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
Hospitals in California
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.
- Average payment across these 223 hospitals
- $15,080
- Median hospital
- $14,391
- Lowest to highest
- $10,483–$60,274
- Medicare stays
- 12,363
223 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 |
|---|---|---|---|---|---|
| Washington Hospital | 93 | $15,235 | 27% above the national average | $14,059 | $103,912 |
| Sutter Coast Hospital | 21 | $15,251 | 27% above the national average | $13,234 | $52,306 |
| Hi-Desert Medical Center | 37 | $15,260 | 27% above the national average | $13,857 | $96,215 |
| AHMC Seton Medical Center | 15 | $15,341 | 28% above the national average | $14,063 | $88,196 |
| California Pacific Medical Center-Davies Campus Hospital | 12 | $15,347 | 28% above the national average | $13,801 | $41,596 |
| Providence Santa Rosa Memorial Hospital | 70 | $15,349 | 28% above the national average | $13,587 | $81,201 |
| John Muir Medical Center - Concord Campus | 53 | $15,357 | 28% above the national average | $13,768 | $149,637 |
| St Mary Medical Center | 24 | $15,372 | 28% above the national average | $13,810 | $85,189 |
| Adventist Health And Rideout | 95 | $15,392 | 28% above the national average | $14,217 | $118,481 |
| Kaiser Foundation Hospital Fontana/Ontario | 21 | $15,472 | 29% above the national average | $10,793 | $54,535 |
| NorthBay Medical Center | 96 | $15,481 | 29% above the national average | $14,256 | $167,010 |
| Community Hospital Of San Bernardino | 13 | $15,615 | 30% above the national average | $13,974 | $77,955 |
| Santa Monica - UCLA Medical Center & Orthopaedic Hospital | 42 | $15,706 | 31% above the national average | $13,940 | $77,828 |
| Woodland Memorial Hospital | 22 | $15,791 | 31% above the national average | $14,604 | $93,247 |
| Ventura County Medical Center | 28 | $15,807 | 32% above the national average | $14,221 | $89,267 |
| Hemet Global Medical Center | 50 | $15,861 | 32% above the national average | $13,821 | $60,385 |
| Sutter Solano Medical Center | 32 | $15,889 | 32% above the national average | $14,404 | $70,152 |
| Good Samaritan Hospital | 105 | $15,994 | 33% above the national average | $12,764 | $253,335 |
| San Joaquin General Hospital | 17 | $16,023 | 33% above the national average | $14,767 | $137,945 |
| Kaiser Foundation Hospital - Downey | 11 | $16,134 | 34% above the national average | $12,083 | $83,702 |
| Sequoia Hospital | 25 | $16,219 | 35% above the national average | $14,694 | $179,741 |
| Alta Bates Summit Medical Center - Alta Bates Camp | 23 | $16,245 | 35% above the national average | $14,069 | $68,748 |
| Sutter Santa Rosa Regional Hospital | 48 | $16,311 | 36% above the national average | $14,297 | $57,948 |
| Alta Bates Summit Medical Center | 46 | $16,360 | 36% above the national average | $13,380 | $79,198 |
| Lompoc Valley Medical Center | 25 | $16,528 | 38% above the national average | $15,554 | $75,770 |
| Sutter Amador Hospital | 22 | $16,592 | 38% above the national average | $15,300 | $63,878 |
| Kaiser Foundation Hospital - Los Angeles | 14 | $16,627 | 38% above the national average | $14,618 | $65,156 |
| Sharp Memorial Hospital | 88 | $16,640 | 38% above the national average | $12,293 | $106,382 |
| Sutter Medical Center, Sacramento | 66 | $16,713 | 39% above the national average | $14,992 | $83,191 |
| Regional Medical Center Of San Jose | 56 | $16,775 | 40% above the national average | $14,890 | $228,524 |
| Mercy Hospital Of Folsom | 48 | $16,802 | 40% above the national average | $11,451 | $87,047 |
| California Hospital Medical Center La | 13 | $16,867 | 40% above the national average | $15,682 | $62,906 |
| California Pacific Medical Center - Mission Bernal | 21 | $16,972 | 41% above the national average | $15,838 | $76,731 |
| Temecula Valley Hospital | 58 | $17,061 | 42% above the national average | $14,863 | $90,843 |
| Adventist Health Ukiah Valley | 36 | $17,098 | 42% above the national average | $14,271 | $80,833 |
| St Joseph's Medical Center Of Stockton | 59 | $17,211 | 43% above the national average | $15,573 | $103,779 |
| Scripps Green Hospital | 25 | $17,288 | 44% above the national average | $13,138 | $48,861 |
| Riverside University Health System-Medical Center | 33 | $17,294 | 44% above the national average | $15,891 | $95,169 |
| Martin Luther King, Jr. Community Hospital | 16 | $17,508 | 46% above the national average | $16,478 | $202,123 |
| San Mateo Medical Center | 11 | $17,958 | 49% above the national average | $16,512 | $41,399 |
| Riverside Community Hospital | 65 | $18,062 | 50% above the national average | $13,895 | $190,283 |
| UCSF Health St. Mary's Hospital | 21 | $18,320 | 52% above the national average | $15,940 | $85,823 |
| UCSF Health Saint Francis Hospital | 15 | $18,767 | 56% above the national average | $17,222 | $127,875 |
| Natividad Medical Center | 21 | $18,942 | 58% above the national average | $17,201 | $90,760 |
| Kaiser Foundation Hospital - San Diego | 15 | $18,999 | 58% above the national average | $8,961 | $51,854 |
| Arrowhead Regional Medical Center | 28 | $19,347 | 61% above the national average | $17,374 | $84,224 |
| Cedars-Sinai Medical Center | 235 | $19,803 | 65% above the national average | $15,078 | $223,597 |
| Kaiser Foundation Hospital South Sacramento | 11 | $20,528 | 71% above the national average | $17,192 | $114,538 |
| Kaiser Foundation Hospital - Orange County - Anaheim | 15 | $20,657 | 72% above the national average | $9,966 | $66,794 |
| Keck Hospital Of USC | 15 | $20,684 | 72% above the national average | $14,143 | $90,614 |
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.