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 1,601–1,650. Download as CSV
| Hospital | Cases | Average payment | vs national average | Medicare paid | Billed charge |
|---|---|---|---|---|---|
| St Marys Healthcare | 26 | $12,272 | About average | $10,141 | $37,225 |
| North Shore Medical Center - | 157 | $12,274 | About average | $10,629 | $34,200 |
| Guthrie Cortland Regional Medical Center | 38 | $12,280 | About average | $9,904 | $30,831 |
| Good Samaritan Hospital Of Suffern | 134 | $12,294 | About average | $10,750 | $111,918 |
| HCA Florida Lake City Hospital | 100 | $12,296 | About average | $11,103 | $64,097 |
| 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 |
| Oneida Health Hospital | 11 | $12,311 | About average | $10,448 | $17,403 |
| Mercy Health Saint Mary's | 22 | $12,314 | About average | $9,092 | $28,073 |
| St Francis Community Hospital | 26 | $12,318 | About average | $9,847 | $58,707 |
| Spartanburg Medical Center | 158 | $12,320 | About average | $10,104 | $48,215 |
| Novant Health Thomasville Medical Center | 34 | $12,320 | About average | $11,122 | $33,498 |
| Southeast Georgia Health System- Brunswick Campus | 80 | $12,321 | About average | $11,037 | $32,417 |
| Savannah Health Services LLC Dba Memorial Health University Medical Center | 69 | $12,327 | About average | $8,996 | $50,926 |
| Scripps Memorial Hospital - Encinitas | 61 | $12,331 | About average | $11,057 | $58,290 |
| Henry Ford Health St John Hospital | 53 | $12,332 | About average | $10,236 | $29,877 |
| Bertrand Chaffee Hospital | 16 | $12,341 | About average | $11,219 | $13,644 |
| Northwestern Medicine Central Dupage Hospital | 42 | $12,342 | About average | $9,394 | $64,298 |
| Marion Regional Medical Center | 11 | $12,342 | About average | $11,007 | $21,168 |
| St Anthony Hospital | 55 | $12,344 | About average | $9,190 | $82,567 |
| Saint Anthony Medical Center | 55 | $12,347 | About average | $7,963 | $50,201 |
| Johnson Memorial Hospital | 15 | $12,350 | About average | $9,311 | $18,649 |
| JFK University Medical Center | 136 | $12,350 | About average | $10,235 | $96,794 |
| Munson Healthcare Grayling Hospital | 33 | $12,350 | About average | $10,916 | $30,029 |
| St Mary's Hospital | 25 | $12,356 | About average | $9,411 | $30,568 |
| Montefiore St Luke's Cornwall | 57 | $12,357 | About average | $10,787 | $87,724 |
| Anmed Health | 125 | $12,364 | About average | $10,368 | $54,062 |
| Hudson Valley Hospital Center | 100 | $12,364 | About average | $10,393 | $61,088 |
| Intermountain Health St. Mary's Regional Hospital | 47 | $12,369 | About average | $9,665 | $44,901 |
| HonorHealth Four Peaks Medical Center | 34 | $12,369 | About average | $10,191 | $45,053 |
| Baptist Medical Center South | 59 | $12,381 | About average | $9,034 | $34,084 |
| Intermountain Health Sevier Valley Hospital | 13 | $12,381 | About average | $10,749 | $28,074 |
| Renown Regional Medical Center | 171 | $12,387 | About average | $10,321 | $38,580 |
| Mosaic Life Care At St Joseph | 176 | $12,387 | About average | $11,019 | $43,663 |
| Vcu Health Tappahannock Hospital | 24 | $12,388 | About average | $11,440 | $46,570 |
| OSF Sacred Heart Medical Center | 52 | $12,392 | About average | $8,004 | $54,155 |
| Jefferson Einstein Montgomery Hospital | 72 | $12,392 | About average | $9,935 | $45,060 |
| Memorial Hospital West | 58 | $12,399 | About average | $10,741 | $135,829 |
| Centennial Hills Hospital Medical Center | 73 | $12,400 | About average | $9,056 | $210,879 |
| HCA Florida Palms West Hospital | 54 | $12,404 | About average | $9,102 | $124,713 |
| Valley Medical Center | 61 | $12,407 | About average | $9,663 | $47,020 |
| Torrance Memorial Medical Center | 139 | $12,408 | About average | $11,160 | $119,067 |
| University Of Missouri Health Care | 103 | $12,413 | About average | $9,954 | $45,848 |
| Memorial Hermann Northeast Hospital | 53 | $12,413 | About average | $10,861 | $54,387 |
| Providence Willamette Falls Medical Center | 22 | $12,417 | About average | $9,799 | $30,016 |
| French Hospital Medical Center | 56 | $12,419 | About average | $11,079 | $73,970 |
| Oak Valley Hospital District | 14 | $12,419 | About average | $11,487 | $52,326 |
| El Campo Memorial Hospital | 12 | $12,422 | About average | $10,987 | $31,931 |
| Manchester Memorial Hospital | 39 | $12,426 | About average | $10,942 | $49,045 |
| Cheshire Medical Center | 60 | $12,439 | About average | $10,512 | $27,723 |
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.