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 601–650. 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
Davis Medical CenterElkins, WV · CCN 510030	26	$10,066	16% below the national average	$8,810	$19,649
AdventHealth LittletonLittleton, CO · CCN 060113	42	$10,067	16% below the national average	$7,898	$65,700
OSF Heart Of Mary Medical CenterUrbana, IL · CCN 140113	24	$10,069	16% below the national average	$7,590	$60,100
Novant Health Brunswick Medical CenterSupply, NC · CCN 340158	47	$10,069	16% below the national average	$8,784	$31,685
Peterson Regional Medical CenterKerrville, TX · CCN 450007	55	$10,069	16% below the national average	$7,865	$33,691
West Tennessee Healthcare Henry County HospitalParis, TN · CCN 440132	18	$10,073	16% below the national average	$8,422	$29,389
Our Lady Of Fatima HospitalNorth Providence, RI · CCN 410005	18	$10,074	16% below the national average	$8,480	$26,872
Tampa General Hospital BrooksvilleBrooksville, FL · CCN 100071	56	$10,074	16% below the national average	$8,677	$87,268
UCHealth Highlands Ranch HospitalHighlands Ranch, CO · CCN 060132	49	$10,076	16% below the national average	$7,969	$66,886
Providence Medical CenterKansas City, KS · CCN 170146	14	$10,076	16% below the national average	$8,486	$42,670
UPMC LititzLititz, PA · CCN 390068	15	$10,077	16% below the national average	$8,756	$51,227
AdventHealth Fish MemorialOrange City, FL · CCN 100072	46	$10,080	16% below the national average	$8,254	$47,713
OSF Saint Anthony's Health CenterAlton, IL · CCN 140052	30	$10,084	16% below the national average	$8,048	$31,365
Lake Charles Memorial HospitalLake Charles, LA · CCN 190060	41	$10,084	16% below the national average	$8,659	$48,422
South County Hospital IncWakefield, RI · CCN 410008	45	$10,086	16% below the national average	$8,854	$33,703
Aspirus Stevens Point Hospital & Clinics, Inc.Stevens Point, WI · CCN 520002	15	$10,092	16% below the national average	$9,221	$27,961
The Nebraska Methodist HospitalOmaha, NE · CCN 280040	118	$10,093	16% below the national average	$8,076	$37,214
St Francis HospitalMemphis, TN · CCN 440183	33	$10,095	16% below the national average	$8,632	$116,073
Uchicago Medicine AdventHealth BolingbrookBolingbrook, IL · CCN 140304	37	$10,096	16% below the national average	$9,017	$34,108
Benefis Hospitals IncGreat Falls, MT · CCN 270012	73	$10,096	16% below the national average	$8,603	$35,986
Riverside Regional Medical CenterNewport News, VA · CCN 490052	61	$10,098	16% below the national average	$7,513	$26,421
Wilkes Regional Medical CenterNorth Wilkesboro, NC · CCN 340064	22	$10,099	16% below the national average	$9,283	$36,911
Chelsea HospitalChelsea, MI · CCN 230259	38	$10,101	16% below the national average	$6,895	$28,115
Caromont Regional Medical CenterGastonia, NC · CCN 340032	41	$10,103	16% below the national average	$8,674	$50,885
Elkhart General HospitalElkhart, IN · CCN 150018	41	$10,104	16% below the national average	$8,736	$48,296
Fairfield Medical CenterLancaster, OH · CCN 360072	63	$10,107	16% below the national average	$8,626	$26,160
Coffee Regional Medical Center, IncDouglas, GA · CCN 110089	11	$10,108	16% below the national average	$9,069	$45,222
Longs Peak HospitalLongmont, CO · CCN 060128	28	$10,109	16% below the national average	$8,536	$78,627
The Hospitals Of Providence - Memorial CampusEl Paso, TX · CCN 450002	19	$10,110	16% below the national average	$8,737	$156,320
Robert Wood Johnson University Hospital At HamiltonHamilton, NJ · CCN 310110	64	$10,110	16% below the national average	$8,887	$110,760
Memorial HospitalBelleville, IL · CCN 140185	114	$10,112	16% below the national average	$8,065	$51,181
Ascension ProvidenceWaco, TX · CCN 450042	96	$10,116	16% below the national average	$8,935	$34,872
Essentia Health St Mary's Medical CenterDuluth, MN · CCN 240002	33	$10,119	16% below the national average	$8,985	$34,194
Jackson-Madison County General HospitalJackson, TN · CCN 440002	158	$10,119	16% below the national average	$8,184	$42,696
Aurora Medical Center Sheboygan CountySheboygan, WI · CCN 520035	35	$10,120	16% below the national average	$8,283	$34,705
Beth Israel Deaconess Hospital - MiltonMilton, MA · CCN 220108	95	$10,123	16% below the national average	$8,922	$18,874
Vista Medical Center EastWaukegan, IL · CCN 140084	41	$10,124	16% below the national average	$8,991	$81,834
CJW Medical CenterRichmond, VA · CCN 490112	137	$10,129	16% below the national average	$7,533	$124,701
Goshen HospitalGoshen, IN · CCN 150026	48	$10,129	16% below the national average	$8,843	$31,373
Stillwater Medical CenterStillwater, OK · CCN 370049	59	$10,135	16% below the national average	$8,896	$49,087
Herrin HospitalHerrin, IL · CCN 140011	82	$10,136	16% below the national average	$7,953	$33,225
Banner Baywood Medical CenterMesa, AZ · CCN 030088	121	$10,136	16% below the national average	$8,485	$45,269
Boca Raton Regional HospitalBoca Raton, FL · CCN 100168	193	$10,138	16% below the national average	$8,296	$54,651
Stonesprings Hospital CenterDulles, VA · CCN 490145	14	$10,138	16% below the national average	$8,975	$63,029
Ascension St Vincent CarmelCarmel, IN · CCN 150157	32	$10,139	16% below the national average	$8,268	$48,085
Mobile Infirmary Medical CenterMobile, AL · CCN 010113	77	$10,141	16% below the national average	$8,189	$47,682
Aurora Medical Center KenoshaKenosha, WI · CCN 520189	64	$10,142	16% below the national average	$7,841	$39,235
HSHS St Elizabeth's HospitalO Fallon, IL · CCN 140187	41	$10,146	16% below the national average	$9,101	$45,318
Wellmont Holston Valley Medical CenterKingsport, TN · CCN 440017	85	$10,147	16% below the national average	$7,448	$45,080
Wellmont Bristol Regional Medical CenterBristol, TN · CCN 440012	69	$10,148	16% below the national average	$8,096	$40,044

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.