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 1,201–1,250. Download as CSV
| Hospital | Cases | Average payment | vs national average | Medicare paid | Billed charge |
|---|---|---|---|---|---|
| USC Arcadia Hospital | 129 | $11,210 | About average | $9,715 | $103,492 |
| Texas Health Huguley Hospital Fort Worth South | 142 | $11,213 | About average | $8,778 | $60,069 |
| VHS Harlingen Hospital Company LLC | 52 | $11,214 | About average | $9,672 | $137,051 |
| Phoenixville Hospital | 52 | $11,216 | About average | $8,705 | $71,282 |
| Palomar Health Downtown Campus | 122 | $11,223 | About average | $9,783 | $126,156 |
| McLaren Macomb | 67 | $11,224 | About average | $9,074 | $27,712 |
| Huntington Hospital | 105 | $11,229 | About average | $9,782 | $54,178 |
| Medical City Denton | 153 | $11,229 | About average | $9,427 | $118,408 |
| St Luke's Hospital - Easton Campus | 14 | $11,230 | About average | $9,013 | $80,437 |
| Advocate Trinity Hospital | 35 | $11,232 | About average | $9,110 | $45,360 |
| Witham Health Services | 21 | $11,234 | About average | $9,835 | $45,436 |
| George Regional Health System | 15 | $11,236 | About average | $10,267 | $29,346 |
| Saint Mary's Regional Medical Center | 15 | $11,236 | About average | $10,257 | $31,087 |
| Neshoba County General Hospital | 13 | $11,239 | About average | $9,701 | $9,462 |
| Borgess Medical Center | 45 | $11,239 | About average | $9,141 | $40,694 |
| Sentara Northern Virginia Medical Center | 75 | $11,242 | About average | $9,289 | $39,255 |
| Ascension Seton Williamson | 55 | $11,245 | About average | $9,063 | $83,730 |
| Hunterdon Medical Center | 58 | $11,251 | About average | $9,710 | $48,905 |
| Daviess Community Hospital | 21 | $11,252 | About average | $10,008 | $26,253 |
| Saint Rose Dominican Hospitals - Siena Campus | 163 | $11,252 | About average | $9,873 | $101,981 |
| Southcoast Hospitals Group | 304 | $11,253 | About average | $9,991 | $30,795 |
| Mymichigan Medical Center West Branch | 28 | $11,254 | About average | $9,914 | $16,261 |
| Hardin Medical Center | 21 | $11,256 | About average | $10,013 | $26,466 |
| Integris Health Woodward Hospital | 16 | $11,259 | About average | $10,035 | $78,931 |
| Alton Memorial Hospital | 55 | $11,268 | About average | $8,032 | $50,313 |
| Mymichigan Medical Center Alma | 43 | $11,273 | About average | $10,126 | $24,742 |
| Grand Itasca Clinic And Hospital | 28 | $11,276 | About average | $9,702 | $29,925 |
| Swedish Edmonds Hospital | 24 | $11,276 | About average | $9,916 | $68,503 |
| Beebe Medical Center | 148 | $11,278 | About average | $8,721 | $44,920 |
| Owatonna Hospital | 23 | $11,282 | About average | $10,076 | $21,538 |
| Bronson Methodist Hospital | 85 | $11,283 | About average | $8,310 | $37,211 |
| Houston Methodist Baytown Hospital | 57 | $11,284 | About average | $10,085 | $73,503 |
| Sacred Heart Medical Center - Riverbend | 55 | $11,285 | About average | $9,994 | $46,443 |
| Buffalo Hospital | 18 | $11,287 | About average | $10,019 | $23,937 |
| ProMedica Monroe Regional Hospital | 33 | $11,292 | About average | $8,815 | $30,612 |
| Henry Ford Macomb Hospital | 135 | $11,294 | About average | $8,730 | $30,314 |
| Colquitt Regional Medical Center | 21 | $11,295 | About average | $9,557 | $33,451 |
| Bon Secours Maryview Medical Center | 26 | $11,296 | About average | $8,847 | $28,125 |
| Aspirus Riverview Hospital & Clinics Inc | 19 | $11,300 | About average | $9,926 | $28,404 |
| Carle Richland Memorial Hospital | 16 | $11,301 | About average | $9,975 | $40,075 |
| Wesley Medical Center | 127 | $11,301 | About average | $8,860 | $135,919 |
| Merit Health Wesley | 19 | $11,303 | About average | $8,109 | $90,690 |
| Genesis Hospital | 84 | $11,309 | About average | $9,416 | $30,919 |
| Lowell General Hospital | 159 | $11,312 | About average | $9,960 | $25,077 |
| HCA Florida Poinciana Hospital | 30 | $11,313 | About average | $9,436 | $141,844 |
| Eastern Idaho Regional Medical Center | 55 | $11,316 | About average | $8,403 | $61,842 |
| Mountain View Regional Medical Center | 37 | $11,316 | About average | $8,405 | $40,475 |
| Presence Mercy Medical Center | 39 | $11,317 | About average | $9,297 | $70,942 |
| Yuma Regional Medical Center | 99 | $11,319 | About average | $9,894 | $48,027 |
| St Luke's Hospital At The Vintage | 14 | $11,319 | About average | $8,555 | $70,808 |
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.