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 Michigan

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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Michigan

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Year of care

Average payment across these 69 hospitals: $11,570National $12,020 · Michigan $11,570
Median hospital: $11,503
Lowest to highest: $8,837–$17,929
Medicare stays: 3,790

69 hospitals reported at least 11 Medicare stays for this in 2024; showing 51–69. 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
Mercy Health Saint Mary'sGrand Rapids, MI · CCN 230059	22	$12,314	About average	$9,092	$28,073
Henry Ford Health St John HospitalDetroit, MI · CCN 230165	53	$12,332	About average	$10,236	$29,877
Munson Healthcare Grayling HospitalGrayling, MI · CCN 230058	33	$12,350	About average	$10,916	$30,029
McLaren Greater LansingLansing, MI · CCN 230167	52	$12,506	About average	$9,972	$39,312
Trinity Health Muskegon HospitalMuskegon, MI · CCN 230066	33	$12,572	About average	$10,271	$40,280
University Of Michigan Health - WestWyoming, MI · CCN 230236	12	$12,668	About average	$8,212	$40,120
Beaumont Hospital Royal OakRoyal Oak, MI · CCN 230130	147	$12,824	About average	$9,187	$42,151
Spectrum HealthGrand Rapids, MI · CCN 230038	78	$12,867	About average	$9,337	$26,163
Hurley Medical CenterFlint, MI · CCN 230132	63	$13,240	10% above the national average	$10,144	$55,241
Beaumont Hospital - Farmington HillsFarmington Hills, MI · CCN 230151	66	$13,323	11% above the national average	$9,859	$51,528
Corewell Health Ludington HospitalLudington, MI · CCN 230110	11	$13,333	11% above the national average	$10,447	$34,253
Trinity Health Livingston HospitalHowell, MI · CCN 230069	26	$13,762	14% above the national average	$11,337	$32,293
McLaren OaklandPontiac, MI · CCN 230207	18	$14,124	18% above the national average	$10,772	$22,435
Sinai-Grace HospitalDetroit, MI · CCN 230024	20	$14,219	18% above the national average	$11,135	$63,765
Detroit Receiving HospitalDetroit, MI · CCN 230273	17	$14,586	21% above the national average	$12,206	$56,950
Chippewa County War Memorial HospitalSault Ste Marie, MI · CCN 230239	16	$14,799	23% above the national average	$12,322	$20,147
Henry Ford Health HospitalDetroit, MI · CCN 230053	47	$16,567	38% above the national average	$12,416	$26,877
Harper University HospitalDetroit, MI · CCN 230104	14	$16,729	39% above the national average	$13,071	$53,254
University Of Michigan Health SystemAnn Arbor, MI · CCN 230046	59	$17,929	49% above the national average	$11,304	$55,514

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.