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: $9,86882% of the payment
Average billed charge: $60,101
Hospitals reporting: 2,442136,649 stays

Hospitals in California

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.

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Year of care

Average payment across these 223 hospitals: $15,080National $12,020 · California $15,080
Median hospital: $14,391
Lowest to highest: $10,483–$60,274
Medicare stays: 12,363

223 hospitals reported at least 11 Medicare stays for this in 2024; showing 51–100. Download as CSV

Medicare payments per case for Simple pneumonia and pleurisy with MCC by hospital, 2024
Hospital	Cases	Average payment	vs national average	Medicare paid	Billed charge
Providence Little Company Of Mary Medical Center TorranceTorrance, CA · CCN 050353	49	$13,398	11% above the national average	$11,942	$90,732
Marian Regional Medical CenterSanta Maria, CA · CCN 050107	81	$13,401	11% above the national average	$12,124	$75,064
Coast Plaza HospitalNorwalk, CA · CCN 050771	24	$13,403	12% above the national average	$12,247	$92,861
Desert Valley HospitalVictorville, CA · CCN 050709	12	$13,427	12% above the national average	$12,184	$44,430
Montclair Hospital Medical CenterMontclair, CA · CCN 050758	14	$13,436	12% above the national average	$12,328	$40,588
La Palma Intercommunity HospitalLa Palma, CA · CCN 050580	26	$13,454	12% above the national average	$12,294	$59,785
Community Hospital Of Huntington ParkHuntington Park, CA · CCN 050091	13	$13,492	12% above the national average	$12,017	$97,467
Alhambra Hospital Medical CenterAlhambra, CA · CCN 050281	49	$13,517	12% above the national average	$12,419	$75,782
Adventist Health Lodi MemorialLodi, CA · CCN 050336	97	$13,532	13% above the national average	$12,209	$141,667
Dameron HospitalStockton, CA · CCN 050122	22	$13,555	13% above the national average	$12,611	$170,769
Mercy HospitalBakersfield, CA · CCN 050295	121	$13,562	13% above the national average	$11,979	$83,964
Adventist Health HanfordHanford, CA · CCN 050121	57	$13,563	13% above the national average	$12,164	$57,748
Providence Mission HospitalMission Viejo, CA · CCN 050567	105	$13,576	13% above the national average	$11,309	$92,762
Sherman Oaks HospitalSherman Oaks, CA · CCN 050755	41	$13,584	13% above the national average	$12,318	$51,816
Emanuel Medical CenterTurlock, CA · CCN 050179	82	$13,626	13% above the national average	$12,374	$168,396
Garfield Medical CenterMonterey Park, CA · CCN 050737	51	$13,627	13% above the national average	$12,269	$130,019
AHMC Anaheim Regional Medical CenterAnaheim, CA · CCN 050226	36	$13,667	14% above the national average	$12,533	$65,255
Pioneers Memorial Healthcare DistrictBrawley, CA · CCN 050342	35	$13,700	14% above the national average	$12,395	$34,067
MemorialCare Saddleback Medical CenterLaguna Hills, CA · CCN 050603	37	$13,723	14% above the national average	$9,887	$118,674
San Gabriel Valley Medical CenterSan Gabriel, CA · CCN 050132	33	$13,723	14% above the national average	$12,438	$75,292
Uci Health - Fountain ValleyFountain Valley, CA · CCN 050570	84	$13,738	14% above the national average	$12,404	$189,155
Palmdale Regional Medical CenterPalmdale, CA · CCN 050204	66	$13,740	14% above the national average	$11,971	$129,170
Parkview Community Hospital Medical CenterRiverside, CA · CCN 050102	42	$13,753	14% above the national average	$12,533	$79,300
Memorial Hospital Of GardenaGardena, CA · CCN 050468	16	$13,771	15% above the national average	$12,623	$83,085
Doctors Medical CenterModesto, CA · CCN 050464	70	$13,783	15% above the national average	$12,094	$246,652
Adventist Health St HelenaSaint Helena, CA · CCN 050013	16	$13,787	15% above the national average	$12,767	$126,537
John F Kennedy Memorial HospitalIndio, CA · CCN 050534	26	$13,797	15% above the national average	$12,542	$138,762
Pomona Valley Hospital Medical CenterPomona, CA · CCN 050231	35	$13,809	15% above the national average	$12,630	$121,451
Garden Grove Hospital & Medical CenterGarden Grove, CA · CCN 050230	24	$13,819	15% above the national average	$12,935	$62,906
Whittier Hospital Medical CenterWhittier, CA · CCN 050735	31	$13,831	15% above the national average	$13,037	$87,086
Providence St Mary Medical CenterApple Valley, CA · CCN 050300	87	$13,836	15% above the national average	$11,966	$60,392
Corona Regional Medical CenterCorona, CA · CCN 050329	46	$13,847	15% above the national average	$11,997	$105,039
Mercy Medical Center ReddingRedding, CA · CCN 050280	90	$13,848	15% above the national average	$12,189	$89,454
Sharp Chula Vista Medical CenterChula Vista, CA · CCN 050222	99	$13,870	15% above the national average	$12,334	$115,564
El Centro Regional Medical CenterEl Centro, CA · CCN 050045	57	$13,899	16% above the national average	$12,554	$61,380
Mercy San Juan Medical CenterCarmichael, CA · CCN 050516	106	$13,902	16% above the national average	$12,841	$102,850
Victor Valley Global Medical CenterVictorville, CA · CCN 050517	47	$13,936	16% above the national average	$12,859	$52,599
Southern California Hospital At HollywoodHollywood, CA · CCN 050135	155	$14,028	17% above the national average	$12,838	$68,428
Los Angeles Community HospitalLos Angeles, CA · CCN 050663	87	$14,037	17% above the national average	$12,745	$50,430
Eisenhower Medical CenterRancho Mirage, CA · CCN 050573	126	$14,046	17% above the national average	$12,084	$73,930
Providence Holy Cross Medical CenterMission Hills, CA · CCN 050278	47	$14,052	17% above the national average	$12,228	$86,433
Grossmont HospitalLa Mesa, CA · CCN 050026	99	$14,081	17% above the national average	$12,146	$102,393
Glendale Memorial Hospital & Health CenterGlendale, CA · CCN 050058	76	$14,093	17% above the national average	$12,976	$97,423
Greater El Monte Community HospitalSouth El Monte, CA · CCN 050738	38	$14,095	17% above the national average	$13,065	$68,908
Novato Community HospitalNovato, CA · CCN 050131	16	$14,115	17% above the national average	$12,993	$44,780
Petaluma Valley HospitalPetaluma, CA · CCN 050136	32	$14,120	17% above the national average	$12,451	$114,641
Stanford Health Care Tri-ValleyPleasanton, CA · CCN 050283	42	$14,132	18% above the national average	$12,811	$126,487
Providence St. Jude Medical CenterFullerton, CA · CCN 050168	109	$14,155	18% above the national average	$11,073	$70,826
Centinela Hospital Medical CenterInglewood, CA · CCN 050739	37	$14,155	18% above the national average	$13,334	$59,272
Santa Barbara Cottage HospitalSanta Barbara, CA · CCN 050396	80	$14,197	18% above the national average	$12,795	$81,541

National trend

Average payment and billed charge per stay, and how many Medicare stays were reported each year.

Average payment
Average billed charge

2020: 114,641 stays at 2,375 hospitals · 2021: 84,232 stays at 2,205 hospitals · 2022: 120,805 stays at 2,448 hospitals · 2023: 125,793 stays at 2,412 hospitals · 2024: 136,649 stays at 2,442 hospitals

View data as a table

National average payment and billed charge for Simple pneumonia and pleurisy with MCC
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

Average payment by state for Simple pneumonia and pleurisy with MCC, 2024
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.