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 1,301–1,350. Download as CSV
| Hospital | Cases | Average payment | vs national average | Medicare paid | Billed charge |
|---|---|---|---|---|---|
| Baylor Scott And White All Saints Medical Center | 27 | $11,427 | About average | $9,243 | $56,791 |
| Providence Holy Family Hospital | 45 | $11,427 | About average | $9,273 | $66,211 |
| Piedmont Columbus Regional Midtown | 34 | $11,434 | About average | $9,146 | $37,964 |
| Ascension Saint Thomas Hospital | 199 | $11,436 | About average | $8,387 | $42,654 |
| Confluence Health Hospital | 48 | $11,437 | About average | $9,110 | $34,019 |
| McLaren Flint | 62 | $11,439 | About average | $9,150 | $31,168 |
| United Regional Health Care System | 152 | $11,441 | About average | $9,627 | $42,625 |
| Avera Sacred Heart Hospital | 18 | $11,442 | About average | $10,319 | $29,734 |
| Knox Community Hospital | 26 | $11,447 | About average | $10,219 | $37,861 |
| UPMC McKeesport Hospital | 17 | $11,449 | About average | $9,215 | $60,533 |
| Piedmont Eastside Medical Center | 51 | $11,451 | About average | $9,740 | $56,990 |
| Olympic Medical Center | 37 | $11,452 | About average | $9,527 | $27,442 |
| Sentara RMH Medical Center | 82 | $11,458 | About average | $9,501 | $24,831 |
| Great Plains Health | 73 | $11,459 | About average | $10,137 | $54,945 |
| Midland Memorial Hospital | 80 | $11,460 | About average | $10,193 | $56,595 |
| Golden Valley Memorial Hospital | 18 | $11,464 | About average | $10,378 | $28,637 |
| Warren General Hospital | 18 | $11,475 | About average | $10,478 | $15,497 |
| Seton Medical Center Harker Heights | 17 | $11,476 | About average | $10,325 | $35,518 |
| Piedmont Athens Regional Medical Center | 84 | $11,479 | About average | $9,409 | $49,470 |
| Camc Greenbrier Valley Medical Center, Inc | 41 | $11,486 | About average | $9,336 | $36,342 |
| Wayne Memorial Hospital | 65 | $11,491 | About average | $9,737 | $40,154 |
| Prisma Health Oconee Memorial Hospital | 36 | $11,491 | About average | $9,517 | $37,324 |
| Nathan Littauer Hospital | 15 | $11,492 | About average | $9,968 | $26,978 |
| Alomere Health | 29 | $11,492 | About average | $10,255 | $28,806 |
| Spectrum Health United Hospital | 18 | $11,495 | About average | $10,071 | $23,295 |
| North Baldwin Infirmary | 11 | $11,495 | About average | $10,308 | $22,509 |
| St Anthonys Memorial Hospital | 71 | $11,496 | About average | $9,753 | $30,440 |
| McLaren Lapeer Region | 41 | $11,503 | About average | $9,850 | $31,981 |
| Dignity Health Arizona General Hospital | 37 | $11,504 | About average | $8,875 | $59,879 |
| Altru Hospital | 44 | $11,505 | About average | $8,906 | $36,386 |
| Central Florida Lake Monroe Hospital | 34 | $11,506 | About average | $9,562 | $77,434 |
| Methodist Charlton Medical Center | 46 | $11,510 | About average | $9,475 | $66,200 |
| Trinity Health Ann Arbor Hospital | 147 | $11,512 | About average | $8,960 | $37,226 |
| Merit Health Madison | 16 | $11,513 | About average | $10,391 | $98,806 |
| East Georgia Regional Medical Center | 34 | $11,515 | About average | $7,854 | $49,924 |
| Tift Regional Medical Center | 39 | $11,516 | About average | $9,477 | $37,829 |
| Carlsbad Medical Center | 44 | $11,518 | About average | $10,110 | $52,021 |
| Broward Health North | 32 | $11,523 | About average | $10,163 | $55,512 |
| Samaritan Hospital | 12 | $11,523 | About average | $10,030 | $62,036 |
| Geisinger Wyoming Valley Medical Center | 78 | $11,525 | About average | $9,342 | $80,632 |
| Saint Alphonsus Regional Medical Center | 35 | $11,532 | About average | $9,164 | $41,659 |
| Wythe County Community Hospital | 20 | $11,539 | About average | $10,296 | $52,573 |
| Sentara Albemarle Medical Center | 49 | $11,548 | About average | $10,065 | $33,465 |
| Gundersen Lutheran Medical Center | 38 | $11,551 | About average | $9,338 | $21,755 |
| Kaiser Sunnyside Medical Center | 11 | $11,552 | About average | $8,556 | $28,239 |
| Munson Medical Center | 77 | $11,554 | About average | $9,713 | $30,659 |
| Mayo Clinic Health System - Mankato | 54 | $11,554 | About average | $8,939 | $30,630 |
| Tristar Skyline Medical Center | 42 | $11,555 | About average | $8,649 | $96,713 |
| Doctors Hospital Of Laredo | 18 | $11,557 | About average | $10,741 | $107,216 |
| Christus Ochsner St Patrick Hospital | 47 | $11,558 | About average | $9,328 | $43,903 |
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.