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 New York
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 116 hospitals
- $15,898
- Median hospital
- $13,546
- Lowest to highest
- $10,304–$48,754
- Medicare stays
- 7,313
116 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 |
|---|---|---|---|---|---|
| Phelps Hospital | 43 | $12,995 | About average | $11,014 | $81,816 |
| Garnet Health Medical Center Catskills | 21 | $13,039 | About average | $11,766 | $70,091 |
| New York Community Hospital Of Brooklyn, Inc. | 82 | $13,128 | About average | $10,861 | $51,196 |
| St Peter's Hospital | 77 | $13,173 | About average | $9,113 | $44,331 |
| St Charles Hospital | 38 | $13,271 | 10% above the national average | $11,120 | $67,628 |
| Mount St. Mary's Hospital & Health Center | 22 | $13,289 | 11% above the national average | $9,973 | $27,827 |
| Northern Dutchess Hospital | 51 | $13,430 | 12% above the national average | $11,410 | $32,769 |
| Aurelia Osborn Fox Memorial Hospital | 32 | $13,525 | 13% above the national average | $10,668 | $28,464 |
| St James Hospital | 15 | $13,567 | 13% above the national average | $12,372 | $18,966 |
| Plainview Hospital | 77 | $13,599 | 13% above the national average | $11,054 | $79,476 |
| Brooks-TLC Hospital System, Inc | 15 | $13,651 | 14% above the national average | $12,237 | $28,672 |
| Unity Hospital | 57 | $13,678 | 14% above the national average | $10,640 | $26,315 |
| Southside Hospital | 81 | $13,867 | 15% above the national average | $11,332 | $88,759 |
| John T Mather Memorial Hospital Of Port Jefferson | 88 | $14,073 | 17% above the national average | $10,075 | $76,523 |
| The University Of Vermont Health Network - Champl | 71 | $14,179 | 18% above the national average | $12,520 | $58,189 |
| Rochester General Hospital | 45 | $14,219 | 18% above the national average | $10,553 | $29,959 |
| Chenango Memorial Hospital | 11 | $14,221 | 18% above the national average | $11,573 | $30,160 |
| Sisters Of Charity Hospital | 20 | $14,510 | 21% above the national average | $10,280 | $30,170 |
| Montefiore Mount Vernon Hospital | 11 | $14,597 | 21% above the national average | $12,917 | $55,461 |
| Staten Island University Hospital | 95 | $14,638 | 22% above the national average | $12,416 | $66,412 |
| Kaleida Health | 95 | $14,666 | 22% above the national average | $11,961 | $30,886 |
| Samaritan Medical Center | 26 | $14,740 | 23% above the national average | $13,468 | $35,317 |
| University Hospital S U N Y Health Science Center | 63 | $14,895 | 24% above the national average | $11,388 | $83,680 |
| St John's Riverside Hospital | 54 | $14,913 | 24% above the national average | $12,573 | $63,780 |
| Mount Sinai South Nassau | 136 | $14,927 | 24% above the national average | $11,380 | $111,030 |
| Albany Medical Center Hospital | 58 | $14,936 | 24% above the national average | $12,530 | $45,897 |
| Garnet Health Medical Center | 223 | $14,951 | 24% above the national average | $11,441 | $73,009 |
| Highland Hospital | 59 | $15,164 | 26% above the national average | $10,707 | $29,725 |
| Vassar Brothers Medical Center | 89 | $15,371 | 28% above the national average | $11,716 | $35,978 |
| Bassett Healthcare | 54 | $15,491 | 29% above the national average | $13,335 | $28,338 |
| Northwell Hospital Glen Cove | 38 | $15,904 | 32% above the national average | $13,728 | $83,014 |
| Westchester Medical Center | 62 | $15,990 | 33% above the national average | $13,746 | $159,475 |
| New York-Presbyterian/Queens | 114 | $16,187 | 35% above the national average | $13,095 | $113,189 |
| St Joseph's Medical Center | 25 | $16,386 | 36% above the national average | $14,881 | $101,270 |
| Arnot Ogden Medical Center | 38 | $16,598 | 38% above the national average | $13,422 | $31,837 |
| North Shore University Hospital | 137 | $16,655 | 39% above the national average | $12,389 | $112,788 |
| Long Island Jewish Medical Center | 127 | $16,822 | 40% above the national average | $13,614 | $110,334 |
| Mount Sinai Beth Israel | 81 | $17,544 | 46% above the national average | $13,160 | $123,873 |
| Richmond University Medical Center | 76 | $17,554 | 46% above the national average | $14,226 | $85,662 |
| Flushing Hospital Medical Center | 20 | $17,980 | 50% above the national average | $14,766 | $25,735 |
| SUNY/Stony Brook University Hospital | 351 | $18,074 | 50% above the national average | $13,806 | $100,053 |
| Wyckoff Heights Medical Center | 29 | $18,375 | 53% above the national average | $14,408 | $53,892 |
| Strong Memorial Hospital | 53 | $18,789 | 56% above the national average | $13,433 | $35,180 |
| Mount Sinai West | 83 | $18,931 | 57% above the national average | $15,081 | $107,587 |
| Montefiore New Rochelle Hospital | 40 | $19,047 | 58% above the national average | $15,090 | $106,927 |
| Jamaica Hospital Medical Center | 23 | $19,157 | 59% above the national average | $14,624 | $28,840 |
| Maimonides Medical Center | 135 | $19,635 | 63% above the national average | $15,003 | $86,439 |
| Nyu Langone Hospitals | 465 | $19,876 | 65% above the national average | $14,784 | $127,394 |
| Brookdale Hospital Medical Center | 39 | $20,093 | 67% above the national average | $16,267 | $38,440 |
| New York-Presbyterian Hospital | 371 | $20,672 | 72% above the national average | $15,186 | $143,424 |
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.