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 851–900. Download as CSV
| Hospital | Cases | Average payment | vs national average | Medicare paid | Billed charge |
|---|---|---|---|---|---|
| Uofl Health - Jewish Hospital And Mary & Elizabeth Hospital | 110 | $10,542 | 12% below the national average | $8,024 | $32,431 |
| St Mary's Regional Medical Center | 14 | $10,542 | 12% below the national average | $9,262 | $31,215 |
| Prairie Lakes Healthcare System, Inc | 37 | $10,547 | 12% below the national average | $9,488 | $18,170 |
| Southern Tennessee Regional Health System Lawrence | 35 | $10,549 | 12% below the national average | $8,624 | $77,340 |
| Murray-Calloway County Hospital | 45 | $10,551 | 12% below the national average | $9,501 | $36,797 |
| Firelands Regional Medical Center | 49 | $10,554 | 12% below the national average | $7,256 | $28,000 |
| SSM Health St Mary's Hospital - Madison | 80 | $10,557 | 12% below the national average | $8,180 | $44,209 |
| Adena Regional Medical Center | 67 | $10,558 | 12% below the national average | $8,764 | $46,422 |
| Middlesboro ARH Hospital | 14 | $10,562 | 12% below the national average | $9,397 | $46,451 |
| Mount Carmel St Ann's | 66 | $10,562 | 12% below the national average | $8,487 | $63,778 |
| Tidelands Georgetown Memorial Hospital | 33 | $10,564 | 12% below the national average | $8,963 | $31,890 |
| St John Owasso | 25 | $10,569 | 12% below the national average | $9,002 | $25,248 |
| Memorial Hermann Katy Hospital | 48 | $10,578 | 12% below the national average | $9,286 | $48,917 |
| Scotland Memorial Hospital | 28 | $10,579 | 12% below the national average | $9,704 | $40,113 |
| St Luke's The Woodlands Hospital | 35 | $10,579 | 12% below the national average | $9,015 | $65,365 |
| Trinity Hospitals | 78 | $10,581 | 12% below the national average | $8,895 | $30,337 |
| Titus Regional Medical Center | 44 | $10,584 | 12% below the national average | $9,361 | $24,444 |
| Franciscan Health Michigan City | 88 | $10,588 | 12% below the national average | $8,036 | $55,194 |
| Southern Ocean Medical Center | 137 | $10,588 | 12% below the national average | $8,451 | $70,953 |
| Allina United Hospital | 45 | $10,590 | 12% below the national average | $8,698 | $41,802 |
| Salem Regional Medical Center | 23 | $10,591 | 12% below the national average | $9,456 | $24,056 |
| Saint Joseph East | 16 | $10,591 | 12% below the national average | $8,517 | $28,723 |
| Elliot Hospital | 150 | $10,591 | 12% below the national average | $8,978 | $29,946 |
| Idaho Falls Community Hospital, LLC | 11 | $10,591 | 12% below the national average | $9,256 | $41,415 |
| Gateway Regional Medical Center | 16 | $10,595 | 12% below the national average | $9,371 | $103,318 |
| Harlan ARH Hospital | 24 | $10,599 | 12% below the national average | $9,758 | $31,946 |
| Clinch Valley Medical Center | 52 | $10,604 | 12% below the national average | $7,401 | $64,945 |
| Purcell Municipal Hospital | 14 | $10,605 | 12% below the national average | $9,322 | $23,913 |
| Springhill Medical Center | 11 | $10,607 | 12% below the national average | $9,250 | $15,288 |
| Sanford Medical Center Bismarck | 80 | $10,609 | 12% below the national average | $8,575 | $32,323 |
| SSM Health DePaul Hospital St Louis | 26 | $10,610 | 12% below the national average | $8,688 | $37,434 |
| St Marys Hospital | 27 | $10,610 | 12% below the national average | $7,708 | $42,693 |
| Westerly Hospital | 44 | $10,611 | 12% below the national average | $9,180 | $35,826 |
| St Joseph Hospital | 55 | $10,617 | 12% below the national average | $8,027 | $37,270 |
| Bronson Battle Creek Hospital | 63 | $10,621 | 12% below the national average | $8,351 | $33,657 |
| Baylor Scott And White Medical Center Lake Pointe | 56 | $10,623 | 12% below the national average | $8,548 | $46,651 |
| Evans Memorial Hospital | 12 | $10,626 | 12% below the national average | $9,541 | $49,739 |
| Carilion New River Valley Medical Center | 24 | $10,631 | 12% below the national average | $9,317 | $39,361 |
| HCA Healthone Rose | 37 | $10,634 | 12% below the national average | $8,677 | $114,700 |
| AdventHealth Central Texas | 70 | $10,636 | 12% below the national average | $9,359 | $38,511 |
| Archbold Memorial Hospital | 32 | $10,636 | 12% below the national average | $9,185 | $32,321 |
| Piedmont Newton Hospital | 23 | $10,637 | 12% below the national average | $9,289 | $52,492 |
| Mena Regional Health System | 26 | $10,638 | 11% below the national average | $9,135 | $19,278 |
| Centura Health-St Anthony Hospital | 40 | $10,638 | 11% below the national average | $8,885 | $69,562 |
| Atrium Health Cleveland | 75 | $10,638 | 11% below the national average | $8,712 | $54,447 |
| Central Carolina Hospital | 21 | $10,640 | 11% below the national average | $9,320 | $50,657 |
| Saint Joseph Hospital-Elgin | 39 | $10,642 | 11% below the national average | $9,187 | $70,410 |
| Mercy Health St Ritas Medical Center | 86 | $10,645 | 11% below the national average | $8,359 | $47,947 |
| Northside Hospital Cherokee | 132 | $10,647 | 11% below the national average | $9,346 | $65,015 |
| Abrazo Scottsdale Campus | 21 | $10,650 | 11% below the national average | $8,511 | $125,399 |
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.