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 1,501–1,550. Download as CSV
| Hospital | Cases | Average payment | vs national average | Medicare paid | Billed charge |
|---|---|---|---|---|---|
| Renown South Meadows Medical Center | 62 | $11,922 | About average | $8,319 | $35,933 |
| Henderson Hospital | 87 | $11,933 | About average | $9,576 | $156,751 |
| Medical City Plano | 96 | $11,935 | About average | $8,251 | $106,392 |
| The Monroe Clinic | 29 | $11,938 | About average | $10,041 | $37,742 |
| Garden City Hospital | 17 | $11,938 | About average | $8,676 | $39,429 |
| Providence Centralia Hospital | 14 | $11,939 | About average | $10,468 | $59,612 |
| Mount Sinai Medical Center Of Florida, Inc | 82 | $11,940 | About average | $10,172 | $55,305 |
| Northern Light A R Gould Hospital | 31 | $11,942 | About average | $10,706 | $37,107 |
| Robert Packer Hospital | 84 | $11,944 | About average | $9,964 | $35,591 |
| Cayuga Medical Center At Ithaca | 33 | $11,944 | About average | $10,245 | $29,267 |
| HCA Florida Bayonet Point Hospital | 63 | $11,945 | About average | $9,434 | $123,607 |
| Grady Memorial Hospital | 22 | $11,947 | About average | $10,835 | $20,032 |
| Owensboro Health Regional Hospital | 107 | $11,948 | About average | $9,608 | $29,399 |
| HCA Florida Trinity Hospital | 61 | $11,949 | About average | $9,537 | $130,538 |
| Ascension St John Medical Center | 75 | $11,949 | About average | $9,662 | $42,876 |
| Uphs Marquette Dlp Hospital | 40 | $11,950 | About average | $10,195 | $46,250 |
| Novant Health Hilton Head Medical Center | 63 | $11,952 | About average | $10,657 | $58,759 |
| Phelps County Regional Medical Center | 35 | $11,954 | About average | $10,905 | $67,343 |
| Newton-Wellesley Hospital | 136 | $11,954 | About average | $10,042 | $36,018 |
| Rome Memorial Hospital, Inc | 19 | $11,973 | About average | $9,563 | $24,985 |
| Lehigh Valley Hospital | 159 | $11,975 | About average | $9,995 | $74,604 |
| Mount Nittany Medical Center | 57 | $11,976 | About average | $10,440 | $38,639 |
| Grand Strand Regional Medical Center | 112 | $11,983 | About average | $9,190 | $83,264 |
| Lawrence & Memorial Hospital | 93 | $11,987 | About average | $10,173 | $44,098 |
| Integris Baptist Medical Center, Inc | 114 | $11,990 | About average | $9,049 | $78,307 |
| Henry County Memorial Hospital | 14 | $11,993 | About average | $10,827 | $37,201 |
| Northfield Hospital | 21 | $11,998 | About average | $10,523 | $35,565 |
| Mile Bluff Medical Center | 15 | $12,003 | About average | $10,590 | $38,341 |
| Nyack Hospital | 65 | $12,004 | About average | $10,385 | $90,982 |
| Our Lady Of The Lake Regional Medical Center | 69 | $12,005 | About average | $8,855 | $34,433 |
| St Mark's Hospital | 46 | $12,005 | About average | $7,225 | $51,260 |
| AtlantiCare Regional Medical Center - City Campus | 94 | $12,010 | About average | $10,215 | $63,998 |
| Sky Ridge Medical Center | 37 | $12,015 | About average | $8,846 | $117,555 |
| Columbia Memorial Hospital | 23 | $12,019 | About average | $10,529 | $24,107 |
| Multicare Auburn Medical Center | 39 | $12,022 | About average | $9,819 | $43,540 |
| Portsmouth Regional Hospital | 63 | $12,024 | About average | $9,318 | $79,872 |
| Ascension Providence Hospital, Southfield And Novi | 106 | $12,028 | About average | $9,574 | $38,077 |
| Johns Hopkins Howard County Medical Center | 90 | $12,032 | About average | $10,516 | $13,119 |
| Ochsner St Mary | 16 | $12,032 | About average | $11,218 | $51,309 |
| Allina Health Faribault Medical Center | 12 | $12,034 | About average | $8,539 | $24,873 |
| Bon Secours Community Hospital | 40 | $12,038 | About average | $10,896 | $105,013 |
| Trinity Health Oakland Hospital | 85 | $12,040 | About average | $9,404 | $37,081 |
| St Francis Hospital - The Heart Center | 157 | $12,050 | About average | $10,089 | $79,110 |
| Centracare- Rice Memorial Hospital | 29 | $12,052 | About average | $10,701 | $19,737 |
| Cox Medical Center Branson | 39 | $12,060 | About average | $8,215 | $42,806 |
| Ascension Genesys Hospital | 85 | $12,064 | About average | $9,658 | $34,405 |
| Edward W Sparrow Hospital | 101 | $12,071 | About average | $8,483 | $47,076 |
| Texas Health Harris Methodist Hospital Azle | 23 | $12,086 | About average | $9,589 | $47,630 |
| MetroHealth System | 52 | $12,087 | About average | $8,719 | $39,467 |
| Corewell Health Wayne Hospital | 32 | $12,091 | About average | $8,858 | $54,850 |
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.