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
Compare hospitals
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.
2,442 hospitals reported at least 11 Medicare stays for this in 2024; showing 951–1,000. Download as CSV
| Hospital | Cases | Average payment | vs national average | Medicare paid | Billed charge |
|---|---|---|---|---|---|
| Memorial Mission Hospital And Asheville Surgery Ce | 158 | $10,732 | 11% below the national average | $8,531 | $43,138 |
| St. George Regional Hospital | 125 | $10,733 | 11% below the national average | $9,126 | $34,021 |
| Parkview Medical Center, Inc | 62 | $10,734 | 11% below the national average | $8,972 | $58,003 |
| Stanly Regional Medical Center | 51 | $10,734 | 11% below the national average | $8,930 | $46,526 |
| Shore Medical Center | 71 | $10,736 | 11% below the national average | $9,018 | $66,344 |
| Indiana University Health Ball Memorial Hospital | 87 | $10,738 | 11% below the national average | $9,093 | $45,487 |
| White County Medical Center | 103 | $10,740 | 11% below the national average | $9,245 | $20,209 |
| Concord Hospital | 121 | $10,750 | 11% below the national average | $9,167 | $33,952 |
| Lmh | 35 | $10,752 | 11% below the national average | $8,368 | $40,445 |
| Aultman Hospital | 91 | $10,756 | 11% below the national average | $8,153 | $36,712 |
| Spencer Municipal Hospital | 33 | $10,757 | 11% below the national average | $9,466 | $17,530 |
| St Anthonys Hospital | 109 | $10,757 | 11% below the national average | $8,919 | $53,025 |
| St. Patrick Hospital | 50 | $10,757 | 11% below the national average | $8,565 | $19,846 |
| University Hospital And Medical Center | 28 | $10,758 | 11% below the national average | $9,392 | $169,797 |
| Flagler Hospital | 75 | $10,758 | 10% below the national average | $9,452 | $58,744 |
| Franciscan Health Munster | 47 | $10,763 | 10% below the national average | $8,279 | $40,757 |
| Insight Hospital And Medical Center Coldwater | 30 | $10,765 | 10% below the national average | $9,353 | $35,509 |
| Avera McKennan Hospital & University Health Center | 127 | $10,765 | 10% below the national average | $8,817 | $50,123 |
| Huron Valley-Sinai Hospital | 29 | $10,768 | 10% below the national average | $8,932 | $54,664 |
| Billings Clinic Hospital | 113 | $10,771 | 10% below the national average | $9,361 | $24,497 |
| Morton Plant North Bay Hospital | 61 | $10,772 | 10% below the national average | $9,135 | $47,431 |
| Willamette Valley Medical Center | 22 | $10,773 | 10% below the national average | $9,363 | $37,703 |
| Good Samaritan Medical Center | 155 | $10,773 | 10% below the national average | $9,396 | $15,744 |
| Methodist Mansfield Medical Center | 56 | $10,773 | 10% below the national average | $8,850 | $60,873 |
| Jefferson Regional Medical Center | 44 | $10,775 | 10% below the national average | $9,361 | $48,646 |
| Novant Health Presbyterian Medical Center | 56 | $10,777 | 10% below the national average | $9,075 | $43,576 |
| Keralty Hospital | 31 | $10,780 | 10% below the national average | $9,124 | $27,780 |
| Dallas Regional Medical Center | 33 | $10,782 | 10% below the national average | $9,292 | $70,480 |
| Wilson Medical Center | 32 | $10,782 | 10% below the national average | $9,125 | $47,222 |
| Indian Path Community Hospital | 13 | $10,782 | 10% below the national average | $8,326 | $30,065 |
| Range Regional Health Services | 27 | $10,783 | 10% below the national average | $9,513 | $43,085 |
| Longmont United Hospital | 12 | $10,784 | 10% below the national average | $8,631 | $56,347 |
| HCA Florida Memorial Hospital | 46 | $10,786 | 10% below the national average | $9,550 | $137,840 |
| United Hospital Center, Inc | 91 | $10,787 | 10% below the national average | $8,356 | $41,628 |
| Commonspirit-Memorial Hospital-North Georgia | 14 | $10,787 | 10% below the national average | $9,388 | $27,678 |
| OSF Saint Elizabeth Mdl Center | 23 | $10,791 | 10% below the national average | $9,051 | $38,168 |
| Navicent Health Baldwin | 22 | $10,791 | 10% below the national average | $9,383 | $30,794 |
| Maple Grove Hospital | 24 | $10,794 | 10% below the national average | $8,618 | $31,121 |
| St Catherine Of Siena Hospital | 34 | $10,797 | 10% below the national average | $10,029 | $67,949 |
| Tallahassee Memorial Healthcare | 83 | $10,798 | 10% below the national average | $9,315 | $65,056 |
| Saint Thomas Rutherford Hospital | 179 | $10,806 | 10% below the national average | $8,619 | $35,198 |
| McLaren Northern Michigan | 37 | $10,809 | 10% below the national average | $9,644 | $25,773 |
| Candler Hospital | 46 | $10,812 | 10% below the national average | $8,986 | $40,058 |
| McKenzie-Willamette Medical Center | 14 | $10,814 | 10% below the national average | $9,182 | $36,813 |
| HCA Florida Raulerson Hospital | 41 | $10,817 | 10% below the national average | $9,743 | $113,748 |
| Sanford Medical Center Fargo | 101 | $10,819 | About average | $9,069 | $29,783 |
| Memorial Hospital And Health Care Center | 49 | $10,820 | About average | $8,911 | $29,756 |
| Ascension St Vincent's Riverside | 70 | $10,822 | About average | $8,877 | $45,065 |
| Intermountain Health Alta View Hospital | 27 | $10,822 | About average | $7,863 | $23,848 |
| Aspirus Wausau Hospital | 37 | $10,822 | About average | $8,411 | $43,456 |
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.