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 Illinois
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 102 hospitals
- $11,824
- Median hospital
- $11,175
- Lowest to highest
- $8,908–$58,655
- Medicare stays
- 5,608
102 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 |
|---|---|---|---|---|---|
| Ingalls Memorial Hospital | 28 | $11,171 | About average | $9,677 | $41,739 |
| Roseland Community Hospital | 14 | $11,179 | About average | $9,963 | $53,920 |
| Advocate Trinity Hospital | 35 | $11,232 | About average | $9,110 | $45,360 |
| Alton Memorial Hospital | 55 | $11,268 | About average | $8,032 | $50,313 |
| Carle Richland Memorial Hospital | 16 | $11,301 | About average | $9,975 | $40,075 |
| Presence Mercy Medical Center | 39 | $11,317 | About average | $9,297 | $70,942 |
| HSHS Holy Family Hospital Inc | 16 | $11,389 | About average | $10,063 | $24,655 |
| Carle Foundation Hospital | 87 | $11,406 | About average | $9,532 | $66,088 |
| Memorial Medical Center | 118 | $11,421 | About average | $8,892 | $48,107 |
| St Anthonys Memorial Hospital | 71 | $11,496 | About average | $9,753 | $30,440 |
| Advocate Good Samaritan Hospital | 98 | $11,574 | About average | $8,299 | $54,126 |
| Alexian Brothers Medical Center 1 | 82 | $11,639 | About average | $8,692 | $50,568 |
| Presence Saints Mary And Elizabeth Medical Center | 18 | $11,660 | About average | $10,469 | $71,338 |
| Holy Cross Hospital | 22 | $11,693 | About average | $10,729 | $59,223 |
| Carle Health Methodist Hospital | 23 | $11,720 | About average | $9,214 | $63,489 |
| Harrisburg Medical Center | 18 | $11,785 | About average | $11,151 | $23,936 |
| NorthShore University HealthSystem - Evanston Hospital | 176 | $11,822 | About average | $9,830 | $43,491 |
| Advocate Condell Medical Center | 135 | $11,875 | About average | $8,379 | $63,715 |
| St Johns Hospital | 115 | $12,110 | About average | $9,304 | $53,040 |
| Northwestern Medicine Central Dupage Hospital | 42 | $12,342 | About average | $9,394 | $64,298 |
| Saint Anthony Medical Center | 55 | $12,347 | About average | $7,963 | $50,201 |
| OSF Sacred Heart Medical Center | 52 | $12,392 | About average | $8,004 | $54,155 |
| Mc Donough District Hospital | 33 | $12,448 | About average | $11,509 | $28,944 |
| Edward Hospital | 151 | $12,686 | About average | $7,638 | $54,894 |
| Northwestern Medicine Delnor Community Hospital | 29 | $12,752 | About average | $8,797 | $46,643 |
| Presence Saint Joseph Hospital - Chicago | 17 | $12,977 | About average | $10,091 | $50,427 |
| Advocate Lutheran General Hospital | 135 | $13,179 | About average | $10,449 | $58,279 |
| Northwestern Medicine MCHenry | 95 | $13,289 | 11% above the national average | $8,685 | $48,582 |
| West Suburban Medical Center | 18 | $13,311 | 11% above the national average | $10,776 | $48,038 |
| Amita Health Resurrection Medical Center | 93 | $13,351 | 11% above the national average | $9,773 | $70,378 |
| Saint Francis Medical Center | 81 | $13,358 | 11% above the national average | $9,047 | $62,344 |
| Swedish Hospital | 38 | $13,456 | 12% above the national average | $10,168 | $40,279 |
| Saint James Hospital | 18 | $13,487 | 12% above the national average | $12,040 | $31,370 |
| Graham Hospital Association | 11 | $13,573 | 13% above the national average | $10,394 | $25,859 |
| St Mary Medical Center | 33 | $13,630 | 13% above the national average | $12,691 | $33,721 |
| Uchicago Medicine AdventHealth Glenoaks | 31 | $13,843 | 15% above the national average | $8,163 | $36,026 |
| MacNeal Hospital | 24 | $14,118 | 17% above the national average | $11,466 | $52,928 |
| Javon Bea Hospital | 32 | $14,125 | 18% above the national average | $10,046 | $56,137 |
| Northwestern Memorial Hospital | 22 | $14,283 | 19% above the national average | $10,894 | $55,579 |
| Insight Hospital And Medical Center Chicago | 11 | $14,603 | 21% above the national average | $13,166 | $56,159 |
| Advocate Christ Hospital & Medical Center | 80 | $14,784 | 23% above the national average | $10,127 | $47,454 |
| Northwestern Lake Forest Hospital | 19 | $14,884 | 24% above the national average | $9,516 | $58,471 |
| Franciscan Health Olympia & Chicago Heights | 63 | $14,965 | 24% above the national average | $11,608 | $48,495 |
| Louis A Weiss Memorial Hospital | 15 | $15,202 | 26% above the national average | $11,645 | $43,308 |
| Saint Francis Hospital-Evanston | 49 | $15,601 | 30% above the national average | $11,486 | $73,862 |
| Advocate Illinois Masonic Medical Center | 28 | $16,480 | 37% above the national average | $12,252 | $50,131 |
| Rush University Medical Center | 55 | $17,648 | 47% above the national average | $13,618 | $33,587 |
| Mt Sinai Hospital Medical Center | 13 | $17,843 | 48% above the national average | $15,663 | $45,859 |
| University Of Illinois Hospital And Clinics | 18 | $20,367 | 69% above the national average | $15,325 | $50,877 |
| The University Of Chicago Medical Center | 68 | $21,062 | 75% above the national average | $13,713 | $93,862 |
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.