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 1,701–1,750. Download as CSV
| Hospital | Cases | Average payment | vs national average | Medicare paid | Billed charge |
|---|---|---|---|---|---|
| Ascension St Vincent Hospital | 80 | $12,662 | About average | $9,947 | $56,538 |
| University Of Michigan Health - West | 12 | $12,668 | About average | $8,212 | $40,120 |
| St Joseph's Hospital Health Center | 68 | $12,668 | About average | $9,665 | $31,060 |
| United Health Services Hospitals, Inc | 58 | $12,670 | About average | $10,951 | $32,241 |
| North Vista Hospital | 15 | $12,676 | About average | $11,098 | $47,192 |
| Shasta Regional Medical Center | 67 | $12,677 | About average | $11,613 | $56,535 |
| Conemaugh Memorial Medical Center | 49 | $12,679 | About average | $10,678 | $35,324 |
| Ocean Medical Center | 198 | $12,684 | About average | $10,329 | $78,382 |
| Edward Hospital | 151 | $12,686 | About average | $7,638 | $54,894 |
| Legacy Salmon Creek Medical Center | 49 | $12,693 | About average | $10,540 | $35,283 |
| Good Samaritan Hospital Medical Center | 115 | $12,699 | About average | $10,739 | $73,598 |
| Adventist Health Tulare | 24 | $12,703 | About average | $11,056 | $49,353 |
| Enloe Health | 207 | $12,704 | About average | $11,660 | $99,725 |
| William W Backus Hospital | 103 | $12,710 | About average | $10,084 | $52,947 |
| Providence Portland Medical Center | 27 | $12,723 | About average | $9,864 | $30,590 |
| HCA Florida Mercy Hospital | 41 | $12,725 | About average | $11,440 | $159,773 |
| Atrium Health Floyd Medical Center | 72 | $12,728 | About average | $10,127 | $49,224 |
| Nicholas H Noyes Memorial Hospital | 28 | $12,729 | About average | $11,651 | $13,642 |
| Ascension Seton Northwest | 41 | $12,737 | About average | $10,947 | $67,781 |
| Tacoma General Allenmore Hospital | 99 | $12,738 | About average | $10,416 | $43,369 |
| Ellis Hospital | 35 | $12,741 | About average | $10,385 | $24,882 |
| Van Wert County Hospital | 12 | $12,746 | About average | $11,658 | $21,231 |
| Asante Three Rivers Medical Center | 48 | $12,751 | About average | $10,240 | $54,019 |
| Northwestern Medicine Delnor Community Hospital | 29 | $12,752 | About average | $8,797 | $46,643 |
| Texas Health Harris Methodist Hospital Stephenvill | 21 | $12,754 | About average | $11,357 | $36,605 |
| Centracare - St. Cloud Hospital | 90 | $12,763 | About average | $11,286 | $26,506 |
| Ecu Health Medical Center | 64 | $12,766 | About average | $9,363 | $29,972 |
| UPMC Hanover | 39 | $12,768 | About average | $8,591 | $49,445 |
| Rio Grande Regional Hospital | 17 | $12,769 | About average | $11,427 | $163,291 |
| Cedar-Sinai Marina Del Rey Hospital | 44 | $12,779 | About average | $11,499 | $106,126 |
| MetroWest Medical Center | 62 | $12,781 | About average | $10,951 | $57,063 |
| Memorial Medical Center | 113 | $12,782 | About average | $11,054 | $75,716 |
| Portneuf Medical Center | 42 | $12,789 | About average | $11,196 | $62,644 |
| Oakbend Medical Center | 12 | $12,791 | About average | $11,253 | $29,872 |
| Abrazo Central Campus | 27 | $12,798 | About average | $10,233 | $115,346 |
| Adventist Health Bakersfield | 105 | $12,799 | About average | $11,714 | $92,154 |
| Monument Health Rapid City Hospital | 116 | $12,800 | About average | $11,301 | $36,087 |
| Claxton-Hepburn Medical Center | 29 | $12,803 | About average | $11,623 | $23,581 |
| Mercy Regional Medical Center | 28 | $12,805 | About average | $11,348 | $44,262 |
| PIH Health Downey Hospital | 37 | $12,805 | About average | $11,564 | $60,213 |
| Memorial Hospital Miramar | 23 | $12,805 | About average | $11,785 | $110,169 |
| Lewisgale Hospital Montgomery | 37 | $12,814 | About average | $9,316 | $46,748 |
| Ashley Regional Medical Center | 12 | $12,814 | About average | $10,036 | $25,786 |
| Mercy Medical Center | 31 | $12,815 | About average | $11,273 | $36,382 |
| Adventist Health Sierra Vista | 39 | $12,816 | About average | $11,478 | $155,896 |
| St Michael Medical Center | 79 | $12,821 | About average | $10,375 | $75,404 |
| Fayette Medical Center | 18 | $12,822 | About average | $11,553 | $25,979 |
| Beaumont Hospital Royal Oak | 147 | $12,824 | About average | $9,187 | $42,151 |
| Tidalhealth Peninsula Regional, Inc | 71 | $12,828 | About average | $11,473 | $14,261 |
| Saint John's Health Center | 87 | $12,833 | About average | $10,967 | $68,053 |
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.