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 1,051–1,100. Download as CSV
| Hospital | Cases | Average payment | vs national average | Medicare paid | Billed charge |
|---|---|---|---|---|---|
| Abbeville General Hospital | 15 | $10,932 | About average | $9,957 | $57,217 |
| Insight Hospital And Medical Center Trumbull | 30 | $10,935 | About average | $9,163 | $58,775 |
| Central Maine Medical Center | 54 | $10,935 | About average | $8,696 | $28,094 |
| Coral Gables Hospital | 48 | $10,937 | About average | $9,883 | $118,890 |
| Alamance Regional Medical Center | 40 | $10,939 | About average | $8,908 | $30,868 |
| Piedmont Macon North Hospital | 13 | $10,942 | About average | $7,486 | $38,150 |
| AdventHealth Palm Coast | 28 | $10,947 | About average | $9,781 | $40,737 |
| Baptist Health Lagrange | 18 | $10,948 | About average | $9,497 | $30,937 |
| Baylor Scott And White Medical Center McKinney | 50 | $10,948 | About average | $6,921 | $47,828 |
| Community Hospital East | 28 | $10,950 | About average | $9,797 | $37,178 |
| Broward Health Coral Springs | 55 | $10,954 | About average | $9,113 | $63,800 |
| Providence Newberg Medical Center | 13 | $10,955 | About average | $9,951 | $18,689 |
| Carilion Franklin Memorial Hospital | 22 | $10,957 | About average | $9,696 | $30,155 |
| HCA Florida South Tampa Hospital | 22 | $10,961 | About average | $10,071 | $117,765 |
| West Jersey Hospital | 226 | $10,962 | About average | $9,299 | $113,009 |
| Texas Health Presbyterian Hospital Denton | 59 | $10,962 | About average | $9,886 | $59,198 |
| Sacred Heart Hospital | 131 | $10,964 | About average | $9,307 | $40,628 |
| Baystate Franklin Medical Center | 36 | $10,966 | About average | $9,632 | $17,859 |
| Abrazo Arrowhead Hospital | 56 | $10,968 | About average | $9,382 | $101,032 |
| Wellstar West Georgia Medical Center | 22 | $10,969 | About average | $9,559 | $64,676 |
| Prisma Health Baptist | 16 | $10,970 | About average | $8,948 | $43,786 |
| Bayhealth Hospital, Sussex Campus | 77 | $10,974 | About average | $9,399 | $38,061 |
| Bethesda Hospital East | 157 | $10,976 | About average | $9,241 | $82,866 |
| Sovah Health Danville | 98 | $10,977 | About average | $8,686 | $52,788 |
| Holy Cross Hospital | 102 | $10,977 | About average | $9,154 | $48,079 |
| Fort Memorial Hospital | 14 | $10,979 | About average | $9,580 | $32,220 |
| Valley Regional Medical Center | 21 | $10,980 | About average | $9,661 | $128,850 |
| Capital Medical Center | 43 | $10,983 | About average | $9,148 | $47,064 |
| Holy Cross Hospital-Jordan Valley | 39 | $10,983 | About average | $8,769 | $37,432 |
| Tucson Medical Center | 130 | $10,984 | About average | $9,437 | $40,632 |
| Intermountain Health McKay-Dee Hospital | 43 | $10,984 | About average | $8,008 | $52,898 |
| Ascension St Vincent Anderson | 73 | $10,986 | About average | $9,905 | $64,725 |
| Logan Regional Medical Center | 65 | $10,989 | About average | $9,157 | $45,043 |
| Kettering Health Main Campus | 55 | $10,990 | About average | $8,355 | $44,595 |
| Olean General Hospital | 67 | $10,993 | About average | $9,348 | $19,514 |
| Heywood Hospital - | 100 | $10,997 | About average | $9,797 | $21,569 |
| Northwest Medical Center Sahuarita | 65 | $10,998 | About average | $9,359 | $67,574 |
| Abbott Northwestern Hospital | 66 | $10,998 | About average | $9,356 | $48,990 |
| Frisbie Memorial Hospital | 12 | $11,001 | About average | $10,049 | $72,584 |
| Blessing Hospital | 112 | $11,004 | About average | $8,471 | $57,476 |
| North Memorial Health Hospital | 50 | $11,004 | About average | $8,481 | $34,528 |
| Baptist Memorial Hospital-Oktibbeha County | 25 | $11,005 | About average | $9,568 | $34,114 |
| M Health Fairview St John's Hospital | 70 | $11,010 | About average | $8,739 | $48,904 |
| Intermountain Health Lutheran Hospital | 39 | $11,011 | About average | $8,940 | $66,541 |
| Ascension Providence Rochester Hospital | 62 | $11,012 | About average | $8,733 | $37,213 |
| Ascension All Saints Hospital | 30 | $11,012 | About average | $9,680 | $32,838 |
| St Luke's Nampa Medical Center | 28 | $11,012 | About average | $9,596 | $45,646 |
| Carilion Tazewell Community Hospital | 12 | $11,015 | About average | $9,232 | $26,896 |
| Southeast Iowa Regional Medical Center | 58 | $11,016 | About average | $9,739 | $29,676 |
| Virtua Willingboro Hospital | 26 | $11,023 | About average | $10,088 | $145,155 |
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.