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 1,151–1,200. Download as CSV
| Hospital | Cases | Average payment | vs national average | Medicare paid | Billed charge |
|---|---|---|---|---|---|
| Odessa Regional Medical Center | 23 | $11,111 | About average | $9,729 | $84,488 |
| Delta Health System - The Medical Center | 25 | $11,112 | About average | $9,234 | $32,534 |
| Glens Falls Hospital | 38 | $11,114 | About average | $9,848 | $29,372 |
| Deaconess Illinois Crossroads | 13 | $11,114 | About average | $8,991 | $46,668 |
| Onslow Memorial Hospital | 92 | $11,117 | About average | $9,680 | $35,910 |
| HCA Florida JFK Hospital | 128 | $11,118 | About average | $9,710 | $106,246 |
| Covenant Medical Center | 116 | $11,118 | About average | $8,548 | $123,978 |
| UPMC Bedford Memorial | 24 | $11,119 | About average | $9,362 | $30,787 |
| UMass Memorial Health - Harrington Hospital | 56 | $11,119 | About average | $10,129 | $23,460 |
| HCA Florida Northwest Hospital | 38 | $11,124 | About average | $9,315 | $133,895 |
| Mount Carmel East & West | 98 | $11,125 | About average | $8,486 | $59,258 |
| ProMedica Charles And Virginia Hickman Hospital | 45 | $11,126 | About average | $9,151 | $45,838 |
| Saint Anne's Hospital | 91 | $11,127 | About average | $10,018 | $24,846 |
| Piedmont Henry Hospital | 60 | $11,132 | About average | $9,401 | $52,517 |
| St. Vincent's East | 58 | $11,135 | About average | $8,626 | $49,034 |
| Johnson City Medical Center | 86 | $11,136 | About average | $8,306 | $52,171 |
| St Lucie Medical Center | 95 | $11,142 | About average | $8,387 | $102,612 |
| Gulf Breeze Hospital | 27 | $11,144 | About average | $9,633 | $44,604 |
| Texas Health Harris Methodist Fort Worth | 159 | $11,146 | About average | $9,381 | $51,735 |
| St Josephs Hospital | 28 | $11,147 | About average | $9,807 | $30,662 |
| UNC Health Care Wayne | 57 | $11,148 | About average | $9,656 | $31,930 |
| AdventHealth Carrollwood | 30 | $11,154 | About average | $8,629 | $81,833 |
| Citizens Baptist Medical Center | 13 | $11,158 | About average | $10,153 | $79,130 |
| Piedmont Fayette Hospital | 65 | $11,159 | About average | $8,609 | $49,661 |
| Lake Regional Health System | 79 | $11,164 | About average | $9,896 | $33,380 |
| Carolina East Medical Center | 116 | $11,164 | About average | $9,940 | $28,650 |
| Marshfield Medical Center - Rice Lake | 23 | $11,164 | About average | $9,958 | $21,632 |
| Inova Alexandria Hospital | 83 | $11,168 | About average | $8,914 | $35,639 |
| Lancaster General Hospital | 213 | $11,170 | About average | $8,373 | $37,896 |
| HCA Healthone Presbyterian St. Lukes | 12 | $11,171 | About average | $10,128 | $119,083 |
| Ingalls Memorial Hospital | 28 | $11,171 | About average | $9,677 | $41,739 |
| Winchester Medical Center | 215 | $11,174 | About average | $9,176 | $24,550 |
| Roseland Community Hospital | 14 | $11,179 | About average | $9,963 | $53,920 |
| Holy Family Hospital | 113 | $11,180 | About average | $9,869 | $19,161 |
| Ascension Se Wisconsin Hospital | 49 | $11,184 | About average | $9,089 | $31,361 |
| Wellstar Spalding Medical Center | 36 | $11,186 | About average | $9,796 | $81,097 |
| Piedmont Cartersville Medical Center | 60 | $11,186 | About average | $8,805 | $70,370 |
| Cape Fear Valley Medical Center | 89 | $11,186 | About average | $9,760 | $28,541 |
| St Luke's Hospital - Upper Bucks Campus | 22 | $11,189 | About average | $9,559 | $99,126 |
| Banner Estrella Medical Center | 36 | $11,190 | About average | $9,727 | $60,439 |
| AdventHealth Zephyrhills | 58 | $11,192 | About average | $8,159 | $60,791 |
| Castleview Hospital | 26 | $11,194 | About average | $8,393 | $30,987 |
| Charlotte Hungerford Hospital | 60 | $11,194 | About average | $9,854 | $43,460 |
| Intermountain Health Logan Regional Hospital | 23 | $11,195 | About average | $8,338 | $33,269 |
| Smyth County Community Hospital | 16 | $11,195 | About average | $10,073 | $26,374 |
| Jackson Hospital | 18 | $11,199 | About average | $9,400 | $21,626 |
| Poudre Valley Hospital | 77 | $11,203 | About average | $8,892 | $50,284 |
| Geisinger-Lewistown Hospital | 34 | $11,203 | About average | $8,113 | $42,076 |
| Cape Fear Valley Hoke Hospital | 11 | $11,204 | About average | $9,572 | $24,765 |
| Carteret General Hospital | 44 | $11,206 | About average | $9,875 | $19,400 |
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.