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 1,851–1,900. Download as CSV
| Hospital | Cases | Average payment | vs national average | Medicare paid | Billed charge |
|---|---|---|---|---|---|
| HCA Florida St Petersburg Hospital | 36 | $13,310 | 11% above the national average | $10,442 | $160,052 |
| West Suburban Medical Center | 18 | $13,311 | 11% above the national average | $10,776 | $48,038 |
| Canyon Vista Medical Center | 84 | $13,315 | 11% above the national average | $11,813 | $41,967 |
| Raritan Bay Medical Center | 116 | $13,322 | 11% above the national average | $10,473 | $88,741 |
| Marshall Medical Center | 40 | $13,322 | 11% above the national average | $11,646 | $79,032 |
| Ohio State University State Health System | 79 | $13,323 | 11% above the national average | $10,059 | $44,349 |
| Beaumont Hospital - Farmington Hills | 66 | $13,323 | 11% above the national average | $9,859 | $51,528 |
| St Johns Regional Medical Center | 130 | $13,324 | 11% above the national average | $11,679 | $80,184 |
| Corewell Health Ludington Hospital | 11 | $13,333 | 11% above the national average | $10,447 | $34,253 |
| College Medical Center | 11 | $13,340 | 11% above the national average | $12,418 | $49,911 |
| Amita Health Resurrection Medical Center | 93 | $13,351 | 11% above the national average | $9,773 | $70,378 |
| Sutter Davis Hospital | 13 | $13,353 | 11% above the national average | $10,613 | $58,473 |
| Saint Francis Medical Center | 81 | $13,358 | 11% above the national average | $9,047 | $62,344 |
| Spring Valley Hospital Medical Center | 64 | $13,358 | 11% above the national average | $9,889 | $188,873 |
| Intermountain Medical Center | 56 | $13,361 | 11% above the national average | $9,610 | $52,392 |
| Sutter Tracy Community Hospital | 32 | $13,369 | 11% above the national average | $11,675 | $62,748 |
| Sutter Auburn Faith Hospital | 38 | $13,379 | 11% above the national average | $12,092 | $61,694 |
| Saint Joseph Hospital | 24 | $13,383 | 11% above the national average | $11,181 | $67,372 |
| Hutchinson Health | 16 | $13,383 | 11% above the national average | $12,057 | $21,999 |
| Baptist Hospital Of Miami | 171 | $13,387 | 11% above the national average | $10,858 | $109,465 |
| Providence Little Company Of Mary Medical Center Torrance | 49 | $13,398 | 11% above the national average | $11,942 | $90,732 |
| Marian Regional Medical Center | 81 | $13,401 | 11% above the national average | $12,124 | $75,064 |
| Coast Plaza Hospital | 24 | $13,403 | 12% above the national average | $12,247 | $92,861 |
| Pratt Regional Medical Center | 20 | $13,423 | 12% above the national average | $12,118 | $20,839 |
| Desert Valley Hospital | 12 | $13,427 | 12% above the national average | $12,184 | $44,430 |
| Northern Dutchess Hospital | 51 | $13,430 | 12% above the national average | $11,410 | $32,769 |
| Cherokee Medical Center | 12 | $13,434 | 12% above the national average | $12,618 | $55,288 |
| Montclair Hospital Medical Center | 14 | $13,436 | 12% above the national average | $12,328 | $40,588 |
| Providence St Peter Hospital | 52 | $13,437 | 12% above the national average | $9,449 | $75,118 |
| SSM Health St Mary's Hospital - St Louis | 27 | $13,440 | 12% above the national average | $10,539 | $30,375 |
| Cabell Huntington Hospital, Inc | 26 | $13,443 | 12% above the national average | $9,358 | $56,394 |
| HCA Florida Aventura Hospital | 99 | $13,444 | 12% above the national average | $10,922 | $129,352 |
| Summit Healthcare Regional Medical Center | 38 | $13,445 | 12% above the national average | $12,200 | $30,029 |
| Inova Fairfax Hospital | 139 | $13,446 | 12% above the national average | $9,722 | $33,499 |
| Christus Spohn Hospital Corpus Christi | 86 | $13,454 | 12% above the national average | $11,834 | $69,060 |
| La Palma Intercommunity Hospital | 26 | $13,454 | 12% above the national average | $12,294 | $59,785 |
| Swedish Hospital | 38 | $13,456 | 12% above the national average | $10,168 | $40,279 |
| Waterbury Hospital | 42 | $13,458 | 12% above the national average | $11,554 | $66,097 |
| Phoebe Sumter Medical Center | 21 | $13,459 | 12% above the national average | $11,421 | $49,515 |
| Christus Spohn Hospital Alice | 19 | $13,459 | 12% above the national average | $12,085 | $59,174 |
| Franciscan Health Dyer | 54 | $13,479 | 12% above the national average | $11,999 | $50,848 |
| Saint James Hospital | 18 | $13,487 | 12% above the national average | $12,040 | $31,370 |
| Community Hospital Of Huntington Park | 13 | $13,492 | 12% above the national average | $12,017 | $97,467 |
| MUSC Health Lancaster Medical Center | 18 | $13,498 | 12% above the national average | $8,886 | $96,580 |
| Memorial Hospital | 14 | $13,507 | 12% above the national average | $12,458 | $27,154 |
| Parkview Noble Hospital | 18 | $13,512 | 12% above the national average | $12,063 | $26,240 |
| Alhambra Hospital Medical Center | 49 | $13,517 | 12% above the national average | $12,419 | $75,782 |
| CHI Health Bergan Mercy | 27 | $13,520 | 12% above the national average | $10,863 | $40,444 |
| Griffin Hospital | 17 | $13,522 | 12% above the national average | $11,911 | $51,875 |
| Aurelia Osborn Fox Memorial Hospital | 32 | $13,525 | 13% above the national average | $10,668 | $28,464 |
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.