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 1,001–1,050. Download as CSV
| Hospital | Cases | Average payment | vs national average | Medicare paid | Billed charge |
|---|---|---|---|---|---|
| Uchicago Medicine AdventHealth Hinsdale | 50 | $10,824 | About average | $8,507 | $34,143 |
| Touro Infirmary | 13 | $10,825 | About average | $8,104 | $66,261 |
| Swedish Medical Center | 50 | $10,826 | About average | $9,006 | $131,037 |
| Houston Methodist West Hospital | 82 | $10,831 | About average | $9,272 | $62,142 |
| Cox Medical Centers | 128 | $10,833 | About average | $9,226 | $47,139 |
| Norton-King's Daughters' Health | 57 | $10,833 | About average | $9,720 | $29,974 |
| Memorial Hospital Of South Bend | 28 | $10,835 | About average | $8,511 | $52,833 |
| Taylor Regional Hospital | 14 | $10,839 | About average | $9,557 | $31,112 |
| Southern NH Medical Center | 108 | $10,840 | About average | $8,750 | $26,296 |
| Banner North Co Medical Center - Loveland Campus | 17 | $10,849 | About average | $9,409 | $33,491 |
| Corning Hospital | 42 | $10,849 | About average | $9,546 | $31,173 |
| Sanford Bemidji Medical Center | 46 | $10,850 | About average | $8,094 | $34,360 |
| Brown University Health Morton Hospital | 124 | $10,852 | About average | $9,629 | $18,645 |
| Mission Regional Medical Center | 32 | $10,853 | About average | $9,630 | $104,724 |
| McLeod Regional Medical Center-Pee Dee | 190 | $10,854 | About average | $8,513 | $54,455 |
| Manatee Memorial Hospital | 61 | $10,855 | About average | $9,207 | $101,487 |
| HCA Florida Northside Hospital | 72 | $10,856 | About average | $8,927 | $146,550 |
| Beth Israel Deaconess Hospital Plymouth | 111 | $10,860 | About average | $9,202 | $24,393 |
| St Francis Regional Medical Center | 21 | $10,864 | About average | $8,776 | $36,089 |
| Hugh Chatham Memorial Hospital | 36 | $10,866 | About average | $8,498 | $38,191 |
| Morris Hospital & Healthcare Centers | 34 | $10,867 | About average | $8,304 | $59,155 |
| Webster General Hospital/ Swing Bed | 12 | $10,869 | About average | $9,781 | $19,624 |
| St Josephs Hospital | 153 | $10,869 | About average | $9,565 | $48,514 |
| St David's South Austin Medical Center | 82 | $10,870 | About average | $8,812 | $89,953 |
| Community First Medical Center | 17 | $10,870 | About average | $9,656 | $48,557 |
| St Alexius Medical Center | 74 | $10,878 | About average | $9,698 | $53,310 |
| Newton Medical Center | 89 | $10,878 | About average | $8,786 | $169,002 |
| Starr Regional Medical Center Athens | 29 | $10,881 | About average | $9,205 | $56,675 |
| Mymichigan Medical Center Clare | 21 | $10,884 | About average | $9,563 | $21,385 |
| SSM Health St Mary's Hospital -Centralia | 68 | $10,887 | About average | $9,449 | $26,585 |
| Duke Health Raleigh Hospital | 22 | $10,889 | About average | $8,673 | $34,357 |
| CHI Saint Joseph Flaget Memorial Hospital | 29 | $10,897 | About average | $8,895 | $35,351 |
| Methodist Hospitals Inc | 69 | $10,898 | About average | $9,310 | $49,888 |
| Mercy Hospital | 100 | $10,899 | About average | $8,807 | $42,399 |
| Marion General Hospital | 61 | $10,900 | About average | $8,992 | $18,571 |
| Lutheran Hospital | 16 | $10,901 | About average | $8,667 | $44,131 |
| Carolinas Medical Center-Northeast | 123 | $10,902 | About average | $8,670 | $50,068 |
| Hutchinson Regional Medical Center Inc | 52 | $10,905 | About average | $8,748 | $34,728 |
| Saint Joseph Regional Medical Center | 59 | $10,905 | About average | $8,937 | $32,488 |
| Colleton Medical Center | 19 | $10,910 | About average | $9,872 | $59,182 |
| F F Thompson Hospital | 30 | $10,912 | About average | $8,977 | $20,253 |
| 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 |
| Southern Ohio Medical Center | 31 | $10,918 | About average | $9,665 | $28,029 |
| Ochsner Medical Center-Kenner | 16 | $10,920 | About average | $8,191 | $26,951 |
| Ascension St Vincent Fishers | 12 | $10,923 | About average | $9,699 | $32,907 |
| Akron General Medical Center | 139 | $10,924 | About average | $8,554 | $47,804 |
| Uw Health | 143 | $10,926 | About average | $9,297 | $62,122 |
| Sibley Memorial Hospital | 72 | $10,926 | About average | $9,002 | $47,749 |
| Twin County Regional Hospital | 22 | $10,929 | About average | $9,297 | $53,316 |
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.