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 Texas
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 179 hospitals
- $11,464
- Median hospital
- $11,099
- Lowest to highest
- $7,926–$55,573
- Medicare stays
- 9,947
179 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 |
|---|---|---|---|---|---|
| Hendrick Medical Center Brownwood | 60 | $10,345 | 14% below the national average | $9,284 | $62,071 |
| Medical Center Of McKinney | 86 | $10,353 | 14% below the national average | $9,005 | $104,552 |
| Hendrick Medical Center | 181 | $10,362 | 14% below the national average | $8,932 | $92,417 |
| Baptist Medical Center | 181 | $10,363 | 14% below the national average | $8,732 | $112,621 |
| CHI St Joseph Health Regional Hospital | 73 | $10,394 | 14% below the national average | $9,079 | $50,838 |
| Texas Health Presbyterian Hospital Plano | 64 | $10,403 | 13% below the national average | $8,760 | $49,804 |
| CHI St Lukes Health Memorial Lufkin | 41 | $10,454 | 13% below the national average | $9,170 | $65,152 |
| Guadalupe Regional Medical Center | 28 | $10,480 | 13% below the national average | $8,393 | $32,783 |
| Baylor Scott & White Medical Center- Waxahachie | 34 | $10,488 | 13% below the national average | $8,925 | $58,415 |
| Memorial Hermann Sugar Land Hospital | 19 | $10,537 | 12% below the national average | $9,331 | $44,039 |
| Memorial Hermann Katy Hospital | 48 | $10,578 | 12% below the national average | $9,286 | $48,917 |
| St Luke's The Woodlands Hospital | 35 | $10,579 | 12% below the national average | $9,015 | $65,365 |
| Titus Regional Medical Center | 44 | $10,584 | 12% below the national average | $9,361 | $24,444 |
| Baylor Scott And White Medical Center Lake Pointe | 56 | $10,623 | 12% below the national average | $8,548 | $46,651 |
| AdventHealth Central Texas | 70 | $10,636 | 12% below the national average | $9,359 | $38,511 |
| Hunt Regional Medical Center | 78 | $10,657 | 11% below the national average | $9,440 | $43,732 |
| Christus Mother Frances Hospital Sulphur Springs | 74 | $10,665 | 11% below the national average | $9,542 | $78,727 |
| UT Health East Texas Tyler Regional Hospital | 128 | $10,675 | 11% below the national average | $9,178 | $78,273 |
| Parkview Regional Hospital | 19 | $10,681 | 11% below the national average | $9,307 | $49,532 |
| Ascension Seton Hays | 63 | $10,699 | 11% below the national average | $9,554 | $92,178 |
| Eastland Memorial Hospital | 13 | $10,704 | 11% below the national average | $9,451 | $18,291 |
| Texas Health Harris Methodist Hospital Southwest F | 94 | $10,712 | 11% below the national average | $8,946 | $51,210 |
| Houston Methodist Willowbrook Hospital | 91 | $10,718 | 11% below the national average | $8,312 | $62,959 |
| Lake Granbury Medical Center | 30 | $10,724 | 11% below the national average | $9,442 | $83,064 |
| De Tar Hospital Navarro | 21 | $10,730 | 11% below the national average | $8,975 | $118,100 |
| Christus Santa Rosa Hospital-San Marcos | 28 | $10,731 | 11% below the national average | $9,285 | $50,740 |
| Methodist Mansfield Medical Center | 56 | $10,773 | 10% below the national average | $8,850 | $60,873 |
| Dallas Regional Medical Center | 33 | $10,782 | 10% below the national average | $9,292 | $70,480 |
| Houston Methodist West Hospital | 82 | $10,831 | About average | $9,272 | $62,142 |
| Mission Regional Medical Center | 32 | $10,853 | About average | $9,630 | $104,724 |
| St David's South Austin Medical Center | 82 | $10,870 | About average | $8,812 | $89,953 |
| Methodist Hospital | 314 | $10,916 | About average | $8,419 | $103,634 |
| Texas Health Presbyterian Hospital Dallas | 112 | $10,917 | About average | $9,319 | $52,000 |
| Baylor Scott And White Medical Center McKinney | 50 | $10,948 | About average | $6,921 | $47,828 |
| Texas Health Presbyterian Hospital Denton | 59 | $10,962 | About average | $9,886 | $59,198 |
| Valley Regional Medical Center | 21 | $10,980 | About average | $9,661 | $128,850 |
| North Austin Medical Center | 72 | $11,024 | About average | $9,186 | $71,927 |
| HCA Houston Healthcare Clear Lake | 67 | $11,066 | About average | $9,471 | $153,991 |
| The Hospitals Of Providence - East Campus | 37 | $11,070 | About average | $9,251 | $105,320 |
| Medical City Lewisville | 36 | $11,099 | About average | $9,876 | $119,711 |
| Odessa Regional Medical Center | 23 | $11,111 | About average | $9,729 | $84,488 |
| Covenant Medical Center | 116 | $11,118 | About average | $8,548 | $123,978 |
| Texas Health Harris Methodist Fort Worth | 159 | $11,146 | About average | $9,381 | $51,735 |
| Texas Health Huguley Hospital Fort Worth South | 142 | $11,213 | About average | $8,778 | $60,069 |
| VHS Harlingen Hospital Company LLC | 52 | $11,214 | About average | $9,672 | $137,051 |
| Medical City Denton | 153 | $11,229 | About average | $9,427 | $118,408 |
| Ascension Seton Williamson | 55 | $11,245 | About average | $9,063 | $83,730 |
| Houston Methodist Baytown Hospital | 57 | $11,284 | About average | $10,085 | $73,503 |
| St Luke's Hospital At The Vintage | 14 | $11,319 | About average | $8,555 | $70,808 |
| Baptist Beaumont Hospital | 40 | $11,364 | About average | $9,779 | $69,782 |
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.