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
Hospitals in California
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.
- Average payment across these 223 hospitals
- $15,080
- Median hospital
- $14,391
- Lowest to highest
- $10,483–$60,274
- Medicare stays
- 12,363
223 hospitals reported at least 11 Medicare stays for this in 2024; showing 101–150. Download as CSV
| Hospital | Cases | Average payment | vs national average | Medicare paid | Billed charge |
|---|---|---|---|---|---|
| St Elizabeth Community Hospital | 28 | $14,200 | 18% above the national average | $13,092 | $73,268 |
| Northridge Hospital Medical Center | 63 | $14,200 | 18% above the national average | $12,712 | $146,859 |
| Watsonville Community Hospital | 21 | $14,208 | 18% above the national average | $13,277 | $106,911 |
| San Ramon Regional Medical Center | 50 | $14,233 | 18% above the national average | $12,428 | $247,858 |
| West Anaheim Medical Center | 93 | $14,234 | 18% above the national average | $13,004 | $54,044 |
| Orange County Global Medical Center | 17 | $14,241 | 18% above the national average | $13,372 | $63,638 |
| Huntington Hospital | 134 | $14,260 | 19% above the national average | $12,350 | $133,777 |
| Hollywood Presbyterian Medical Center | 31 | $14,289 | 19% above the national average | $13,053 | $62,877 |
| Paradise Valley Hospital | 16 | $14,309 | 19% above the national average | $12,985 | $54,039 |
| Glendale Adventist Medical Center | 321 | $14,373 | 20% above the national average | $12,846 | $114,907 |
| Providence Queen Of The Valley Medical Center | 54 | $14,375 | 20% above the national average | $12,710 | $96,353 |
| Saint Francis Medical Center | 19 | $14,391 | 20% above the national average | $13,362 | $65,575 |
| Emanate Health Inter-Community Hospital | 130 | $14,451 | 20% above the national average | $12,683 | $68,186 |
| San Gorgonio Memorial Hospital | 29 | $14,455 | 20% above the national average | $12,864 | $69,897 |
| Antelope Valley Hospital | 28 | $14,487 | 21% above the national average | $11,873 | $65,356 |
| Mission Community Hospital | 21 | $14,522 | 21% above the national average | $13,144 | $75,516 |
| Providence St Joseph Hospital | 62 | $14,533 | 21% above the national average | $12,991 | $69,292 |
| Valley Presbyterian Hospital | 39 | $14,541 | 21% above the national average | $13,223 | $52,508 |
| Loma Linda University Medical Center-Murrieta | 38 | $14,592 | 21% above the national average | $12,937 | $81,971 |
| Community Memorial Hospital - Ventura | 63 | $14,612 | 22% above the national average | $12,583 | $46,215 |
| Mercy Medical Center | 61 | $14,633 | 22% above the national average | $13,193 | $92,482 |
| Scripps Mercy Hospital | 35 | $14,636 | 22% above the national average | $13,235 | $72,648 |
| PIH Health Good Samaritan Hospital | 47 | $14,641 | 22% above the national average | $13,117 | $74,857 |
| Adventist Health Sonora | 45 | $14,697 | 22% above the national average | $12,707 | $90,273 |
| Peninsula Medical Center | 44 | $14,735 | 23% above the national average | $13,322 | $66,659 |
| Sierra View Medical Center | 34 | $14,744 | 23% above the national average | $13,007 | $50,900 |
| Community Regional Medical Center | 75 | $14,752 | 23% above the national average | $13,182 | $88,998 |
| Providence St. Joseph Hospital | 64 | $14,763 | 23% above the national average | $11,539 | $58,409 |
| Sutter Roseville Medical Center | 152 | $14,803 | 23% above the national average | $12,215 | $77,260 |
| MarinHealth Medical Center | 48 | $14,814 | 23% above the national average | $13,541 | $129,741 |
| Los Robles Hospital & Medical Center | 111 | $14,878 | 24% above the national average | $11,903 | $202,466 |
| Kaweah Health Medical Center | 160 | $14,888 | 24% above the national average | $13,073 | $52,572 |
| Eden Medical Center | 41 | $14,919 | 24% above the national average | $12,996 | $83,109 |
| Dominican Hospital | 78 | $14,938 | 24% above the national average | $13,683 | $144,720 |
| Adventist Health White Memorial | 52 | $14,940 | 24% above the national average | $13,269 | $136,307 |
| St Rose Hospital | 16 | $14,940 | 24% above the national average | $13,512 | $69,969 |
| Methodist Hospital Of Sacramento | 49 | $14,958 | 24% above the national average | $13,532 | $92,917 |
| Adventist Health Delano | 19 | $15,001 | 25% above the national average | $14,142 | $37,928 |
| John Muir Medical Center - Walnut Creek Campus | 118 | $15,009 | 25% above the national average | $13,233 | $160,429 |
| Desert Regional Medical Center | 59 | $15,016 | 25% above the national average | $12,873 | $171,266 |
| MemorialCare Long Beach Medical Center | 48 | $15,037 | 25% above the national average | $11,966 | $121,810 |
| El Camino Health | 140 | $15,048 | 25% above the national average | $13,724 | $132,783 |
| Alameda Hospital | 47 | $15,075 | 25% above the national average | $13,825 | $81,322 |
| St Bernardine Medical Center | 93 | $15,094 | 26% above the national average | $13,651 | $107,649 |
| Saint Agnes Medical Center | 199 | $15,122 | 26% above the national average | $13,173 | $60,787 |
| Southwest Healthcare Rancho Springs Hospital | 70 | $15,137 | 26% above the national average | $12,567 | $97,100 |
| Sutter Delta Medical Center | 46 | $15,147 | 26% above the national average | $14,041 | $95,248 |
| East Los Angeles Doctors Hospital | 12 | $15,150 | 26% above the national average | $13,722 | $59,813 |
| Community Hospital Of The Monterey Peninsula | 108 | $15,160 | 26% above the national average | $13,087 | $95,407 |
| Salinas Valley Health Medical Center | 92 | $15,212 | 27% above the national average | $13,693 | $114,336 |
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.