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 901–950. Download as CSV
| Hospital | Cases | Average payment | vs national average | Medicare paid | Billed charge |
|---|---|---|---|---|---|
| Copley Memorial Hospital | 135 | $10,651 | 11% below the national average | $9,008 | $43,952 |
| Beaumont Hospital - Taylor | 48 | $10,653 | 11% below the national average | $8,285 | $38,271 |
| Intermountain Health Utah Valley Hospital | 59 | $10,654 | 11% below the national average | $8,529 | $45,885 |
| Community Hospital North | 50 | $10,655 | 11% below the national average | $8,882 | $48,253 |
| Hunt Regional Medical Center | 78 | $10,657 | 11% below the national average | $9,440 | $43,732 |
| Overlake Hospital Medical Center & Clinics | 59 | $10,659 | 11% below the national average | $9,290 | $51,484 |
| Ahs Hospital Corp | 67 | $10,660 | 11% below the national average | $8,476 | $127,794 |
| Intermountain Health Riverton Hospital | 11 | $10,663 | 11% below the national average | $8,150 | $25,806 |
| Centra Bedford Memorial Hospital | 13 | $10,664 | 11% below the national average | $9,158 | $26,216 |
| Christus Mother Frances Hospital Sulphur Springs | 74 | $10,665 | 11% below the national average | $9,542 | $78,727 |
| Multicare Valley Hospital | 46 | $10,668 | 11% below the national average | $9,178 | $37,855 |
| M Health Fairview Southdale Hospital | 83 | $10,673 | 11% below the national average | $8,449 | $54,590 |
| UT Health East Texas Tyler Regional Hospital | 128 | $10,675 | 11% below the national average | $9,178 | $78,273 |
| Baldwin Health | 42 | $10,677 | 11% below the national average | $8,395 | $89,279 |
| Athens Limestone Hospital | 17 | $10,679 | 11% below the national average | $6,552 | $17,955 |
| Sweetwater Hospital Association | 12 | $10,681 | 11% below the national average | $9,187 | $41,829 |
| Parkview Regional Hospital | 19 | $10,681 | 11% below the national average | $9,307 | $49,532 |
| Beaufort County Memorial Hospital | 36 | $10,685 | 11% below the national average | $9,325 | $27,923 |
| Southside Community Hospital, Inc | 25 | $10,686 | 11% below the national average | $8,443 | $44,399 |
| HonorHealth Scottsdale Osborn Medical Center | 54 | $10,688 | 11% below the national average | $9,369 | $72,164 |
| MercyOne North Iowa Medical Center | 114 | $10,690 | 11% below the national average | $8,741 | $36,808 |
| Christ Hospital | 81 | $10,694 | 11% below the national average | $7,853 | $33,059 |
| St Mary Medical Center | 129 | $10,697 | 11% below the national average | $8,881 | $31,717 |
| Sentara Careplex Hospital | 35 | $10,698 | 11% below the national average | $8,776 | $38,100 |
| Hannibal Regional Hospital | 74 | $10,699 | 11% below the national average | $9,215 | $29,658 |
| Ascension Seton Hays | 63 | $10,699 | 11% below the national average | $9,554 | $92,178 |
| Eastland Memorial Hospital | 13 | $10,704 | 11% below the national average | $9,451 | $18,291 |
| St Mary's Medical Center | 24 | $10,705 | 11% below the national average | $9,692 | $113,862 |
| Ty Cobb Regional Medical Center, LLC | 27 | $10,706 | 11% below the national average | $8,961 | $19,395 |
| Riverview Medical Center | 115 | $10,707 | 11% below the national average | $8,837 | $77,761 |
| St Catherine Hospital Inc | 23 | $10,709 | 11% below the national average | $9,720 | $49,823 |
| Doctors Hospital | 55 | $10,711 | 11% below the national average | $9,513 | $89,002 |
| Texas Health Harris Methodist Hospital Southwest F | 94 | $10,712 | 11% below the national average | $8,946 | $51,210 |
| The Jewish Hospital-Mercy Health | 21 | $10,713 | 11% below the national average | $8,864 | $40,183 |
| AdventHealth Heart Of Florida | 29 | $10,714 | 11% below the national average | $8,203 | $83,070 |
| Integris Health Ponca City | 22 | $10,717 | 11% below the national average | $9,235 | $75,934 |
| St Lukes Magic Valley Medical Center | 68 | $10,717 | 11% below the national average | $9,027 | $39,035 |
| Houston Methodist Willowbrook Hospital | 91 | $10,718 | 11% below the national average | $8,312 | $62,959 |
| Park Nicollet Methodist Hospital | 65 | $10,722 | 11% below the national average | $8,463 | $34,964 |
| Geisinger-Bloomsburg Hospital | 14 | $10,723 | 11% below the national average | $6,903 | $50,551 |
| Memorial Hospital | 11 | $10,724 | 11% below the national average | $9,537 | $34,878 |
| Catawba Valley Medical Center | 53 | $10,724 | 11% below the national average | $9,195 | $33,963 |
| Piedmont Walton Hospital | 43 | $10,724 | 11% below the national average | $8,790 | $59,007 |
| Lake Granbury Medical Center | 30 | $10,724 | 11% below the national average | $9,442 | $83,064 |
| UPMC Carlisle | 29 | $10,724 | 11% below the national average | $7,089 | $48,588 |
| Lee Memorial Hospital | 167 | $10,724 | 11% below the national average | $9,170 | $45,149 |
| St Peters Health | 89 | $10,729 | 11% below the national average | $8,670 | $36,220 |
| De Tar Hospital Navarro | 21 | $10,730 | 11% below the national average | $8,975 | $118,100 |
| Dublin Methodist Hospital | 62 | $10,731 | 11% below the national average | $8,720 | $35,192 |
| Christus Santa Rosa Hospital-San Marcos | 28 | $10,731 | 11% below the national average | $9,285 | $50,740 |
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.