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 751–800. Download as CSV
| Hospital | Cases | Average payment | vs national average | Medicare paid | Billed charge |
|---|---|---|---|---|---|
| Mary Washington Hospital | 208 | $10,329 | 14% below the national average | $8,291 | $21,906 |
| University Of Texas Health Science Center At Tyler | 17 | $10,331 | 14% below the national average | $7,584 | $47,919 |
| Good Samaritan Medical Center LLC | 21 | $10,335 | 14% below the national average | $7,567 | $70,402 |
| Saint Francis Medical Center | 40 | $10,335 | 14% below the national average | $9,031 | $71,563 |
| HonorHealth Deer Valley Medical Center | 50 | $10,338 | 14% below the national average | $8,882 | $79,423 |
| Wetzel County Hospital | 24 | $10,342 | 14% below the national average | $8,982 | $76,396 |
| Sentara Halifax Regional Hospital | 14 | $10,342 | 14% below the national average | $9,295 | $26,334 |
| Mercy Hospital St Louis | 90 | $10,343 | 14% below the national average | $8,466 | $38,411 |
| Hendrick Medical Center Brownwood | 60 | $10,345 | 14% below the national average | $9,284 | $62,071 |
| Corewell Health Trenton Hospital | 68 | $10,348 | 14% below the national average | $8,201 | $46,274 |
| AdventHealth Redmond | 42 | $10,351 | 14% below the national average | $8,749 | $77,889 |
| Medical Center Of McKinney | 86 | $10,353 | 14% below the national average | $9,005 | $104,552 |
| HCA Florida Gulf Coast Hospital | 93 | $10,356 | 14% below the national average | $8,889 | $125,088 |
| St Joseph Medical Center | 24 | $10,357 | 14% below the national average | $6,794 | $53,825 |
| Hendrick Medical Center | 181 | $10,362 | 14% below the national average | $8,932 | $92,417 |
| Baptist Medical Center | 181 | $10,363 | 14% below the national average | $8,732 | $112,621 |
| Montrose Regional Health | 17 | $10,364 | 14% below the national average | $9,116 | $37,092 |
| Ashtabula County Medical Center | 46 | $10,367 | 14% below the national average | $9,374 | $29,137 |
| SSM Health St Anthony Hospital - Oklahoma City | 56 | $10,367 | 14% below the national average | $9,053 | $59,426 |
| Euclid Hospital | 39 | $10,369 | 14% below the national average | $7,202 | $51,983 |
| Mercy Hospital Ardmore, Inc | 79 | $10,372 | 14% below the national average | $8,671 | $31,024 |
| Heritage Valley Beaver | 35 | $10,372 | 14% below the national average | $8,590 | $26,230 |
| Riverside Medical Center | 70 | $10,374 | 14% below the national average | $8,795 | $32,350 |
| Magnolia Regional Health Center | 92 | $10,375 | 14% below the national average | $8,529 | $33,010 |
| Memorial Hospital Of Carbondale | 59 | $10,376 | 14% below the national average | $8,700 | $42,152 |
| North Arkansas Regional Medical Center | 20 | $10,379 | 14% below the national average | $9,236 | $33,083 |
| Ascension Sacred Heart Bay | 69 | $10,382 | 14% below the national average | $9,158 | $51,194 |
| HCA Florida Lawnwood Hospital | 39 | $10,383 | 14% below the national average | $9,181 | $107,164 |
| Bon Secours Memorial Regional Medical Center | 73 | $10,384 | 14% below the national average | $7,287 | $42,798 |
| Ogden Regional Medical Center | 16 | $10,384 | 14% below the national average | $7,524 | $54,016 |
| Spring View Hospital | 15 | $10,386 | 14% below the national average | $8,863 | $45,238 |
| Lakeland Hospital, St Joseph | 28 | $10,391 | 14% below the national average | $8,674 | $26,395 |
| CHI St Joseph Health Regional Hospital | 73 | $10,394 | 14% below the national average | $9,079 | $50,838 |
| Tishomingo Health Services Inc | 13 | $10,397 | 14% below the national average | $9,267 | $20,877 |
| Meadville Medical Center | 27 | $10,397 | 14% below the national average | $8,297 | $33,156 |
| Logan Health Medical Center | 60 | $10,401 | 13% below the national average | $8,532 | $30,469 |
| St Luke's Regional Medical Center | 99 | $10,402 | 13% below the national average | $8,813 | $45,477 |
| Highlands Medical Center | 20 | $10,403 | 13% below the national average | $8,547 | $18,252 |
| The East Alabama Healthcare Authority | 49 | $10,403 | 13% below the national average | $7,852 | $39,094 |
| Texas Health Presbyterian Hospital Plano | 64 | $10,403 | 13% below the national average | $8,760 | $49,804 |
| Grand Lake Health System | 32 | $10,404 | 13% below the national average | $8,976 | $22,324 |
| HCA Florida Capital Hospital | 61 | $10,405 | 13% below the national average | $9,123 | $92,657 |
| Novant Health Huntersville Medical Center | 58 | $10,411 | 13% below the national average | $8,024 | $31,977 |
| SSM St Joseph Health Center | 29 | $10,419 | 13% below the national average | $8,450 | $34,969 |
| Wellspan Chambersburg Hospital | 86 | $10,419 | 13% below the national average | $9,302 | $33,634 |
| Holmes Regional Medical Center | 123 | $10,421 | 13% below the national average | $8,498 | $59,050 |
| Banner Gateway Medical Center | 46 | $10,423 | 13% below the national average | $9,059 | $44,080 |
| Bon Secours St Francis Medical Center | 42 | $10,433 | 13% below the national average | $8,204 | $38,607 |
| Gettysburg Hospital | 27 | $10,434 | 13% below the national average | $8,477 | $42,636 |
| Atrium Medical Center | 58 | $10,434 | 13% below the national average | $6,856 | $41,605 |
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.