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 Florida
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 159 hospitals
- $10,910
- Median hospital
- $10,758
- Lowest to highest
- $8,202–$21,379
- Medicare stays
- 11,649
159 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 |
|---|---|---|---|---|---|
| Marion Communtiy Hospital | 202 | $11,098 | About average | $9,194 | $75,245 |
| HCA Florida JFK Hospital | 128 | $11,118 | About average | $9,710 | $106,246 |
| HCA Florida Northwest Hospital | 38 | $11,124 | About average | $9,315 | $133,895 |
| St Lucie Medical Center | 95 | $11,142 | About average | $8,387 | $102,612 |
| Gulf Breeze Hospital | 27 | $11,144 | About average | $9,633 | $44,604 |
| AdventHealth Carrollwood | 30 | $11,154 | About average | $8,629 | $81,833 |
| AdventHealth Zephyrhills | 58 | $11,192 | About average | $8,159 | $60,791 |
| Jackson Hospital | 18 | $11,199 | About average | $9,400 | $21,626 |
| HCA Florida Poinciana Hospital | 30 | $11,313 | About average | $9,436 | $141,844 |
| South Miami Hospital | 58 | $11,382 | About average | $10,041 | $81,882 |
| Baptist Health Medical Center - Jacksonville | 222 | $11,383 | About average | $8,801 | $75,236 |
| Halifax Health /UF Health Medical Center Of Delton | 15 | $11,387 | About average | $10,190 | $46,004 |
| HCA Florida Citrus Hospital | 37 | $11,399 | About average | $9,597 | $104,765 |
| Cleveland Clinic Hospital | 38 | $11,415 | About average | $8,087 | $36,876 |
| Central Florida Lake Monroe Hospital | 34 | $11,506 | About average | $9,562 | $77,434 |
| Broward Health North | 32 | $11,523 | About average | $10,163 | $55,512 |
| Shorepoint Health Punta Gorda | 66 | $11,585 | About average | $9,975 | $88,603 |
| Bartow Regional Medical Center | 15 | $11,622 | About average | $8,291 | $36,560 |
| HCA Florida Blake Hospital | 56 | $11,663 | About average | $9,902 | $101,198 |
| Hialeah Hospital | 43 | $11,676 | About average | $10,652 | $102,880 |
| Westside Regional Medical Center | 57 | $11,692 | About average | $9,462 | $127,658 |
| Orlando Health | 98 | $11,772 | About average | $10,195 | $75,485 |
| AdventHealth Tampa | 77 | $11,796 | About average | $8,703 | $87,222 |
| Orlando Health Bayfront Hospital | 33 | $11,812 | About average | $10,282 | $107,912 |
| HCA Florida Oak Hill Hospital | 84 | $11,824 | About average | $9,595 | $137,788 |
| Palmetto General Hospital | 27 | $11,826 | About average | $10,157 | $82,645 |
| HCA Florida North Florida Hospital | 143 | $11,842 | About average | $9,527 | $131,251 |
| AdventHealth Orlando | 338 | $11,902 | About average | $8,733 | $81,153 |
| Mount Sinai Medical Center Of Florida, Inc | 82 | $11,940 | About average | $10,172 | $55,305 |
| HCA Florida Bayonet Point Hospital | 63 | $11,945 | About average | $9,434 | $123,607 |
| HCA Florida Trinity Hospital | 61 | $11,949 | About average | $9,537 | $130,538 |
| Broward Health Imperial Point | 18 | $12,168 | About average | $10,495 | $51,507 |
| HCA Florida Lake City Hospital | 100 | $12,296 | About average | $11,103 | $64,097 |
| Memorial Hospital West | 58 | $12,399 | About average | $10,741 | $135,829 |
| HCA Florida Palms West Hospital | 54 | $12,404 | About average | $9,102 | $124,713 |
| HCA Florida Orange Park Hospital | 62 | $12,604 | About average | $10,466 | $181,473 |
| HCA Florida Mercy Hospital | 41 | $12,725 | About average | $11,440 | $159,773 |
| Memorial Hospital Miramar | 23 | $12,805 | About average | $11,785 | $110,169 |
| West Kendall Baptist Hospital | 90 | $13,001 | About average | $10,788 | $88,802 |
| Memorial Hospital Pembroke | 22 | $13,035 | About average | $11,795 | $103,328 |
| HCA Florida Brandon Hospital | 71 | $13,044 | About average | $10,402 | $115,464 |
| HCA Florida Largo Hospital | 32 | $13,073 | About average | $10,724 | $97,530 |
| HCA Florida St Petersburg Hospital | 36 | $13,310 | 11% above the national average | $10,442 | $160,052 |
| Baptist Hospital Of Miami | 171 | $13,387 | 11% above the national average | $10,858 | $109,465 |
| HCA Florida Aventura Hospital | 99 | $13,444 | 12% above the national average | $10,922 | $129,352 |
| Desoto Memorial Hospital | 21 | $13,843 | 15% above the national average | $12,657 | $34,871 |
| Tampa General Hospital | 76 | $13,892 | 16% above the national average | $10,708 | $66,177 |
| HCA Florida Kendall Hospital | 74 | $14,044 | 17% above the national average | $12,080 | $128,594 |
| HCA Florida Osceola Hospital | 35 | $14,153 | 18% above the national average | $11,789 | $126,046 |
| Ascension Sacred Heart Gulf | 13 | $14,407 | 20% above the national average | $13,280 | $27,506 |
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.