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 Pennsylvania

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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Average payment across these 109 hospitals: $11,339National $12,020 · Pennsylvania $11,339
Median hospital: $10,474
Lowest to highest: $8,717–$22,598
Medicare stays: 5,303

109 hospitals reported at least 11 Medicare stays for this in 2024; showing 51–100. 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
Wellspan Chambersburg HospitalChambersburg, PA · CCN 390151	86	$10,419	13% below the national average	$9,302	$33,634
Gettysburg HospitalGettysburg, PA · CCN 390065	27	$10,434	13% below the national average	$8,477	$42,636
UPMC AltoonaAltoona, PA · CCN 390073	54	$10,435	13% below the national average	$9,023	$43,961
Forbes HospitalMonroeville, PA · CCN 390267	45	$10,450	13% below the national average	$7,845	$48,580
Bryn Mawr HospitalBryn Mawr, PA · CCN 390139	68	$10,474	13% below the national average	$8,966	$81,351
UPMC St MargaretPittsburgh, PA · CCN 390102	27	$10,502	13% below the national average	$8,197	$67,357
St Mary Medical CenterLanghorne, PA · CCN 390258	129	$10,697	11% below the national average	$8,881	$31,717
Geisinger-Bloomsburg HospitalBloomsburg, PA · CCN 390003	14	$10,723	11% below the national average	$6,903	$50,551
UPMC CarlisleCarlisle, PA · CCN 390058	29	$10,724	11% below the national average	$7,089	$48,588
UPMC Bedford MemorialEverett, PA · CCN 390117	24	$11,119	About average	$9,362	$30,787
Lancaster General HospitalLancaster, PA · CCN 390100	213	$11,170	About average	$8,373	$37,896
St Luke's Hospital - Upper Bucks CampusQuakertown, PA · CCN 390035	22	$11,189	About average	$9,559	$99,126
Geisinger-Lewistown HospitalLewistown, PA · CCN 390048	34	$11,203	About average	$8,113	$42,076
Phoenixville HospitalPhoenixville, PA · CCN 390127	52	$11,216	About average	$8,705	$71,282
St Luke's Hospital - Easton CampusEaston, PA · CCN 390162	14	$11,230	About average	$9,013	$80,437
Reading HospitalWest Reading, PA · CCN 390044	135	$11,351	About average	$9,733	$51,021
St Luke's Miners Memorial HospitalCoaldale, PA · CCN 390183	13	$11,415	About average	$9,765	$49,663
UPMC Pinnacle HospitalsHarrisburg, PA · CCN 390067	55	$11,427	About average	$9,317	$54,091
UPMC McKeesport HospitalMc Keesport, PA · CCN 390002	17	$11,449	About average	$9,215	$60,533
Warren General HospitalWarren, PA · CCN 390146	18	$11,475	About average	$10,478	$15,497
Wayne Memorial HospitalHonesdale, PA · CCN 390125	65	$11,491	About average	$9,737	$40,154
Geisinger Wyoming Valley Medical CenterWilkes Barre, PA · CCN 390270	78	$11,525	About average	$9,342	$80,632
Jefferson Health- NortheastPhiladelphia, PA · CCN 390115	101	$11,562	About average	$9,210	$44,115
Saint Vincent HospitalErie, PA · CCN 390009	73	$11,564	About average	$9,924	$69,389
Roxborough Memorial HospitalPhiladelphia, PA · CCN 390304	16	$11,661	About average	$9,644	$55,702
Wellspan Waynesboro HospitalWaynesboro, PA · CCN 390138	16	$11,734	About average	$9,804	$35,805
Jefferson Abington HospitalAbington, PA · CCN 390231	132	$11,782	About average	$9,285	$45,424
Penn State Health St. JosephReading, PA · CCN 390096	31	$11,826	About average	$8,958	$63,070
Robert Packer HospitalSayre, PA · CCN 390079	84	$11,944	About average	$9,964	$35,591
Lehigh Valley HospitalAllentown, PA · CCN 390133	159	$11,975	About average	$9,995	$74,604
Mount Nittany Medical CenterState College, PA · CCN 390268	57	$11,976	About average	$10,440	$38,639
UPMC HamotErie, PA · CCN 390063	44	$12,100	About average	$9,882	$94,175
Penn State Health Lancaster Medical CenterLancaster, PA · CCN 390339	24	$12,121	About average	$5,658	$43,108
Jefferson Einstein Montgomery HospitalEast Norriton, PA · CCN 390329	72	$12,392	About average	$9,935	$45,060
Crozer Chester Medical CenterUpland, PA · CCN 390180	47	$12,655	About average	$10,086	$100,769
Conemaugh Memorial Medical CenterJohnstown, PA · CCN 390110	49	$12,679	About average	$10,678	$35,324
UPMC HanoverHanover, PA · CCN 390233	39	$12,768	About average	$8,591	$49,445
Main Line Hospital LankenauWynnewood, PA · CCN 390195	64	$12,885	About average	$10,870	$88,548
Nazareth HospitalPhiladelphia, PA · CCN 390204	39	$12,908	About average	$10,627	$39,164
Wellspan York HospitalYork, PA · CCN 390046	85	$12,940	About average	$8,605	$43,227
Pennsylvania HospitalPhiladelphia, PA · CCN 390226	37	$12,967	About average	$11,073	$114,527
Lower Bucks HospitalBristol, PA · CCN 390070	27	$12,979	About average	$10,123	$45,543
Temple Health - Chestnut Hill HospitalPhiladelphia, PA · CCN 390026	81	$12,990	About average	$10,748	$162,132
UPMC MercyPittsburgh, PA · CCN 390028	14	$12,993	About average	$10,019	$84,408
West Penn HospitalPittsburgh, PA · CCN 390090	18	$13,032	About average	$11,040	$88,519
Independence Health System Clarion HospitalClarion, PA · CCN 390093	17	$13,151	About average	$10,701	$18,958
Allegheny General HospitalPittsburgh, PA · CCN 390050	25	$13,669	14% above the national average	$10,059	$67,339
St Lukes HospitalBethlehem, PA · CCN 390049	53	$13,857	15% above the national average	$9,288	$91,242
UPMC Presbyterian ShadysidePittsburgh, PA · CCN 390164	54	$13,901	16% above the national average	$9,762	$147,118
Geisinger Medical CenterDanville, PA · CCN 390006	65	$14,259	19% above the national average	$11,095	$93,855

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.