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 51–100. Download as CSV
| Hospital | Cases | Average payment | vs national average | Medicare paid | Billed charge |
|---|---|---|---|---|---|
| The Villages Regional Hospital | 139 | $8,489 | 29% below the national average | $7,290 | $50,919 |
| Parma Community General Hospital | 64 | $8,518 | 29% below the national average | $6,601 | $40,657 |
| Sarasota Memorial Hospital - Venice | 114 | $8,522 | 29% below the national average | $7,453 | $49,717 |
| Baylor Scott And White Medical Center Sunnyvale | 28 | $8,522 | 29% below the national average | $7,028 | $40,112 |
| University Hospitals Portage Medical Center | 30 | $8,524 | 29% below the national average | $7,173 | $29,936 |
| Saint Francis Hospital Muskogee | 34 | $8,550 | 29% below the national average | $7,386 | $22,569 |
| Mount Pleasant Hospital | 32 | $8,553 | 29% below the national average | $6,636 | $32,167 |
| Oklahoma Heart Hospital South, LLC | 15 | $8,554 | 29% below the national average | $7,602 | $32,774 |
| Helen Keller Hospital | 41 | $8,559 | 29% below the national average | $7,415 | $31,307 |
| Grinnell Regional Medical Center | 11 | $8,563 | 29% below the national average | $7,228 | $20,250 |
| Weirton Medical Center, Inc | 94 | $8,565 | 29% below the national average | $7,503 | $34,514 |
| Baptist Health Louisville | 176 | $8,576 | 29% below the national average | $7,016 | $44,717 |
| Cleveland Clinic Avon Hospital | 86 | $8,586 | 29% below the national average | $6,815 | $33,093 |
| Lakewood Ranch Medical Center | 59 | $8,588 | 29% below the national average | $7,346 | $84,057 |
| Iberia Medical Center | 22 | $8,589 | 29% below the national average | $6,682 | $26,847 |
| Viera Hospital | 59 | $8,590 | 29% below the national average | $7,346 | $56,837 |
| Saint Luke's South Hospital | 48 | $8,597 | 28% below the national average | $6,947 | $63,822 |
| St Josephs Community Hospital West Bend | 18 | $8,602 | 28% below the national average | $7,424 | $41,194 |
| Waukesha Memorial Hospital | 53 | $8,618 | 28% below the national average | $7,451 | $44,575 |
| Finley Hospital | 50 | $8,620 | 28% below the national average | $7,381 | $23,811 |
| Terrebonne General Medical Center - Parish | 30 | $8,622 | 28% below the national average | $7,354 | $30,495 |
| St Marys Regional Medical Center | 34 | $8,623 | 28% below the national average | $6,951 | $54,953 |
| Southwest Mississippi Regional Medical Center | 36 | $8,625 | 28% below the national average | $7,652 | $23,276 |
| Raleigh General Hospital | 68 | $8,635 | 28% below the national average | $7,545 | $37,232 |
| Lee's Summit Medical Center | 39 | $8,636 | 28% below the national average | $7,470 | $71,965 |
| Baptist Health Medical Center- Conway | 69 | $8,642 | 28% below the national average | $7,483 | $46,584 |
| Highlands ARH Regional Medical Center | 25 | $8,642 | 28% below the national average | $7,401 | $48,023 |
| Prisma Health Baptist Easley Hospital | 28 | $8,646 | 28% below the national average | $7,574 | $34,015 |
| St Joseph's Hospital - Savannah | 40 | $8,647 | 28% below the national average | $7,342 | $41,682 |
| Memorial Healthcare System, Inc | 201 | $8,652 | 28% below the national average | $6,811 | $40,020 |
| Methodist Midlothian Medical Center | 20 | $8,657 | 28% below the national average | $6,769 | $53,554 |
| Wadley Regional Medical Center | 12 | $8,659 | 28% below the national average | $7,872 | $55,615 |
| HCA Florida Fawcett Hospital | 115 | $8,683 | 28% below the national average | $7,516 | $137,762 |
| Jackson Hospital & Clinic Inc | 50 | $8,687 | 28% below the national average | $7,311 | $36,483 |
| Riverside Walter Reed Hospital | 13 | $8,693 | 28% below the national average | $7,312 | $20,669 |
| Morristown Hamblen Hospital Association | 35 | $8,694 | 28% below the national average | $7,576 | $20,549 |
| Bellevue Hospital | 16 | $8,698 | 28% below the national average | $7,984 | $40,407 |
| MUSC Health Columbia Medical Center Downtown | 57 | $8,701 | 28% below the national average | $7,421 | $34,585 |
| Medical Center Enterprise | 25 | $8,704 | 28% below the national average | $7,277 | $63,698 |
| Ascension Seton Cedar Park | 34 | $8,705 | 28% below the national average | $7,505 | $67,076 |
| Mary Greeley Medical Center | 50 | $8,705 | 28% below the national average | $7,351 | $34,160 |
| Canonsburg General Hospital | 19 | $8,717 | 27% below the national average | $7,515 | $49,605 |
| Gadsden Regional Medical Center | 39 | $8,720 | 27% below the national average | $7,247 | $137,014 |
| St Vincent Medical Center/North | 19 | $8,721 | 27% below the national average | $7,435 | $29,371 |
| West Boca Medical Center | 47 | $8,723 | 27% below the national average | $7,595 | $114,571 |
| Jupiter Medical Center | 154 | $8,736 | 27% below the national average | $7,205 | $44,258 |
| Baptist Health Brookwood Hospital | 24 | $8,750 | 27% below the national average | $7,187 | $123,912 |
| St Clair Hospital | 76 | $8,753 | 27% below the national average | $6,883 | $26,020 |
| Glenwood Regional Medical Center | 36 | $8,753 | 27% below the national average | $7,226 | $63,914 |
| Washington Regional Medical Center | 63 | $8,754 | 27% below the national average | $7,306 | $39,231 |
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.