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 801–850. Download as CSV
| Hospital | Cases | Average payment | vs national average | Medicare paid | Billed charge |
|---|---|---|---|---|---|
| Novant Health Forsyth Medical Center | 201 | $10,434 | 13% below the national average | $8,760 | $37,780 |
| UPMC Altoona | 54 | $10,435 | 13% below the national average | $9,023 | $43,961 |
| FHN Memorial Hospital | 24 | $10,449 | 13% below the national average | $9,293 | $43,184 |
| Forbes Hospital | 45 | $10,450 | 13% below the national average | $7,845 | $48,580 |
| CHI St Lukes Health Memorial Lufkin | 41 | $10,454 | 13% below the national average | $9,170 | $65,152 |
| Decatur Memorial Hospital | 72 | $10,454 | 13% below the national average | $8,610 | $40,673 |
| King's Daughters Medical Center-Brookhaven | 18 | $10,457 | 13% below the national average | $9,065 | $26,317 |
| St Lukes Hospital | 57 | $10,457 | 13% below the national average | $9,126 | $28,959 |
| Mayo Clinic Health System Eau Claire Hospital | 74 | $10,459 | 13% below the national average | $8,949 | $35,147 |
| Tristar Centennial Medical Center | 42 | $10,465 | 13% below the national average | $8,626 | $82,742 |
| Baptist Hospital | 78 | $10,466 | 13% below the national average | $8,947 | $53,113 |
| Ouachita County Medical Center | 11 | $10,468 | 13% below the national average | $9,281 | $27,755 |
| Bayshore Medical Center | 149 | $10,468 | 13% below the national average | $9,049 | $83,286 |
| Winter Haven Hospital | 82 | $10,468 | 13% below the national average | $9,026 | $55,659 |
| Indiana University Health Arnett Hospital | 102 | $10,470 | 13% below the national average | $8,419 | $40,093 |
| Winchester Hospital | 158 | $10,472 | 13% below the national average | $9,110 | $19,957 |
| Bryn Mawr Hospital | 68 | $10,474 | 13% below the national average | $8,966 | $81,351 |
| UCH-Memorial Health System | 132 | $10,478 | 13% below the national average | $8,312 | $72,774 |
| Wilson Memorial Hospital | 13 | $10,479 | 13% below the national average | $9,098 | $31,693 |
| Miami Valley Hospital | 137 | $10,480 | 13% below the national average | $8,668 | $46,750 |
| Guadalupe Regional Medical Center | 28 | $10,480 | 13% below the national average | $8,393 | $32,783 |
| Mainehealth Mid Coast Hospital | 44 | $10,480 | 13% below the national average | $8,315 | $33,284 |
| Palomar Medical Center Poway | 57 | $10,483 | 13% below the national average | $8,768 | $119,269 |
| Dupont Hospital LLC | 12 | $10,484 | 13% below the national average | $9,260 | $84,805 |
| Baylor Scott & White Medical Center- Waxahachie | 34 | $10,488 | 13% below the national average | $8,925 | $58,415 |
| OSF Saint Katharine Medical Center | 35 | $10,489 | 13% below the national average | $8,837 | $41,656 |
| Lexington Memorial Hospital Inc | 18 | $10,491 | 13% below the national average | $9,041 | $24,689 |
| Thomas Hospital | 47 | $10,494 | 13% below the national average | $8,380 | $34,131 |
| Harris Regional Hospital | 38 | $10,494 | 13% below the national average | $9,059 | $40,360 |
| Maria Parham Medical Center | 21 | $10,495 | 13% below the national average | $8,686 | $52,254 |
| Newport Hospital | 32 | $10,495 | 13% below the national average | $9,169 | $29,114 |
| Cape Regional Medical Center Inc | 73 | $10,496 | 13% below the national average | $8,939 | $66,641 |
| Orlando Health St Cloud Hospital | 27 | $10,500 | 13% below the national average | $8,496 | $79,315 |
| UPMC St Margaret | 27 | $10,502 | 13% below the national average | $8,197 | $67,357 |
| UPMC Chautauqua | 20 | $10,502 | 13% below the national average | $9,237 | $14,782 |
| The Cooley Dickinson Hospital Inc | 62 | $10,504 | 13% below the national average | $9,188 | $27,084 |
| Virginia Hospital Center | 60 | $10,505 | 13% below the national average | $8,746 | $30,672 |
| Lexington Medical Center | 121 | $10,509 | 13% below the national average | $7,742 | $42,384 |
| Bailey Medical Center, LLC | 16 | $10,509 | 13% below the national average | $8,438 | $56,795 |
| The Medical Center (Bowling Green) | 82 | $10,515 | 13% below the national average | $8,435 | $41,184 |
| Saint Joseph Mount Sterling | 38 | $10,515 | 13% below the national average | $9,441 | $34,455 |
| Inova Loudoun Hospital | 133 | $10,519 | 12% below the national average | $8,020 | $35,151 |
| Northern Light Eastern Maine Medical Center | 70 | $10,527 | 12% below the national average | $9,234 | $64,452 |
| Inova Fair Oaks Hospital | 45 | $10,535 | 12% below the national average | $8,613 | $30,981 |
| AdventHealth Deland | 81 | $10,536 | 12% below the national average | $8,761 | $48,790 |
| Memorial Hermann Sugar Land Hospital | 19 | $10,537 | 12% below the national average | $9,331 | $44,039 |
| McLeod Health Cheraw | 19 | $10,539 | 12% below the national average | $9,852 | $45,394 |
| Wyandotte Hospital And Medical Center | 62 | $10,540 | 12% below the national average | $8,465 | $40,750 |
| Elmhurst Memorial Hospital | 116 | $10,541 | 12% below the national average | $8,239 | $51,361 |
| Parrish Medical Center | 44 | $10,541 | 12% below the national average | $8,231 | $42,736 |
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.