadisonville, KY · CCN 180093	51	$10,022	17% below the national average	$8,223	$48,976
Baylor Scott & White Medical Center- College StatiCollege Station, TX · CCN 670088	19	$10,022	17% below the national average	$9,077	$33,038
Mease Dunedin HospitalDunedin, FL · CCN 100043	21	$10,027	17% below the national average	$9,095	$46,293
Owensboro Health Twin Lakes Medical CenterLeitchfield, KY · CCN 180070	23	$10,027	17% below the national average	$8,539	$26,327
SSM Health St Agnes Hospital-Fond Du LacFond Du Lac, WI · CCN 520088	30	$10,028	17% below the national average	$8,942	$32,140
Fort Duncan Medical CenterEagle Pass, TX · CCN 450092	19	$10,029	17% below the national average	$8,826	$74,186
AllianceHealth DurantDurant, OK · CCN 370014	87	$10,030	17% below the national average	$8,351	$147,433
ACMH HospitalKittanning, PA · CCN 390163	16	$10,031	17% below the national average	$8,245	$25,822
Fairview HospitalCleveland, OH · CCN 360077	112	$10,034	17% below the national average	$7,874	$43,966
AdventHealth HendersonvilleHendersonville, NC · CCN 340023	47	$10,034	17% below the national average	$8,406	$30,532
Mercy Health - Defiance HospitalDefiance, OH · CCN 360270	29	$10,037	16% below the national average	$8,857	$26,312
Banner Boswell Medical CenterSun City, AZ · CCN 030061	131	$10,039	16% below the national average	$8,622	$51,595
Menorah Medical CenterOverland Park, KS · CCN 170182	55	$10,040	16% below the national average	$8,111	$82,685
Texas Health Presbyterian Hospital AllenAllen, TX · CCN 450840	27	$10,043	16% below the national average	$8,834	$43,356
Methodist Richardson Medical CenterRichardson, TX · CCN 450537	74	$10,043	16% below the national average	$8,775	$56,010
Chandler Regional Medical CenterChandler, AZ · CCN 030036	120	$10,047	16% below the national average	$8,940	$72,102
Texas Health Harris Methodist Hospital AllianceFort Worth, TX · CCN 670085	41	$10,047	16% below the national average	$8,578	$38,214
Progress West HospitalOfallon, MO · CCN 260219	24	$10,050	16% below the national average	$8,758	$42,804
Boulder Community HealthBoulder, CO · CCN 060027	53	$10,051	16% below the national average	$8,159	$72,083
Aurora Medical Center OshkoshOshkosh, WI · CCN 520198	20	$10,055	16% below the national average	$7,809	$31,406
UPMC WilliamsportWilliamsport, PA · CCN 390045	62	$10,056	16% below the national average	$8,829	$56,650
Tristar Stonecrest Medical CenterSmyrna, TN · CCN 440227	28	$10,056	16% below the national average	$8,907	$79,008
Hendricks Regional HealthDanville, IN · CCN 150005	51	$10,057	16% below the national average	$8,673	$31,038
Bolivar Medical CenterCleveland, MS · CCN 250093	25	$10,058	16% below the national average	$9,064	$84,303
Wellspan Good Samaritan HospitalLebanon, PA · CCN 390066	24	$10,063	16% below the national average	$8,354	$38,441
Fairview Park HospitalDublin, GA · CCN 110125	78	$10,065	16% below the national average	$7,952	$94,943

National trend

Average payment and billed charge per stay, and how many Medicare stays were reported each year.

Average payment
Average billed charge

2020: 114,641 stays at 2,375 hospitals · 2021: 84,232 stays at 2,205 hospitals · 2022: 120,805 stays at 2,448 hospitals · 2023: 125,793 stays at 2,412 hospitals · 2024: 136,649 stays at 2,442 hospitals

View data as a table

National average payment and billed charge for Simple pneumonia and pleurisy with MCC
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

Average payment by state for Simple pneumonia and pleurisy with MCC, 2024
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.