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
Hospitals in Florida
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.
- Average payment across these 159 hospitals
- $10,910
- Median hospital
- $10,758
- Lowest to highest
- $8,202–$21,379
- Medicare stays
- 11,649
159 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 |
|---|---|---|---|---|---|
| Boca Raton Regional Hospital | 193 | $10,138 | 16% below the national average | $8,296 | $54,651 |
| Morton Plant Hospital | 111 | $10,155 | 16% below the national average | $8,437 | $52,089 |
| Palm Bay Hospital | 61 | $10,164 | 15% below the national average | $8,318 | $56,991 |
| Ascension St Vincent's Southside | 29 | $10,176 | 15% below the national average | $9,388 | $39,897 |
| Orlando Health-Health Central Hospital | 30 | $10,188 | 15% below the national average | $8,278 | $64,925 |
| Oviedo Medical Center | 46 | $10,206 | 15% below the national average | $8,584 | $79,846 |
| Wellington Regional Medical Center | 88 | $10,228 | 15% below the national average | $8,836 | $128,426 |
| AdventHealth Sebring | 50 | $10,234 | 15% below the national average | $8,859 | $48,896 |
| Naples Community Hospital | 209 | $10,252 | 15% below the national average | $8,096 | $58,307 |
| Sacred Heart Hospital On The Emerald Coast | 104 | $10,256 | 15% below the national average | $8,870 | $39,043 |
| AdventHealth Lake Wales | 16 | $10,279 | 14% below the national average | $8,953 | $70,906 |
| AdventHealth Wesley Chapel | 62 | $10,310 | 14% below the national average | $8,074 | $74,067 |
| Cape Canaveral Hospital | 60 | $10,316 | 14% below the national average | $8,371 | $49,330 |
| Lakeland Regional Medical Center | 101 | $10,319 | 14% below the national average | $9,093 | $45,820 |
| HCA Florida Gulf Coast Hospital | 93 | $10,356 | 14% below the national average | $8,889 | $125,088 |
| Ascension Sacred Heart Bay | 69 | $10,382 | 14% below the national average | $9,158 | $51,194 |
| HCA Florida Lawnwood Hospital | 39 | $10,383 | 14% below the national average | $9,181 | $107,164 |
| HCA Florida Capital Hospital | 61 | $10,405 | 13% below the national average | $9,123 | $92,657 |
| Holmes Regional Medical Center | 123 | $10,421 | 13% below the national average | $8,498 | $59,050 |
| Baptist Hospital | 78 | $10,466 | 13% below the national average | $8,947 | $53,113 |
| Winter Haven Hospital | 82 | $10,468 | 13% below the national average | $9,026 | $55,659 |
| Orlando Health St Cloud Hospital | 27 | $10,500 | 13% below the national average | $8,496 | $79,315 |
| AdventHealth Deland | 81 | $10,536 | 12% below the national average | $8,761 | $48,790 |
| Parrish Medical Center | 44 | $10,541 | 12% below the national average | $8,231 | $42,736 |
| St Mary's Medical Center | 24 | $10,705 | 11% below the national average | $9,692 | $113,862 |
| Doctors Hospital | 55 | $10,711 | 11% below the national average | $9,513 | $89,002 |
| AdventHealth Heart Of Florida | 29 | $10,714 | 11% below the national average | $8,203 | $83,070 |
| Lee Memorial Hospital | 167 | $10,724 | 11% below the national average | $9,170 | $45,149 |
| St Anthonys Hospital | 109 | $10,757 | 11% below the national average | $8,919 | $53,025 |
| University Hospital And Medical Center | 28 | $10,758 | 11% below the national average | $9,392 | $169,797 |
| Flagler Hospital | 75 | $10,758 | 10% below the national average | $9,452 | $58,744 |
| Morton Plant North Bay Hospital | 61 | $10,772 | 10% below the national average | $9,135 | $47,431 |
| Keralty Hospital | 31 | $10,780 | 10% below the national average | $9,124 | $27,780 |
| HCA Florida Memorial Hospital | 46 | $10,786 | 10% below the national average | $9,550 | $137,840 |
| Tallahassee Memorial Healthcare | 83 | $10,798 | 10% below the national average | $9,315 | $65,056 |
| HCA Florida Raulerson Hospital | 41 | $10,817 | 10% below the national average | $9,743 | $113,748 |
| Ascension St Vincent's Riverside | 70 | $10,822 | About average | $8,877 | $45,065 |
| Manatee Memorial Hospital | 61 | $10,855 | About average | $9,207 | $101,487 |
| HCA Florida Northside Hospital | 72 | $10,856 | About average | $8,927 | $146,550 |
| St Josephs Hospital | 153 | $10,869 | About average | $9,565 | $48,514 |
| Coral Gables Hospital | 48 | $10,937 | About average | $9,883 | $118,890 |
| AdventHealth Palm Coast | 28 | $10,947 | About average | $9,781 | $40,737 |
| Broward Health Coral Springs | 55 | $10,954 | About average | $9,113 | $63,800 |
| HCA Florida South Tampa Hospital | 22 | $10,961 | About average | $10,071 | $117,765 |
| Sacred Heart Hospital | 131 | $10,964 | About average | $9,307 | $40,628 |
| Bethesda Hospital East | 157 | $10,976 | About average | $9,241 | $82,866 |
| Holy Cross Hospital | 102 | $10,977 | About average | $9,154 | $48,079 |
| Halifax Health Medical Center | 67 | $11,058 | About average | $9,923 | $45,943 |
| North Shore Medical Center | 37 | $11,073 | About average | $10,102 | $88,930 |
| South Florida Baptist Hospital | 18 | $11,080 | About average | $9,455 | $55,846 |
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.