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 1,401–1,450. Download as CSV
| Hospital | Cases | Average payment | vs national average | Medicare paid | Billed charge |
|---|---|---|---|---|---|
| Yavapai Regional Medical Center | 172 | $11,680 | About average | $10,186 | $46,920 |
| Christus Southeast Texas- St Elizabeth | 72 | $11,680 | About average | $10,081 | $65,380 |
| Tristar Southern Hills Medical Center | 26 | $11,682 | About average | $9,745 | $59,344 |
| Round Rock Medical Center | 59 | $11,684 | About average | $8,021 | $82,721 |
| Westside Regional Medical Center | 57 | $11,692 | About average | $9,462 | $127,658 |
| CHI St Alexius Health | 17 | $11,693 | About average | $7,973 | $40,577 |
| Holy Cross Hospital | 22 | $11,693 | About average | $10,729 | $59,223 |
| Munson Healthcare Cadillac Hospital | 19 | $11,697 | About average | $8,519 | $22,680 |
| Munson Healthcare Otsego Memorial Hospital | 26 | $11,698 | About average | $10,317 | $20,179 |
| Roosevelt General Hospital | 11 | $11,704 | About average | $10,288 | $31,786 |
| Medical City Alliance | 25 | $11,706 | About average | $9,738 | $85,390 |
| Medical City Weatherford | 70 | $11,706 | About average | $9,911 | $98,081 |
| Olmsted Medical Center | 24 | $11,706 | About average | $9,849 | $20,191 |
| Aurora Lakeland Medical Center | 30 | $11,708 | About average | $8,938 | $39,810 |
| MedStar Montgomery Medical Center | 40 | $11,709 | About average | $10,067 | $13,106 |
| Intermountain Health Cedar City Hospital | 28 | $11,719 | About average | $10,204 | $24,086 |
| Carle Health Methodist Hospital | 23 | $11,720 | About average | $9,214 | $63,489 |
| HCA Houston Healthcare Pearland | 14 | $11,721 | About average | $10,555 | $165,236 |
| Emory Decatur Hospital | 25 | $11,723 | About average | $10,108 | $40,925 |
| Ennis Regional Medical Center | 19 | $11,723 | About average | $9,859 | $57,891 |
| WakeMed, Raleigh Campus | 119 | $11,728 | About average | $9,804 | $40,349 |
| Integris Grove Hospital | 16 | $11,728 | About average | $9,273 | $60,977 |
| Inova Mount Vernon Hospital | 52 | $11,733 | About average | $9,030 | $41,106 |
| Baylor Scott & White Medical Center Hillcrest | 23 | $11,733 | About average | $9,526 | $39,884 |
| Wellspan Waynesboro Hospital | 16 | $11,734 | About average | $9,804 | $35,805 |
| UnityPoint Health - Marshalltown | 20 | $11,737 | About average | $10,430 | $23,205 |
| Alaska Regional Hospital | 54 | $11,744 | About average | $10,726 | $109,677 |
| Medical City Dallas Hospital | 80 | $11,752 | About average | $9,379 | $152,620 |
| Moses H. Cone The Memorial Hospital | 162 | $11,753 | About average | $9,167 | $31,651 |
| Medical City North Hills | 46 | $11,758 | About average | $9,738 | $91,598 |
| CentraState Medical Center | 154 | $11,762 | About average | $9,714 | $75,854 |
| Ecu Health North Hospital | 16 | $11,763 | About average | $8,172 | $30,428 |
| Charleston Area Medical Center | 119 | $11,764 | About average | $8,485 | $53,265 |
| Summa Health System | 32 | $11,768 | About average | $8,985 | $86,933 |
| Mercer County Joint Township Community Hospital | 40 | $11,770 | About average | $10,034 | $21,281 |
| Orlando Health | 98 | $11,772 | About average | $10,195 | $75,485 |
| Ascension Columbia St Marys Hospital Milwaukee | 61 | $11,773 | About average | $9,584 | $47,754 |
| Monmouth Medical Center-Southern Campus | 50 | $11,776 | About average | $9,869 | $107,282 |
| Saint Joseph Regional Medical Center - Plymouth | 19 | $11,777 | About average | $10,403 | $28,880 |
| Jefferson Abington Hospital | 132 | $11,782 | About average | $9,285 | $45,424 |
| Evergreenhealth Medical Center | 79 | $11,783 | About average | $9,923 | $63,690 |
| Harrisburg Medical Center | 18 | $11,785 | About average | $11,151 | $23,936 |
| Pikeville Medical Center | 102 | $11,786 | About average | $10,426 | $58,205 |
| Regional West Medical Center | 33 | $11,787 | About average | $10,725 | $47,406 |
| Johnston Memorial Hospital | 68 | $11,792 | About average | $8,159 | $36,778 |
| AdventHealth Tampa | 77 | $11,796 | About average | $8,703 | $87,222 |
| SSM Health St Clare Hospital - Baraboo | 38 | $11,798 | About average | $10,382 | $36,103 |
| Good Samaritan Hospital | 52 | $11,799 | About average | $9,818 | $32,787 |
| Concord Hospital- Laconia | 60 | $11,807 | About average | $10,747 | $36,606 |
| Orlando Health Bayfront Hospital | 33 | $11,812 | About average | $10,282 | $107,912 |
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.