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 1,651–1,700. Download as CSV
| Hospital | Cases | Average payment | vs national average | Medicare paid | Billed charge |
|---|---|---|---|---|---|
| Baylor Scott & White Medical Center At Irving | 18 | $12,441 | About average | $11,534 | $61,888 |
| Uci Health - Los Alamitos | 48 | $12,443 | About average | $11,164 | $208,478 |
| Jersey Shore University Medical Center | 147 | $12,444 | About average | $10,411 | $92,020 |
| Carson Tahoe Regional Medical Center | 137 | $12,447 | About average | $11,127 | $40,110 |
| Mc Donough District Hospital | 33 | $12,448 | About average | $11,509 | $28,944 |
| Major Hospital | 44 | $12,451 | About average | $9,992 | $34,982 |
| Our Lady Of Lourdes Memorial Hospital, Inc | 67 | $12,452 | About average | $10,793 | $33,710 |
| Henry Mayo Newhall Hospital | 89 | $12,456 | About average | $11,169 | $129,794 |
| CHI Health Good Samaritan | 23 | $12,465 | About average | $7,898 | $43,472 |
| Betsy Johnson Regional Hospital | 37 | $12,478 | About average | $10,017 | $27,523 |
| Mercy Medical Center | 36 | $12,483 | About average | $10,664 | $82,870 |
| Kadlec Regional Medical Center | 96 | $12,487 | About average | $9,079 | $51,932 |
| Ochsner Medical Center Acute | 77 | $12,506 | About average | $9,170 | $41,345 |
| McLaren Greater Lansing | 52 | $12,506 | About average | $9,972 | $39,312 |
| Parkview Whitley Hospital | 23 | $12,510 | About average | $10,901 | $29,304 |
| St Francis Hospital- Emory Healthcare | 38 | $12,513 | About average | $7,344 | $41,488 |
| HealthAlliance Hospital Marys Avenue Campus | 53 | $12,531 | About average | $10,670 | $105,236 |
| McPherson Hospital | 23 | $12,531 | About average | $10,818 | $23,963 |
| Northwest Texas Hospital | 54 | $12,533 | About average | $10,978 | $120,627 |
| Holy Name Medical Center | 72 | $12,533 | About average | $10,264 | $66,435 |
| Scripps Memorial Hospital La Jolla | 81 | $12,538 | About average | $11,310 | $67,854 |
| Franciscan Health Mooresville | 40 | $12,552 | About average | $10,638 | $42,629 |
| Prisma Health Greer Memorial Hospital | 35 | $12,560 | About average | $9,015 | $32,428 |
| Sharp Coronado Hospital And Healthcare Center | 34 | $12,572 | About average | $11,276 | $96,034 |
| Trinity Health Muskegon Hospital | 33 | $12,572 | About average | $10,271 | $40,280 |
| Scenic Mountain Medical Center | 21 | $12,573 | About average | $11,400 | $39,186 |
| Meritus Medical Center | 121 | $12,574 | About average | $10,786 | $13,590 |
| Parkview Huntington Hospital | 27 | $12,582 | About average | $11,193 | $26,654 |
| Uintah Basin Medical Center | 11 | $12,593 | About average | $11,257 | $21,761 |
| Warren Memorial Hospital | 49 | $12,596 | About average | $9,704 | $20,790 |
| Mayo Clinic Health System - Albert Lea And Austin | 53 | $12,596 | About average | $10,811 | $24,195 |
| HCA Florida Orange Park Hospital | 62 | $12,604 | About average | $10,466 | $181,473 |
| St Joseph Regional Medical Center | 31 | $12,616 | About average | $10,557 | $29,555 |
| Aurora St Lukes Medical Center | 80 | $12,623 | About average | $9,091 | $64,609 |
| HCA Houston Healthcare Conroe | 36 | $12,624 | About average | $10,759 | $146,966 |
| University Of Maryland Baltimore Washington Medical Center | 42 | $12,625 | About average | $11,422 | $13,625 |
| Christiana Hospital | 437 | $12,627 | About average | $10,089 | $38,520 |
| St James Hospital | 17 | $12,631 | About average | $11,289 | $28,278 |
| Community Hospitals And Wellness Centers | 13 | $12,633 | About average | $11,378 | $19,579 |
| Highline Medical Center | 24 | $12,638 | About average | $10,034 | $69,848 |
| Northern Light Mercy Hospital | 24 | $12,638 | About average | $9,470 | $49,141 |
| PeaceHealth Southwest Medical Cente | 86 | $12,641 | About average | $9,453 | $58,568 |
| Memorial Hermann Hospital System | 204 | $12,641 | About average | $10,872 | $47,096 |
| San Juan Regional Medical Center Inc | 126 | $12,643 | About average | $11,048 | $42,785 |
| Crouse Hospital | 60 | $12,643 | About average | $10,127 | $30,891 |
| Tri-City Medical Center | 35 | $12,645 | About average | $11,325 | $72,645 |
| Medical City Fort Worth | 40 | $12,652 | About average | $9,256 | $98,586 |
| Crozer Chester Medical Center | 47 | $12,655 | About average | $10,086 | $100,769 |
| Ochsner Medical Center-Hancock | 13 | $12,656 | About average | $11,902 | $19,952 |
| Southern Maine Health Care | 21 | $12,658 | About average | $8,969 | $44,278 |
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.