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 1,801–1,850. Download as CSV
| Hospital | Cases | Average payment | vs national average | Medicare paid | Billed charge |
|---|---|---|---|---|---|
| Tidalhealth Nanticoke, Inc. | 58 | $13,022 | About average | $11,842 | $19,001 |
| Franciscan Health Crawfordsville | 28 | $13,024 | About average | $10,964 | $35,554 |
| Tanner Medical Center Villa Rica | 45 | $13,028 | About average | $10,696 | $38,481 |
| West Penn Hospital | 18 | $13,032 | About average | $11,040 | $88,519 |
| Memorial Hospital Pembroke | 22 | $13,035 | About average | $11,795 | $103,328 |
| Garnet Health Medical Center Catskills | 21 | $13,039 | About average | $11,766 | $70,091 |
| HCA Florida Brandon Hospital | 71 | $13,044 | About average | $10,402 | $115,464 |
| Hillcrest Hospital Cushing | 22 | $13,048 | About average | $11,787 | $32,432 |
| Wellstar Douglas Medical Center | 18 | $13,057 | About average | $11,691 | $90,676 |
| HCA Florida Largo Hospital | 32 | $13,073 | About average | $10,724 | $97,530 |
| Foothill Regional Medical Center | 27 | $13,074 | About average | $11,896 | $75,604 |
| PIH Health Hospital-Whittier | 60 | $13,083 | About average | $11,794 | $81,002 |
| Brigham And Women Faulkner Hospital | 61 | $13,085 | About average | $10,878 | $34,502 |
| Providence Saint Joseph Medical Center | 114 | $13,088 | About average | $11,640 | $96,395 |
| New York Community Hospital Of Brooklyn, Inc. | 82 | $13,128 | About average | $10,861 | $51,196 |
| Fisher-Titus Hospital | 48 | $13,129 | About average | $11,405 | $29,653 |
| Valley View Hospital Association | 15 | $13,131 | About average | $11,716 | $47,250 |
| UCLA West Valley Medical Center | 82 | $13,133 | About average | $11,680 | $210,315 |
| Clovis Community Medical Center | 149 | $13,133 | About average | $11,456 | $82,364 |
| Baylor St Lukes Medical Center | 28 | $13,146 | About average | $9,703 | $78,221 |
| Doctors Hospital | 45 | $13,147 | About average | $10,340 | $44,214 |
| Independence Health System Clarion Hospital | 17 | $13,151 | About average | $10,701 | $18,958 |
| UT Of Texas Southwestern University Hospital - William P. Clements Jr. | 88 | $13,155 | About average | $9,199 | $42,200 |
| St Peter's Hospital | 77 | $13,173 | About average | $9,113 | $44,331 |
| Dekalb Community Hospital | 15 | $13,178 | About average | $11,872 | $23,633 |
| San Antonio Regional Hospital | 109 | $13,178 | About average | $11,448 | $108,976 |
| Advocate Lutheran General Hospital | 135 | $13,179 | About average | $10,449 | $58,279 |
| Valley Hospital Medical Center | 35 | $13,194 | About average | $11,528 | $175,753 |
| St Lukes Hospital Of Kansas City | 32 | $13,197 | About average | $8,731 | $93,722 |
| Princeton Baptist Medical Center | 20 | $13,200 | About average | $8,738 | $92,909 |
| Sierra Nevada Memorial Hospital | 55 | $13,206 | About average | $11,872 | $75,350 |
| University Of Kansas Health System Great Bend Campus | 20 | $13,218 | About average | $11,996 | $28,284 |
| Hoag Memorial Hospital Presbyterian | 135 | $13,219 | About average | $11,491 | $70,271 |
| Hurley Medical Center | 63 | $13,240 | 10% above the national average | $10,144 | $55,241 |
| Matagorda Regional Medical Center | 20 | $13,240 | 10% above the national average | $11,873 | $22,733 |
| Providence Cedars Sinai Tarzana Medical Center | 65 | $13,244 | 10% above the national average | $11,789 | $110,041 |
| Mainehealth Maine Medical Center | 111 | $13,248 | 10% above the national average | $9,377 | $38,253 |
| Union Hospital Of Cecil County | 80 | $13,250 | 10% above the national average | $11,986 | $14,891 |
| Intermountain Health Platte Valley Hospital | 13 | $13,253 | 10% above the national average | $7,841 | $53,822 |
| Landmark Medical Center | 21 | $13,261 | 10% above the national average | $9,773 | $58,704 |
| St Charles Hospital | 38 | $13,271 | 10% above the national average | $11,120 | $67,628 |
| Providence Sacred Heart Medical Center & Childrens Hospital | 51 | $13,273 | 10% above the national average | $10,132 | $68,920 |
| Adventist Health Twin Cities | 55 | $13,279 | 10% above the national average | $10,700 | $146,916 |
| Mercy General Hospital | 45 | $13,283 | 11% above the national average | $12,123 | $115,960 |
| Northwestern Medicine MCHenry | 95 | $13,289 | 11% above the national average | $8,685 | $48,582 |
| Mount St. Mary's Hospital & Health Center | 22 | $13,289 | 11% above the national average | $9,973 | $27,827 |
| Saint Thomas Highlands Hospital | 16 | $13,295 | 11% above the national average | $12,173 | $21,347 |
| Erlanger Medical Center | 43 | $13,297 | 11% above the national average | $10,235 | $38,929 |
| Bakersfield Memorial Hospital | 40 | $13,301 | 11% above the national average | $11,279 | $78,862 |
| Uci Health-Lakewood | 52 | $13,306 | 11% above the national average | $11,924 | $139,055 |
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.