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 1,451–1,500. Download as CSV
| Hospital | Cases | Average payment | vs national average | Medicare paid | Billed charge |
|---|---|---|---|---|---|
| Texas Health Harris Methodist Hospital Cleburne | 41 | $11,812 | About average | $9,837 | $43,851 |
| Trinity Medical Center East &Trinity Medical Center West | 46 | $11,814 | About average | $8,766 | $37,162 |
| Conway Medical Center | 20 | $11,814 | About average | $9,372 | $51,482 |
| Abrazo West Campus | 56 | $11,817 | About average | $9,877 | $81,500 |
| PeaceHealth St John Medical Center | 38 | $11,818 | About average | $10,069 | $52,690 |
| Valley Hospital | 186 | $11,818 | About average | $10,132 | $78,030 |
| NorthShore University HealthSystem - Evanston Hospital | 176 | $11,822 | About average | $9,830 | $43,491 |
| HCA Healthone Mountain Ridge | 35 | $11,822 | About average | $10,206 | $114,652 |
| Baptist Memorial Hospital Tipton | 13 | $11,823 | About average | $9,970 | $41,602 |
| Parkview Dekalb Hospital | 12 | $11,823 | About average | $10,599 | $25,363 |
| HCA Florida Oak Hill Hospital | 84 | $11,824 | About average | $9,595 | $137,788 |
| Penn State Health St. Joseph | 31 | $11,826 | About average | $8,958 | $63,070 |
| Palmetto General Hospital | 27 | $11,826 | About average | $10,157 | $82,645 |
| Medical Center Hospital | 60 | $11,832 | About average | $10,016 | $35,497 |
| ProMedica Toledo Hospital | 176 | $11,832 | About average | $8,660 | $68,048 |
| Marshfield Medical Center | 39 | $11,834 | About average | $10,237 | $26,977 |
| Mercy Health - Tiffin Hospital | 26 | $11,835 | About average | $8,845 | $38,732 |
| Bay Park Community Hospital | 31 | $11,836 | About average | $10,139 | $60,120 |
| Vidant Edgecombe Hospital | 15 | $11,838 | About average | $10,752 | $30,168 |
| Saratoga Hospital | 59 | $11,839 | About average | $10,429 | $52,043 |
| HCA Florida North Florida Hospital | 143 | $11,842 | About average | $9,527 | $131,251 |
| MultiCare Covington Medical Center | 29 | $11,843 | About average | $10,059 | $26,488 |
| Geneva General Hospital | 18 | $11,846 | About average | $9,515 | $22,544 |
| White Plains Hospital Center | 135 | $11,848 | About average | $10,307 | $72,492 |
| Mayo Clinic Health System In Red Wing | 19 | $11,849 | About average | $10,560 | $20,256 |
| Navarro Regional Hospital | 22 | $11,850 | About average | $10,885 | $80,973 |
| Newberry County Memorial Hospital | 15 | $11,852 | About average | $10,764 | $32,323 |
| Oswego Hospital | 23 | $11,864 | About average | $10,941 | $24,313 |
| Atrium Health University City | 26 | $11,866 | About average | $10,781 | $56,075 |
| Piedmont Mountainside Hospital Inc | 18 | $11,870 | About average | $8,150 | $39,852 |
| Tristar Northcrest Medical Center | 39 | $11,870 | About average | $9,752 | $70,777 |
| Mercy Hospital Stoddard | 21 | $11,872 | About average | $10,716 | $26,464 |
| St Francis Hospital | 15 | $11,872 | About average | $10,030 | $30,738 |
| Advocate Condell Medical Center | 135 | $11,875 | About average | $8,379 | $63,715 |
| Cambridge Medical Center | 17 | $11,882 | About average | $10,539 | $24,515 |
| Robert Wood Johnson University Hospital - Somerset | 80 | $11,884 | About average | $9,024 | $113,925 |
| Mercy St Vincent Medical Center | 115 | $11,888 | About average | $9,075 | $67,110 |
| Community Medical Center | 254 | $11,889 | About average | $9,519 | $88,535 |
| Hillcrest Hospital Pryor | 11 | $11,890 | About average | $10,703 | $34,004 |
| 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 |
| Henry Ford Allegiance Health | 143 | $11,902 | About average | $9,511 | $36,876 |
| AdventHealth Orlando | 338 | $11,902 | About average | $8,733 | $81,153 |
| Merit Health Natchez | 22 | $11,904 | About average | $10,754 | $131,741 |
| The Medical Center Of Aurora & South Hospital | 44 | $11,904 | About average | $9,518 | $109,328 |
| Bristol Hospital | 38 | $11,906 | About average | $10,132 | $34,113 |
| Bluffton Regional Medical Center | 20 | $11,910 | About average | $10,767 | $49,741 |
| Banner North Colorado Medical Center | 27 | $11,911 | About average | $9,990 | $30,044 |
| Piedmont Rockdale Hospital | 32 | $11,918 | About average | $9,534 | $53,197 |
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.