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 Ohio
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 101 hospitals
- $10,698
- Median hospital
- $10,554
- Lowest to highest
- $5,659–$16,835
- Medicare stays
- 5,322
101 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 |
|---|---|---|---|---|---|
| Firelands Regional Medical Center | 49 | $10,554 | 12% below the national average | $7,256 | $28,000 |
| Adena Regional Medical Center | 67 | $10,558 | 12% below the national average | $8,764 | $46,422 |
| Mount Carmel St Ann's | 66 | $10,562 | 12% below the national average | $8,487 | $63,778 |
| Salem Regional Medical Center | 23 | $10,591 | 12% below the national average | $9,456 | $24,056 |
| Mercy Health St Ritas Medical Center | 86 | $10,645 | 11% below the national average | $8,359 | $47,947 |
| Christ Hospital | 81 | $10,694 | 11% below the national average | $7,853 | $33,059 |
| The Jewish Hospital-Mercy Health | 21 | $10,713 | 11% below the national average | $8,864 | $40,183 |
| Memorial Hospital | 11 | $10,724 | 11% below the national average | $9,537 | $34,878 |
| Dublin Methodist Hospital | 62 | $10,731 | 11% below the national average | $8,720 | $35,192 |
| Aultman Hospital | 91 | $10,756 | 11% below the national average | $8,153 | $36,712 |
| Lutheran Hospital | 16 | $10,901 | About average | $8,667 | $44,131 |
| Southern Ohio Medical Center | 31 | $10,918 | About average | $9,665 | $28,029 |
| Akron General Medical Center | 139 | $10,924 | About average | $8,554 | $47,804 |
| Insight Hospital And Medical Center Trumbull | 30 | $10,935 | About average | $9,163 | $58,775 |
| Kettering Health Main Campus | 55 | $10,990 | About average | $8,355 | $44,595 |
| MH St Elizabeth Youngstown Hospital | 57 | $11,054 | About average | $7,985 | $45,644 |
| East Liverpool City Hospital | 12 | $11,108 | About average | $9,434 | $31,030 |
| Mount Carmel East & West | 98 | $11,125 | About average | $8,486 | $59,258 |
| Genesis Hospital | 84 | $11,309 | About average | $9,416 | $30,919 |
| Trihealth Clinton Regional Hospital | 16 | $11,360 | About average | $10,136 | $35,907 |
| Kettering Health Dayton | 58 | $11,365 | About average | $9,282 | $53,524 |
| Riverside Methodist Hospital | 77 | $11,384 | About average | $8,858 | $39,240 |
| Soin Medical Center | 78 | $11,413 | About average | $8,924 | $45,475 |
| Knox Community Hospital | 26 | $11,447 | About average | $10,219 | $37,861 |
| Wayne Hospital | 13 | $11,624 | About average | $10,496 | $25,083 |
| Summa Health System | 32 | $11,768 | About average | $8,985 | $86,933 |
| Mercer County Joint Township Community Hospital | 40 | $11,770 | About average | $10,034 | $21,281 |
| Trinity Medical Center East &Trinity Medical Center West | 46 | $11,814 | About average | $8,766 | $37,162 |
| ProMedica Toledo Hospital | 176 | $11,832 | About average | $8,660 | $68,048 |
| Mercy Health - Tiffin Hospital | 26 | $11,835 | About average | $8,845 | $38,732 |
| Bay Park Community Hospital | 31 | $11,836 | About average | $10,139 | $60,120 |
| Mercy St Vincent Medical Center | 115 | $11,888 | About average | $9,075 | $67,110 |
| MetroHealth System | 52 | $12,087 | About average | $8,719 | $39,467 |
| Berger Hospital | 29 | $12,092 | About average | $7,941 | $22,785 |
| Grady Memorial Hospital | 27 | $12,132 | About average | $10,563 | $28,792 |
| Alliance Community Hospital | 18 | $12,167 | About average | $8,021 | $19,381 |
| Southeastern Ohio Regional Medical Center | 25 | $12,223 | About average | $11,179 | $28,912 |
| Community Hospitals And Wellness Centers | 13 | $12,633 | About average | $11,378 | $19,579 |
| Van Wert County Hospital | 12 | $12,746 | About average | $11,658 | $21,231 |
| Good Samaritan Hospital | 40 | $12,986 | About average | $8,359 | $30,477 |
| Fisher-Titus Hospital | 48 | $13,129 | About average | $11,405 | $29,653 |
| Doctors Hospital | 45 | $13,147 | About average | $10,340 | $44,214 |
| Ohio State University State Health System | 79 | $13,323 | 11% above the national average | $10,059 | $44,349 |
| Grant Medical Center | 75 | $14,033 | 17% above the national average | $11,310 | $53,731 |
| University Of Toledo Medical Center | 43 | $14,489 | 21% above the national average | $9,267 | $53,024 |
| Cleveland Clinic | 52 | $14,734 | 23% above the national average | $9,739 | $54,862 |
| UH Cleveland Medical Center | 38 | $15,371 | 28% above the national average | $11,334 | $64,083 |
| UH St John Medical Center | 65 | $15,458 | 29% above the national average | $13,070 | $34,729 |
| OhioHealth O'Bleness Hospital | 38 | $16,267 | 35% above the national average | $13,964 | $26,066 |
| UH Regional Hospitals | 63 | $16,423 | 37% above the national average | $13,778 | $30,340 |
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.