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 1,101–1,150. Download as CSV
| Hospital | Cases | Average payment | vs national average | Medicare paid | Billed charge |
|---|---|---|---|---|---|
| North Austin Medical Center | 72 | $11,024 | About average | $9,186 | $71,927 |
| Essentia Health Virginia | 16 | $11,027 | About average | $9,803 | $23,027 |
| Banner Thunderbird Medical Center | 79 | $11,033 | About average | $9,370 | $42,700 |
| Northeast Hospital Corporation | 180 | $11,034 | About average | $9,296 | $23,913 |
| Suburban Hospital | 56 | $11,037 | About average | $9,784 | $12,379 |
| Mercy Medical Center | 49 | $11,038 | About average | $9,659 | $22,126 |
| Baystate Wing Hospital | 42 | $11,041 | About average | $9,404 | $18,663 |
| Sturdy Memorial Hospital | 88 | $11,044 | About average | $9,207 | $19,546 |
| South Shore Hospital | 270 | $11,047 | About average | $8,988 | $20,001 |
| Baystate Noble Hospital | 37 | $11,047 | About average | $9,357 | $19,148 |
| Ottumwa Regional Health Center | 23 | $11,053 | About average | $9,652 | $42,931 |
| MH St Elizabeth Youngstown Hospital | 57 | $11,054 | About average | $7,985 | $45,644 |
| Mercy Hospital Pittsburg, Inc | 36 | $11,057 | About average | $9,429 | $24,384 |
| Halifax Health Medical Center | 67 | $11,058 | About average | $9,923 | $45,943 |
| Advocate Sherman Hospital | 111 | $11,063 | About average | $8,844 | $51,299 |
| 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 |
| Tristar Summit Medical Center | 67 | $11,070 | About average | $7,863 | $98,365 |
| Banner Desert Medical Center | 81 | $11,071 | About average | $9,276 | $47,104 |
| North Shore Medical Center | 37 | $11,073 | About average | $10,102 | $88,930 |
| Granville Health Systems | 15 | $11,073 | About average | $9,767 | $31,724 |
| Saint Francis Hospital Vinita, Inc | 25 | $11,074 | About average | $8,814 | $20,419 |
| Mary Lanning Healthcare | 21 | $11,076 | About average | $9,725 | $49,187 |
| Virtua Mount Holly Hospital | 90 | $11,077 | About average | $9,726 | $105,220 |
| Putnam Hospital Center | 26 | $11,077 | About average | $9,351 | $32,672 |
| Honor Health John C. Lincoln Medical Center | 42 | $11,079 | About average | $9,290 | $85,526 |
| Piedmont Newnan Hospital, Inc | 32 | $11,079 | About average | $9,043 | $55,392 |
| South Florida Baptist Hospital | 18 | $11,080 | About average | $9,455 | $55,846 |
| Thedacare Regional Medical Center - Appleton Inc | 22 | $11,082 | About average | $8,135 | $27,450 |
| Randolph Hospital | 43 | $11,085 | About average | $9,738 | $61,138 |
| Robert Wood Johnson University Hospital At Rahway | 14 | $11,085 | About average | $9,805 | $119,007 |
| Lewisgale Hospital Alleghany | 19 | $11,085 | About average | $9,964 | $60,088 |
| Northwestern Medicine Kishwaukee Hospital | 25 | $11,085 | About average | $9,977 | $58,315 |
| Howard Young Medical Center | 30 | $11,087 | About average | $9,891 | $26,324 |
| Riverview Health | 42 | $11,089 | About average | $9,477 | $55,654 |
| Tanner Medical Center - Carrollton | 118 | $11,092 | About average | $9,402 | $37,409 |
| Russell County Hospital | 18 | $11,094 | About average | $10,008 | $30,119 |
| Reid Health | 96 | $11,095 | About average | $9,429 | $26,497 |
| Watertown Memorial Hospital | 14 | $11,096 | About average | $8,962 | $34,936 |
| Marion Communtiy Hospital | 202 | $11,098 | About average | $9,194 | $75,245 |
| St Mary Medical Center Inc | 45 | $11,098 | About average | $7,694 | $40,095 |
| Medical City Lewisville | 36 | $11,099 | About average | $9,876 | $119,711 |
| Milford Regional Medical Center | 158 | $11,099 | About average | $9,710 | $15,988 |
| Sanford USDMedical Center | 112 | $11,100 | About average | $9,396 | $53,257 |
| Jackson County Memorial Hospital Authority | 22 | $11,101 | About average | $9,563 | $18,948 |
| Baptist Health Medical Center North Little Rock | 150 | $11,102 | About average | $8,917 | $47,776 |
| Mcalester Regional Health Center | 37 | $11,102 | About average | $9,641 | $38,872 |
| Saint Thomas River Park Hospital | 54 | $11,103 | About average | $9,804 | $37,985 |
| OSF Little Company Of Mary Medical Center | 63 | $11,106 | About average | $9,224 | $37,906 |
| East Liverpool City Hospital | 12 | $11,108 | About average | $9,434 | $31,030 |
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.