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 1,251–1,300. Download as CSV
| Hospital | Cases | Average payment | vs national average | Medicare paid | Billed charge |
|---|---|---|---|---|---|
| Beaumont Hospital - Dearborn | 94 | $11,321 | About average | $8,860 | $41,189 |
| Baptist Memorial Hospital Booneville | 13 | $11,322 | About average | $10,197 | $31,789 |
| Novant Health New Hanover Regional Medical Center | 211 | $11,331 | About average | $9,410 | $35,254 |
| AdventHealth Gordon | 39 | $11,333 | About average | $8,583 | $62,347 |
| Yakima Valley Memorial | 102 | $11,335 | About average | $9,584 | $38,938 |
| Henry Ford Health Warren Hospital | 106 | $11,341 | About average | $9,483 | $33,374 |
| Mymichigan Medical Center Alpena | 26 | $11,349 | About average | $10,219 | $22,215 |
| Marlborough Hospital | 70 | $11,349 | About average | $9,159 | $26,335 |
| Reading Hospital | 135 | $11,351 | About average | $9,733 | $51,021 |
| Holyoke Medical Center | 57 | $11,354 | About average | $9,987 | $14,209 |
| Johnson Regional Medical Center | 11 | $11,355 | About average | $10,316 | $16,696 |
| AdventHealth Porter | 19 | $11,355 | About average | $8,871 | $67,141 |
| Adventist Health Portland | 26 | $11,358 | About average | $10,224 | $49,057 |
| Trihealth Clinton Regional Hospital | 16 | $11,360 | About average | $10,136 | $35,907 |
| Integris Southwest Medical Center | 59 | $11,363 | About average | $9,917 | $67,299 |
| Baptist Beaumont Hospital | 40 | $11,364 | About average | $9,779 | $69,782 |
| Kettering Health Dayton | 58 | $11,365 | About average | $9,282 | $53,524 |
| Newark-Wayne Community Hospital | 12 | $11,365 | About average | $10,549 | $28,065 |
| Valley Baptist Medical Center- Brownsville | 19 | $11,370 | About average | $10,135 | $182,287 |
| Labette Health | 21 | $11,371 | About average | $9,896 | $19,933 |
| Missouri Delta Medical Center | 60 | $11,372 | About average | $9,742 | $60,280 |
| Anna Jaques Hospital | 88 | $11,372 | About average | $10,353 | $25,400 |
| Blue Ridge Healthcare Hospitals, Inc | 42 | $11,374 | About average | $9,287 | $43,873 |
| Fairview Lakes Health Services | 21 | $11,374 | About average | $9,151 | $52,530 |
| Northeast Georgia Medical Center Habersham | 33 | $11,375 | About average | $8,884 | $40,918 |
| Huntsville Memorial Hospital | 21 | $11,379 | About average | $9,688 | $31,217 |
| The Hospitals Of Providence Transmountain Campus | 33 | $11,380 | About average | $9,006 | $119,342 |
| South Miami Hospital | 58 | $11,382 | About average | $10,041 | $81,882 |
| Uva Health Culpeper Medical Center | 87 | $11,383 | About average | $10,164 | $30,665 |
| Baptist Health Medical Center - Jacksonville | 222 | $11,383 | About average | $8,801 | $75,236 |
| Riverside Methodist Hospital | 77 | $11,384 | About average | $8,858 | $39,240 |
| Christian Hospital Northeast | 36 | $11,385 | About average | $9,498 | $51,670 |
| Memorial Health Meadows Hospital | 31 | $11,386 | About average | $9,069 | $42,960 |
| Halifax Health /UF Health Medical Center Of Delton | 15 | $11,387 | About average | $10,190 | $46,004 |
| Lake Region Healthcare Corporation | 22 | $11,387 | About average | $10,423 | $39,650 |
| HSHS Holy Family Hospital Inc | 16 | $11,389 | About average | $10,063 | $24,655 |
| Lafollette Medical Center | 24 | $11,395 | About average | $9,811 | $48,986 |
| HCA Florida Citrus Hospital | 37 | $11,399 | About average | $9,597 | $104,765 |
| Carilion Medical Center | 79 | $11,402 | About average | $7,979 | $42,836 |
| Legacy Meridian Park Medical Center | 33 | $11,405 | About average | $8,960 | $41,226 |
| Carle Foundation Hospital | 87 | $11,406 | About average | $9,532 | $66,088 |
| Mymichigan Medical Center Midland | 75 | $11,409 | About average | $9,217 | $29,568 |
| Ascension Via Christi Hospitals Wichita, Inc. | 139 | $11,411 | About average | $9,263 | $48,141 |
| Soin Medical Center | 78 | $11,413 | About average | $8,924 | $45,475 |
| St Luke's Miners Memorial Hospital | 13 | $11,415 | About average | $9,765 | $49,663 |
| Cleveland Clinic Hospital | 38 | $11,415 | About average | $8,087 | $36,876 |
| Memorial Medical Center | 118 | $11,421 | About average | $8,892 | $48,107 |
| UPMC Pinnacle Hospitals | 55 | $11,427 | About average | $9,317 | $54,091 |
| Canton-Potsdam Hospital | 30 | $11,427 | About average | $9,329 | $24,646 |
| Prisma Health Hillcrest Hospital | 12 | $11,427 | About average | $5,752 | $41,178 |
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.