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 151–200. Download as CSV
| Hospital | Cases | Average payment | vs national average | Medicare paid | Billed charge |
|---|---|---|---|---|---|
| Sycamore Shoals Hospital | 21 | $8,993 | 25% below the national average | $7,406 | $34,704 |
| University Hospitals - Elyria Medical Center | 53 | $8,995 | 25% below the national average | $7,733 | $30,685 |
| Springhill Medical Center | 63 | $8,996 | 25% below the national average | $7,901 | $25,496 |
| Clark Regional Medical Center | 32 | $9,000 | 25% below the national average | $7,726 | $65,608 |
| Mon Health Medical Center | 33 | $9,004 | 25% below the national average | $7,020 | $34,532 |
| Mercy Health - Clermont Hospital | 27 | $9,007 | 25% below the national average | $7,739 | $36,545 |
| Baptist Health Floyd | 154 | $9,017 | 25% below the national average | $7,656 | $43,019 |
| Fmol Health St Francis | 70 | $9,020 | 25% below the national average | $7,765 | $48,182 |
| Bourbon Community Hospital | 13 | $9,022 | 25% below the national average | $7,515 | $39,273 |
| Flowers Hospital | 29 | $9,029 | 25% below the national average | $7,850 | $80,804 |
| Lakeview Memorial Hospital | 20 | $9,031 | 25% below the national average | $7,563 | $41,390 |
| National Park Medical Center | 55 | $9,038 | 25% below the national average | $7,896 | $131,454 |
| Upper Valley Medical Center | 58 | $9,040 | 25% below the national average | $7,747 | $48,225 |
| Northern Louisiana Medical Center | 31 | $9,041 | 25% below the national average | $7,168 | $58,602 |
| Cleveland Clinic Martin North Hospital | 258 | $9,043 | 25% below the national average | $7,341 | $43,035 |
| Christus Shreveport-Bossier Health System | 111 | $9,057 | 25% below the national average | $7,665 | $57,194 |
| University Of Kansas Health System Olathe Hospital | 68 | $9,058 | 25% below the national average | $7,232 | $36,371 |
| University Of Iowa Health Care Medical Center Down | 56 | $9,066 | 25% below the national average | $8,030 | $54,708 |
| Crestwood Medical Center | 63 | $9,068 | 25% below the national average | $6,218 | $137,309 |
| HCA Florida South Shore Hospital | 59 | $9,068 | 25% below the national average | $7,196 | $150,065 |
| Frye Regional Medical Center | 59 | $9,070 | 25% below the national average | $7,378 | $64,485 |
| Claiborne Medical Center | 11 | $9,070 | 25% below the national average | $7,883 | $14,008 |
| Roane Medical Center | 34 | $9,076 | 24% below the national average | $7,780 | $19,469 |
| Arkansas Methodist Medical Center | 23 | $9,076 | 24% below the national average | $8,083 | $24,538 |
| Duncan Regional Hospital, Inc | 65 | $9,083 | 24% below the national average | $8,030 | $38,561 |
| Allegheny Valley Hospital | 24 | $9,083 | 24% below the national average | $7,422 | $38,060 |
| Baptist Health Medical Center-Little Rock | 137 | $9,085 | 24% below the national average | $7,624 | $54,679 |
| Vanderbilt Wilson County Hospital | 19 | $9,085 | 24% below the national average | $7,711 | $41,967 |
| Decatur Morgan Hospital - Decatur Campus | 49 | $9,086 | 24% below the national average | $7,615 | $19,109 |
| Baptist Health Corbin | 43 | $9,091 | 24% below the national average | $7,441 | $49,841 |
| Sentara Williamsburg Regional Medical Center | 40 | $9,094 | 24% below the national average | $7,327 | $42,080 |
| HCA Florida Pasadena Hospital A Part Of HCA Florid | 50 | $9,097 | 24% below the national average | $8,086 | $135,644 |
| Saint Joseph London | 53 | $9,102 | 24% below the national average | $8,025 | $44,935 |
| Vanderbilt Clarksville Hospital | 76 | $9,104 | 24% below the national average | $7,967 | $66,746 |
| Mercy Medical Center - Cedar Rapids | 108 | $9,108 | 24% below the national average | $7,802 | $28,582 |
| St Dominic-Jackson Memorial Hospital | 131 | $9,116 | 24% below the national average | $7,707 | $35,663 |
| Ucf Lake Nona Hospital | 12 | $9,118 | 24% below the national average | $7,761 | $145,931 |
| Excela Health Westmoreland Regional Hospital | 44 | $9,119 | 24% below the national average | $7,859 | $32,287 |
| Mercy Regional Medical Center | 22 | $9,123 | 24% below the national average | $7,695 | $44,002 |
| MH St Joseph Warren Hospital | 36 | $9,124 | 24% below the national average | $7,354 | $44,034 |
| South Central Regional Medical Center | 47 | $9,127 | 24% below the national average | $8,043 | $22,885 |
| Tampa General Hospital Crystal River | 41 | $9,128 | 24% below the national average | $7,994 | $72,662 |
| Geisinger St. Luke's Hospital | 39 | $9,129 | 24% below the national average | $7,397 | $53,877 |
| St Bernards Medical Center | 84 | $9,133 | 24% below the national average | $7,809 | $24,675 |
| Rapides Regional Medical Center | 56 | $9,133 | 24% below the national average | $7,670 | $89,432 |
| Prisma Health Baptist Parkridge | 12 | $9,134 | 24% below the national average | $7,460 | $50,536 |
| Great Falls Clinic Hospital | 15 | $9,136 | 24% below the national average | $7,830 | $33,039 |
| Physicians Regional Medical Center | 75 | $9,138 | 24% below the national average | $7,899 | $60,837 |
| Mercy Health - West Hospital | 41 | $9,146 | 24% below the national average | $7,309 | $35,340 |
| Grandview Medical Center | 97 | $9,148 | 24% below the national average | $6,857 | $95,437 |
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.