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: $9,86882% of the payment
Average billed charge: $60,101
Hospitals reporting: 2,442136,649 stays

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Year of care

2,442 hospitals reported at least 11 Medicare stays for this in 2024; showing 101–150. Download as CSV

Medicare payments per case for Simple pneumonia and pleurisy with MCC by hospital, 2024
Hospital	Cases	Average payment	vs national average	Medicare paid	Billed charge
Physicians Regional Medical Center - Pine RidgeNaples, FL · CCN 100286	124	$8,756	27% below the national average	$7,599	$102,264
Mississippi Baptist Medical CenterJackson, MS · CCN 250102	116	$8,759	27% below the national average	$6,968	$46,102
Forrest General HospitalHattiesburg, MS · CCN 250078	89	$8,769	27% below the national average	$7,651	$30,278
Jefferson Lansdale HospitalLansdale, PA · CCN 390012	54	$8,773	27% below the national average	$7,747	$37,106
St Vincent's St ClairPell City, AL · CCN 010130	37	$8,777	27% below the national average	$7,555	$25,649
Merit Health River OaksFlowood, MS · CCN 250138	27	$8,783	27% below the national average	$7,393	$118,686
Parkwest Medical CenterKnoxville, TN · CCN 440173	56	$8,789	27% below the national average	$6,591	$19,977
Our Lady Of Lourdes Regional Medical Center, IncLafayette, LA · CCN 190102	95	$8,799	27% below the national average	$7,272	$32,622
Wooster Community HospitalWooster, OH · CCN 360036	23	$8,802	27% below the national average	$7,269	$20,541
Baptist Memorial Hospital Union CityUnion City, TN · CCN 440130	34	$8,802	27% below the national average	$7,699	$44,200
Bellevue Medical CenterBellevue, NE · CCN 280132	41	$8,808	27% below the national average	$7,336	$36,146
Thomas Memorial HospitalSouth Charleston, WV · CCN 510029	75	$8,819	27% below the national average	$7,427	$46,427
Medical City DecaturDecatur, TX · CCN 450271	24	$8,819	27% below the national average	$7,204	$102,041
University Of Kansas Health System - St Francis CampusTopeka, KS · CCN 170016	88	$8,820	27% below the national average	$7,382	$43,069
Blanchard Valley HospitalFindlay, OH · CCN 360095	46	$8,820	27% below the national average	$7,221	$24,442
McLeod Loris HospitalLoris, SC · CCN 420105	72	$8,826	27% below the national average	$7,514	$44,510
Anderson Regional Medical CenterMeridian, MS · CCN 250104	86	$8,827	27% below the national average	$7,608	$31,057
Palm Beach Gardens Medical CenterPalm Beach Gardens, FL · CCN 100176	104	$8,836	26% below the national average	$7,371	$137,778
McLaren Port HuronPort Huron, MI · CCN 230216	30	$8,837	26% below the national average	$7,635	$23,975
Methodist Medical Center Of Oak RidgeOak Ridge, TN · CCN 440034	43	$8,847	26% below the national average	$7,089	$23,161
Medina HospitalMedina, OH · CCN 360091	111	$8,852	26% below the national average	$6,749	$43,941
Excela Health - Frick HospitalMount Pleasant, PA · CCN 390217	27	$8,859	26% below the national average	$7,468	$26,783
McLaren Bay RegionBay City, MI · CCN 230041	54	$8,861	26% below the national average	$7,575	$33,886
Baptist Memorial Hospital Jonesboro, Inc.Jonesboro, AR · CCN 040118	117	$8,866	26% below the national average	$7,033	$42,852
Orlando Health Sebastian River HospitalSebastian, FL · CCN 100217	31	$8,868	26% below the national average	$7,501	$59,772
Heritage Valley SewickleySewickley, PA · CCN 390037	25	$8,874	26% below the national average	$7,450	$17,629
Marshfield Medical Center - MinocquaMinocqua, WI · CCN 520212	12	$8,875	26% below the national average	$7,518	$22,506
Missouri Baptist Medical CenterSaint Louis, MO · CCN 260108	68	$8,888	26% below the national average	$7,267	$41,516
Baylor Scott & White Medical Center PlanoPlano, TX · CCN 450890	46	$8,891	26% below the national average	$7,169	$37,435
Opelousas General Health SystemOpelousas, LA · CCN 190017	27	$8,894	26% below the national average	$8,108	$40,812
Saline Memorial HospitalBenton, AR · CCN 040084	50	$8,894	26% below the national average	$7,343	$31,402
Palos Community HospitalPalos Heights, IL · CCN 140062	120	$8,908	26% below the national average	$7,801	$44,020
Oconomowoc Memorial HospitalOconomowoc, WI · CCN 520062	14	$8,910	26% below the national average	$7,627	$32,498
Ochsner Lafayette General Medical CenterLafayette, LA · CCN 190002	54	$8,917	26% below the national average	$7,433	$41,826
Ephraim McDowell Regional Medical CenterDanville, KY · CCN 180048	78	$8,921	26% below the national average	$7,216	$30,644
North Oaks Medical CenterHammond, LA · CCN 190015	53	$8,921	26% below the national average	$7,667	$85,912
HCA Florida Sarasota Doctors HospitalSarasota, FL · CCN 100166	55	$8,932	26% below the national average	$7,762	$94,984
Greeneville Community HospitalGreeneville, TN · CCN 440050	30	$8,939	26% below the national average	$7,742	$42,150
Rivers HealthPoint Pleasant, WV · CCN 510012	18	$8,944	26% below the national average	$7,858	$33,488
St Tammany Parish HospitalCovington, LA · CCN 190045	57	$8,945	26% below the national average	$6,994	$46,850
Baptist Health LexingtonLexington, KY · CCN 180103	122	$8,954	26% below the national average	$7,341	$48,091
King's Daughters' Medical CenterAshland, KY · CCN 180009	137	$8,956	25% below the national average	$7,536	$37,446
Marshfield Medical Center - WestonWeston, WI · CCN 520202	21	$8,960	25% below the national average	$7,718	$34,854
Baptist Health - Fort SmithFort Smith, AR · CCN 040055	147	$8,962	25% below the national average	$7,419	$45,964
Aurora Medical CenterGrafton, WI · CCN 520207	40	$8,963	25% below the national average	$7,984	$41,454
CHI Health LakesideOmaha, NE · CCN 280130	19	$8,966	25% below the national average	$6,708	$33,238
WakeMed, Cary HospitalCary, NC · CCN 340173	69	$8,983	25% below the national average	$7,488	$47,516
Hillcrest HospitalMayfield Heights, OH · CCN 360230	149	$8,986	25% below the national average	$7,344	$46,935
York HospitalYork, ME · CCN 200020	34	$8,988	25% below the national average	$7,740	$39,240
Prattville Baptist HospitalPrattville, AL · CCN 010108	56	$8,990	25% below the national average	$7,638	$41,723

National trend

Average payment and billed charge per stay, and how many Medicare stays were reported each year.

Average payment
Average billed charge

2020: 114,641 stays at 2,375 hospitals · 2021: 84,232 stays at 2,205 hospitals · 2022: 120,805 stays at 2,448 hospitals · 2023: 125,793 stays at 2,412 hospitals · 2024: 136,649 stays at 2,442 hospitals

View data as a table

National average payment and billed charge for Simple pneumonia and pleurisy with MCC
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

Average payment by state for Simple pneumonia and pleurisy with MCC, 2024
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.