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 Texas
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 179 hospitals
- $11,464
- Median hospital
- $11,099
- Lowest to highest
- $7,926–$55,573
- Medicare stays
- 9,947
179 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 |
|---|---|---|---|---|---|
| Valley Baptist Medical Center- Brownsville | 19 | $11,370 | About average | $10,135 | $182,287 |
| Huntsville Memorial Hospital | 21 | $11,379 | About average | $9,688 | $31,217 |
| The Hospitals Of Providence Transmountain Campus | 33 | $11,380 | About average | $9,006 | $119,342 |
| Baylor Scott And White All Saints Medical Center | 27 | $11,427 | About average | $9,243 | $56,791 |
| United Regional Health Care System | 152 | $11,441 | About average | $9,627 | $42,625 |
| Midland Memorial Hospital | 80 | $11,460 | About average | $10,193 | $56,595 |
| Seton Medical Center Harker Heights | 17 | $11,476 | About average | $10,325 | $35,518 |
| Methodist Charlton Medical Center | 46 | $11,510 | About average | $9,475 | $66,200 |
| Doctors Hospital Of Laredo | 18 | $11,557 | About average | $10,741 | $107,216 |
| Ascension Seton Medical Center Austin | 66 | $11,560 | About average | $9,996 | $76,888 |
| Christus Good Shepherd Medical Center | 148 | $11,585 | About average | $10,244 | $49,583 |
| Texas Health Presbyterian Hospital Kaufman | 21 | $11,603 | About average | $10,361 | $35,315 |
| Memorial Hermann Memorial City Hospital | 53 | $11,662 | About average | $10,261 | $45,760 |
| CHI St Luke's Health Brazosport | 22 | $11,666 | About average | $10,330 | $55,836 |
| Texas Health Arlington Memorial Hospital | 79 | $11,678 | About average | $9,216 | $44,562 |
| Christus Southeast Texas- St Elizabeth | 72 | $11,680 | About average | $10,081 | $65,380 |
| Round Rock Medical Center | 59 | $11,684 | About average | $8,021 | $82,721 |
| Medical City Alliance | 25 | $11,706 | About average | $9,738 | $85,390 |
| Medical City Weatherford | 70 | $11,706 | About average | $9,911 | $98,081 |
| HCA Houston Healthcare Pearland | 14 | $11,721 | About average | $10,555 | $165,236 |
| Ennis Regional Medical Center | 19 | $11,723 | About average | $9,859 | $57,891 |
| Baylor Scott & White Medical Center Hillcrest | 23 | $11,733 | About average | $9,526 | $39,884 |
| Medical City Dallas Hospital | 80 | $11,752 | About average | $9,379 | $152,620 |
| Medical City North Hills | 46 | $11,758 | About average | $9,738 | $91,598 |
| Texas Health Harris Methodist Hospital Cleburne | 41 | $11,812 | About average | $9,837 | $43,851 |
| Medical Center Hospital | 60 | $11,832 | About average | $10,016 | $35,497 |
| Navarro Regional Hospital | 22 | $11,850 | About average | $10,885 | $80,973 |
| HCA Houston Healthcare Tomball | 42 | $11,892 | About average | $10,275 | $119,537 |
| HCA Houston Healthcare Kingwood | 161 | $11,893 | About average | $10,189 | $140,382 |
| Corpus Christi Medical Center,The | 75 | $11,895 | About average | $9,365 | $120,084 |
| Medical City Plano | 96 | $11,935 | About average | $8,251 | $106,392 |
| Texas Health Harris Methodist Hospital Azle | 23 | $12,086 | About average | $9,589 | $47,630 |
| Las Palmas Medical Center A Campus Of Lpds Healthc | 68 | $12,099 | About average | $9,802 | $124,575 |
| North Texas Medical Center | 32 | $12,214 | About average | $11,143 | $37,642 |
| South Texas Health System | 48 | $12,298 | About average | $10,906 | $168,649 |
| Laredo Medical Center | 61 | $12,298 | About average | $9,981 | $111,422 |
| Memorial Hermann Northeast Hospital | 53 | $12,413 | About average | $10,861 | $54,387 |
| El Campo Memorial Hospital | 12 | $12,422 | About average | $10,987 | $31,931 |
| Baylor Scott & White Medical Center At Irving | 18 | $12,441 | About average | $11,534 | $61,888 |
| Northwest Texas Hospital | 54 | $12,533 | About average | $10,978 | $120,627 |
| Scenic Mountain Medical Center | 21 | $12,573 | About average | $11,400 | $39,186 |
| HCA Houston Healthcare Conroe | 36 | $12,624 | About average | $10,759 | $146,966 |
| Memorial Hermann Hospital System | 204 | $12,641 | About average | $10,872 | $47,096 |
| Medical City Fort Worth | 40 | $12,652 | About average | $9,256 | $98,586 |
| Ascension Seton Northwest | 41 | $12,737 | About average | $10,947 | $67,781 |
| Texas Health Harris Methodist Hospital Stephenvill | 21 | $12,754 | About average | $11,357 | $36,605 |
| Rio Grande Regional Hospital | 17 | $12,769 | About average | $11,427 | $163,291 |
| Oakbend Medical Center | 12 | $12,791 | About average | $11,253 | $29,872 |
| Medical City Las Colinas | 12 | $12,844 | About average | $9,763 | $102,735 |
| Rolling Plains Memorial Hospital | 11 | $12,913 | About average | $11,327 | $23,589 |
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.