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 1,551–1,600. Download as CSV
| Hospital | Cases | Average payment | vs national average | Medicare paid | Billed charge |
|---|---|---|---|---|---|
| Northern Nevada Medical Center | 46 | $12,091 | About average | $10,815 | $82,753 |
| Berger Hospital | 29 | $12,092 | About average | $7,941 | $22,785 |
| MidState Medical Center | 96 | $12,097 | About average | $10,319 | $51,356 |
| Las Palmas Medical Center A Campus Of Lpds Healthc | 68 | $12,099 | About average | $9,802 | $124,575 |
| Bon Secours Southampton Memorial Hospital | 13 | $12,099 | About average | $10,844 | $38,285 |
| UPMC Hamot | 44 | $12,100 | About average | $9,882 | $94,175 |
| Providence St Mary Medical Center | 42 | $12,105 | About average | $8,780 | $40,327 |
| Lewisgale Medical Center | 64 | $12,109 | About average | $8,820 | $67,059 |
| St Johns Hospital | 115 | $12,110 | About average | $9,304 | $53,040 |
| St Joseph Hospital | 45 | $12,111 | About average | $10,914 | $32,696 |
| Watauga Medical Center | 35 | $12,112 | About average | $10,062 | $27,936 |
| Summerlin Hospital Medical Center | 112 | $12,117 | About average | $9,479 | $178,475 |
| Chilton Medical Center | 94 | $12,120 | About average | $9,084 | $105,020 |
| Penn State Health Lancaster Medical Center | 24 | $12,121 | About average | $5,658 | $43,108 |
| East Jefferson General Hospital | 45 | $12,122 | About average | $8,935 | $116,768 |
| UnityPoint Health - Meriter | 67 | $12,123 | About average | $9,877 | $61,421 |
| Jones Memorial Hospital | 17 | $12,125 | About average | $11,069 | $16,755 |
| CHI Health Immanuel | 25 | $12,126 | About average | $10,237 | $34,560 |
| Wellstar North Fulton Medical Center | 62 | $12,129 | About average | $9,692 | $91,254 |
| Grady Memorial Hospital | 27 | $12,132 | About average | $10,563 | $28,792 |
| Kenmore Mercy Hospital | 33 | $12,134 | About average | $8,770 | $22,197 |
| Centura Health-St Anthony North Health Campus | 38 | $12,134 | About average | $10,351 | $66,456 |
| Banner Wyoming Medical Center | 118 | $12,157 | About average | $10,977 | $29,045 |
| Greenwich Hospital Association - | 83 | $12,159 | About average | $10,552 | $51,215 |
| Kingman Regional Medical Center | 104 | $12,160 | About average | $10,559 | $66,719 |
| Goleta Valley Cottage Hospital | 14 | $12,165 | About average | $10,768 | $67,039 |
| UMass Memorial HealthAlliance Hospitals | 107 | $12,166 | About average | $10,379 | $30,207 |
| Alliance Community Hospital | 18 | $12,167 | About average | $8,021 | $19,381 |
| Broward Health Imperial Point | 18 | $12,168 | About average | $10,495 | $51,507 |
| Troy Regional Medical Center | 16 | $12,169 | About average | $10,721 | $25,145 |
| Adventist Health Simi Valley | 63 | $12,172 | About average | $10,700 | $92,389 |
| USC Verdugo Hills Hospital | 61 | $12,177 | About average | $10,299 | $91,193 |
| Prisma Health Laurens County Hospital | 15 | $12,180 | About average | $9,699 | $45,250 |
| Sunrise Hospital And Medical Center | 87 | $12,183 | About average | $10,845 | $148,723 |
| St Anthony Community Hospital | 36 | $12,184 | About average | $9,559 | $91,743 |
| Trios Health | 38 | $12,186 | About average | $10,319 | $47,173 |
| LDS Hospital | 17 | $12,187 | About average | $10,337 | $28,725 |
| Aurora Medical Center Washington County | 14 | $12,189 | About average | $7,674 | $29,807 |
| Atrium Health Lincoln | 61 | $12,203 | About average | $10,920 | $40,552 |
| The Miriam Hospital | 75 | $12,211 | About average | $10,005 | $29,747 |
| Hamilton Medical Center | 124 | $12,212 | About average | $9,862 | $53,912 |
| North Texas Medical Center | 32 | $12,214 | About average | $11,143 | $37,642 |
| St Joe Mercy Hospital System Livonia | 75 | $12,216 | About average | $10,007 | $35,243 |
| Southeastern Ohio Regional Medical Center | 25 | $12,223 | About average | $11,179 | $28,912 |
| Legacy Mount Hood Medical Center | 23 | $12,228 | About average | $10,347 | $34,960 |
| Ngmc Barrow, LLC | 21 | $12,232 | About average | $10,833 | $46,609 |
| Hackensack Meridian Health Pascack Valley Medical | 40 | $12,246 | About average | $9,995 | $77,986 |
| MelroseWakefield Healthcare | 98 | $12,259 | About average | $9,705 | $19,279 |
| Northeast Georgia Medical Center Lumpkin | 24 | $12,263 | About average | $10,039 | $40,394 |
| Lewisgale Hospital Pulaski | 16 | $12,266 | About average | $9,567 | $58,441 |
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.