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 1,351–1,400. Download as CSV
| Hospital | Cases | Average payment | vs national average | Medicare paid | Billed charge |
|---|---|---|---|---|---|
| Uva Health Prince William Medical Center | 42 | $11,559 | About average | $8,466 | $32,384 |
| Ascension Seton Medical Center Austin | 66 | $11,560 | About average | $9,996 | $76,888 |
| Jefferson Health- Northeast | 101 | $11,562 | About average | $9,210 | $44,115 |
| Duke Regional Hospital | 50 | $11,564 | About average | $9,686 | $30,633 |
| Saint Vincent Hospital | 73 | $11,564 | About average | $9,924 | $69,389 |
| Swedish Issaquah | 26 | $11,566 | About average | $9,130 | $55,338 |
| Advocate Good Samaritan Hospital | 98 | $11,574 | About average | $8,299 | $54,126 |
| Grays Harbor Community Hospital | 42 | $11,579 | About average | $10,297 | $55,803 |
| Banner Casa Grande Medical Center | 31 | $11,584 | About average | $10,584 | $38,808 |
| Christus Good Shepherd Medical Center | 148 | $11,585 | About average | $10,244 | $49,583 |
| Shorepoint Health Punta Gorda | 66 | $11,585 | About average | $9,975 | $88,603 |
| Clara Maass Medical Center | 64 | $11,586 | About average | $9,829 | $105,418 |
| University Of Michigan Health-Sparrow Carson | 11 | $11,589 | About average | $9,856 | $23,264 |
| Franklin Medical Center | 12 | $11,593 | About average | $10,714 | $26,929 |
| University Medical Center Of Princeton At Plainsboro | 59 | $11,596 | About average | $10,151 | $79,099 |
| United Memorial Medical Center | 30 | $11,597 | About average | $9,949 | $23,277 |
| Auburn Community Hospital | 49 | $11,602 | About average | $10,150 | $21,479 |
| Texas Health Presbyterian Hospital Kaufman | 21 | $11,603 | About average | $10,361 | $35,315 |
| MercyOne Clinton Medical Center | 53 | $11,608 | About average | $9,556 | $39,384 |
| St Clare Hospital | 33 | $11,609 | About average | $10,127 | $81,917 |
| Tawas St Joseph Hospital | 20 | $11,619 | About average | $10,395 | $14,594 |
| Mayo Clinic Health System-Franciscan Medical Center Inc | 31 | $11,619 | About average | $8,664 | $34,273 |
| Bartow Regional Medical Center | 15 | $11,622 | About average | $8,291 | $36,560 |
| Wayne Hospital | 13 | $11,624 | About average | $10,496 | $25,083 |
| HonorHealth Scottsdale Thompson Peak Medical Center | 51 | $11,625 | About average | $9,417 | $77,555 |
| Coliseum Medical Centers | 39 | $11,627 | About average | $8,884 | $50,740 |
| Aspirus Divine Savior Hospital | 13 | $11,629 | About average | $10,125 | $29,974 |
| Deaconess Medical Center | 63 | $11,630 | About average | $9,299 | $39,171 |
| Dch Regional Medical Center | 128 | $11,634 | About average | $9,534 | $39,011 |
| Franciscan Health Indianapolis | 102 | $11,638 | About average | $8,780 | $66,301 |
| Alexian Brothers Medical Center 1 | 82 | $11,639 | About average | $8,692 | $50,568 |
| Bayhealth Medical Center, Kent Campus | 153 | $11,640 | About average | $9,598 | $42,334 |
| Mercy Hospital Of Buffalo | 34 | $11,645 | About average | $10,157 | $37,258 |
| Wayne Memorial Hospital | 13 | $11,646 | About average | $10,644 | $28,558 |
| Island Hospital | 21 | $11,649 | About average | $10,050 | $23,006 |
| Unity Medical Center | 11 | $11,653 | About average | $9,888 | $16,279 |
| Multicare Good Samaritan Hospital | 139 | $11,658 | About average | $9,592 | $49,138 |
| Presence Saints Mary And Elizabeth Medical Center | 18 | $11,660 | About average | $10,469 | $71,338 |
| Fitzgibbon Hospital | 15 | $11,660 | About average | $10,464 | $27,794 |
| Roxborough Memorial Hospital | 16 | $11,661 | About average | $9,644 | $55,702 |
| Memorial Hermann Memorial City Hospital | 53 | $11,662 | About average | $10,261 | $45,760 |
| Day Kimball Hospital | 22 | $11,663 | About average | $10,478 | $35,237 |
| HCA Florida Blake Hospital | 56 | $11,663 | About average | $9,902 | $101,198 |
| Hays Medical Center | 72 | $11,665 | About average | $10,472 | $44,036 |
| CHI St Luke's Health Brazosport | 22 | $11,666 | About average | $10,330 | $55,836 |
| Faith Health | 32 | $11,668 | About average | $10,546 | $40,725 |
| Uofl Health - Shelbyville Hospital | 21 | $11,671 | About average | $10,194 | $27,750 |
| St Joseph Hospital | 63 | $11,674 | About average | $9,712 | $57,285 |
| Hialeah Hospital | 43 | $11,676 | About average | $10,652 | $102,880 |
| Texas Health Arlington Memorial Hospital | 79 | $11,678 | About average | $9,216 | $44,562 |
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.