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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 Indiana

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.

Location
Indiana
Specific hospitals up to 10
Average payment across these 70 hospitals
$10,628National $12,020 · Indiana $10,628
Median hospital
$10,724
Lowest to highest
$9,017–$17,916
Medicare stays
3,772

70 hospitals reported at least 11 Medicare stays for this in 2024; showing 51–70. Download as CSV

Medicare payments per case for Simple pneumonia and pleurisy with MCC by hospital, 2024
HospitalCasesAverage paymentvs national averageMedicare paidBilled charge
Daviess Community HospitalWashington, IN · CCN 15006121$11,252About average$10,008$26,253
Franciscan Health IndianapolisIndianapolis, IN · CCN 150162102$11,638About average$8,780$66,301
Saint Joseph Regional Medical Center - PlymouthPlymouth, IN · CCN 15007619$11,777About average$10,403$28,880
Good Samaritan HospitalVincennes, IN · CCN 15004252$11,799About average$9,818$32,787
Parkview Dekalb HospitalAuburn, IN · CCN 15004512$11,823About average$10,599$25,363
Bluffton Regional Medical CenterBluffton, IN · CCN 15007520$11,910About average$10,767$49,741
Henry County Memorial HospitalNew Castle, IN · CCN 15003014$11,993About average$10,827$37,201
Major HospitalShelbyville, IN · CCN 15009744$12,451About average$9,992$34,982
Parkview Whitley HospitalColumbia City, IN · CCN 15010123$12,510About average$10,901$29,304
Franciscan Health MooresvilleMooresville, IN · CCN 15005740$12,552About average$10,638$42,629
Parkview Huntington HospitalHuntington, IN · CCN 15009127$12,582About average$11,193$26,654
Ascension St Vincent HospitalIndianapolis, IN · CCN 15008480$12,662About average$9,947$56,538
Schneck Medical CenterSeymour, IN · CCN 15006511$12,869About average$10,320$31,372
Franciscan Health CrawfordsvilleCrawfordsville, IN · CCN 15002228$13,024About average$10,964$35,554
Franciscan Health DyerDyer, IN · CCN 15009054$13,47912% above the national average$11,999$50,848
Memorial HospitalLogansport, IN · CCN 15007214$13,50712% above the national average$12,458$27,154
Parkview Noble HospitalKendallville, IN · CCN 15014618$13,51212% above the national average$12,063$26,240
Indiana University HealthIndianapolis, IN · CCN 15005664$14,18818% above the national average$10,490$56,276
St Joseph Health System, LLCFort Wayne, IN · CCN 15004712$15,46629% above the national average$12,266$59,277
Eskenazi HealthIndianapolis, IN · CCN 15002418$17,91649% above the national average$16,108$46,383

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 careAverage paymentAverage 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
StateHospitalsCasesAverage paymentTypical range
Vermont6262$9,426$6,701–$9,770
Arkansas331,963$9,529$8,894–$10,238
Louisiana371,716$9,767$8,917–$10,825
Mississippi371,478$9,770$9,347–$11,005
Kentucky552,917$9,950$9,327–$10,515
Iowa271,449$10,045$9,260–$10,723
Alabama452,103$10,084$9,068–$10,679
Tennessee633,473$10,291$9,193–$11,087
West Virginia211,236$10,349$9,004–$10,989
Oklahoma472,073$10,363$9,418–$11,102
Montana10539$10,500$10,134–$10,750
Kansas291,425$10,596$9,058–$11,411
Indiana703,772$10,628$9,943–$11,742
Ohio1015,322$10,698$9,466–$11,768
North Dakota6357$10,728$10,588–$11,333
Missouri563,051$10,786$9,580–$12,142
Florida15911,649$10,910$9,822–$11,670
Nebraska16628$11,028$9,541–$12,211
Virginia663,796$11,067$10,106–$11,398
Idaho10463$11,075$10,623–$12,345
South Carolina462,319$11,106$9,432–$12,285
Wisconsin531,776$11,266$9,692–$11,708
South Dakota9482$11,284$10,310–$11,442
Pennsylvania1095,303$11,339$9,567–$12,100
Colorado381,429$11,366$10,240–$11,989
Utah22709$11,433$10,452–$12,142
New Hampshire13951$11,445$10,591–$12,024
Texas1799,947$11,464$10,156–$12,256
North Carolina724,202$11,518$9,994–$11,552
Michigan693,790$11,570$10,809–$12,332
Arizona492,886$11,725$10,136–$12,798
Illinois1025,608$11,824$10,292–$13,128
Maine13522$11,946$10,542–$12,978
New Mexico20891$12,045$9,727–$14,723
Minnesota421,680$12,046$10,808–$12,460
Georgia733,741$12,085$10,636–$12,356
Delaware6888$12,102$11,368–$12,438
Washington422,122$12,459$11,587–$12,871
Massachusetts495,043$12,619$11,034–$14,374
Nevada191,412$12,697$12,104–$13,276
Rhode Island9390$12,735$10,495–$14,249
New Jersey564,920$13,120$11,594–$15,542
Oregon24903$13,291$11,516–$13,994
Connecticut251,807$14,233$12,350–$14,176
Wyoming7381$14,626$14,411–$16,677
California22312,363$15,080$13,473–$15,942
Maryland402,223$15,376$13,600–$18,230
District of Columbia5223$15,648$16,092–$20,175
New York1167,313$15,898$12,250–$17,002
Hawaii11475$16,180$14,201–$17,585
Alaska7278$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.