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 1,751–1,800. Download as CSV
| Hospital | Cases | Average payment | vs national average | Medicare paid | Billed charge |
|---|---|---|---|---|---|
| Regions Hospital | 54 | $12,834 | About average | $9,828 | $35,924 |
| Beloit Health System | 44 | $12,835 | About average | $11,687 | $49,562 |
| Medical City Las Colinas | 12 | $12,844 | About average | $9,763 | $102,735 |
| Long Island Community Hospital | 59 | $12,845 | About average | $10,686 | $104,867 |
| Salem Hospital | 92 | $12,849 | About average | $10,818 | $31,839 |
| Frederick Health Hospital | 96 | $12,860 | About average | $11,403 | $14,053 |
| Methodist Hospitals Of Memphis | 135 | $12,860 | About average | $9,820 | $48,560 |
| Spectrum Health | 78 | $12,867 | About average | $9,337 | $26,163 |
| Schneck Medical Center | 11 | $12,869 | About average | $10,320 | $31,372 |
| Merrimack Health Lawrence Hospital | 104 | $12,883 | About average | $10,985 | $23,445 |
| Main Line Hospital Lankenau | 64 | $12,885 | About average | $10,870 | $88,548 |
| Huntington Beach Hospital | 24 | $12,885 | About average | $11,918 | $53,472 |
| Saint Rose Dominican Hospitals - San Martin Campus | 41 | $12,886 | About average | $9,228 | $89,195 |
| PeaceHealth St Joseph Medical Center | 140 | $12,887 | About average | $10,773 | $65,463 |
| Peconic Bay Medical Center | 85 | $12,890 | About average | $10,752 | $92,276 |
| Wynn Hospital | 76 | $12,890 | About average | $10,575 | $52,306 |
| Kuakini Medical Center | 23 | $12,890 | About average | $11,609 | $52,381 |
| Inspira Medical Center Mullica Hill | 115 | $12,901 | About average | $10,731 | $65,907 |
| Providence Little Co Of Mary Medical Center San Pedro | 17 | $12,901 | About average | $11,450 | $68,830 |
| Nazareth Hospital | 39 | $12,908 | About average | $10,627 | $39,164 |
| Prisma Health Richland Hospital | 31 | $12,908 | About average | $10,126 | $45,758 |
| Emanate Health Foothill Presbyterian Hospital | 52 | $12,908 | About average | $11,756 | $76,604 |
| MemorialCare Orange Coast Medical Center | 67 | $12,912 | About average | $11,268 | $106,839 |
| Rolling Plains Memorial Hospital | 11 | $12,913 | About average | $11,327 | $23,589 |
| Doctors Hospital Of Manteca | 32 | $12,914 | About average | $11,588 | $190,540 |
| Saint Clare's Hospital/ Denville Campus | 67 | $12,916 | About average | $10,954 | $60,127 |
| Medical City Arlington | 63 | $12,921 | About average | $10,376 | $113,916 |
| Redlands Community Hospital | 31 | $12,936 | About average | $11,777 | $88,976 |
| The McDowell Hospital | 37 | $12,936 | About average | $11,224 | $34,255 |
| Wellspan York Hospital | 85 | $12,940 | About average | $8,605 | $43,227 |
| Atlantic General Hospital | 62 | $12,948 | About average | $10,928 | $14,102 |
| Providence St Vincent Medical Center | 48 | $12,955 | About average | $10,081 | $25,968 |
| University Health System, Inc | 80 | $12,961 | About average | $9,231 | $29,865 |
| Pennsylvania Hospital | 37 | $12,967 | About average | $11,073 | $114,527 |
| Southwest Medical Center | 29 | $12,971 | About average | $11,214 | $44,001 |
| Presence Saint Joseph Hospital - Chicago | 17 | $12,977 | About average | $10,091 | $50,427 |
| Mainehealth Pen Bay Hospital | 13 | $12,978 | About average | $11,723 | $26,981 |
| Lower Bucks Hospital | 27 | $12,979 | About average | $10,123 | $45,543 |
| Uci Health - Placentia Linda | 34 | $12,982 | About average | $11,591 | $203,876 |
| Stonewall Jackson Memorial Hospital Company | 11 | $12,984 | About average | $8,067 | $30,513 |
| Good Samaritan Hospital | 40 | $12,986 | About average | $8,359 | $30,477 |
| Northern Nevada Sierra Medical Center | 12 | $12,987 | About average | $8,391 | $106,245 |
| Samaritan Hospital Of Troy, New York | 60 | $12,988 | About average | $9,893 | $28,314 |
| Temple Health - Chestnut Hill Hospital | 81 | $12,990 | About average | $10,748 | $162,132 |
| UPMC Mercy | 14 | $12,993 | About average | $10,019 | $84,408 |
| Phelps Hospital | 43 | $12,995 | About average | $11,014 | $81,816 |
| Sagewest Health Care | 38 | $12,997 | About average | $11,281 | $49,371 |
| West Kendall Baptist Hospital | 90 | $13,001 | About average | $10,788 | $88,802 |
| Adventist Health Castle | 25 | $13,004 | About average | $11,502 | $42,071 |
| Middlesex Hospital | 61 | $13,018 | About average | $10,096 | $41,533 |
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.