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 Texas
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 179 hospitals
- $11,464
- Median hospital
- $11,099
- Lowest to highest
- $7,926–$55,573
- Medicare stays
- 9,947
179 hospitals reported at least 11 Medicare stays for this in 2024; showing 151–179. Download as CSV
| Hospital | Cases | Average payment | vs national average | Medicare paid | Billed charge |
|---|---|---|---|---|---|
| Medical City Arlington | 63 | $12,921 | About average | $10,376 | $113,916 |
| Baylor St Lukes Medical Center | 28 | $13,146 | About average | $9,703 | $78,221 |
| UT Of Texas Southwestern University Hospital - William P. Clements Jr. | 88 | $13,155 | About average | $9,199 | $42,200 |
| Matagorda Regional Medical Center | 20 | $13,240 | 10% above the national average | $11,873 | $22,733 |
| Christus Spohn Hospital Corpus Christi | 86 | $13,454 | 12% above the national average | $11,834 | $69,060 |
| Christus Spohn Hospital Alice | 19 | $13,459 | 12% above the national average | $12,085 | $59,174 |
| UT Health East Texas Jacksonville Hospital | 15 | $13,541 | 13% above the national average | $12,344 | $90,426 |
| Doctors Hosptal At Renaissance | 12 | $13,577 | 13% above the national average | $11,548 | $54,518 |
| Freestone Medical Center | 11 | $13,625 | 13% above the national average | $11,177 | $36,071 |
| Houston Methodist Hospital | 123 | $13,750 | 14% above the national average | $9,851 | $104,234 |
| Baylor Scott & White Medical Center - Temple | 40 | $14,214 | 18% above the national average | $11,179 | $63,992 |
| HCA Houston Healthcare West | 33 | $14,373 | 20% above the national average | $12,635 | $124,020 |
| Hill Country Memorial Hospital | 22 | $14,760 | 23% above the national average | $13,222 | $82,683 |
| Val Verde Regional Medical Center | 18 | $14,768 | 23% above the national average | $12,825 | $35,775 |
| HCA Houston Healthcare Northwest | 13 | $15,054 | 25% above the national average | $13,919 | $127,505 |
| CHI St Lukes Health Memorial Livingston | 16 | $15,108 | 26% above the national average | $13,782 | $55,629 |
| Christus Spohn Hospital Beeville | 13 | $15,258 | 27% above the national average | $14,380 | $52,824 |
| Christus Jasper Memorial Hospital | 16 | $15,350 | 28% above the national average | $14,228 | $31,210 |
| HCA Houston Healthcare Southeast | 43 | $15,481 | 29% above the national average | $13,302 | $136,156 |
| University Medical Center | 71 | $15,709 | 31% above the national average | $13,968 | $61,989 |
| Covenant Hospital Plainview | 14 | $15,789 | 31% above the national average | $14,507 | $40,722 |
| University Of Texas Medical Branch Galveston | 119 | $16,071 | 34% above the national average | $12,514 | $41,155 |
| Methodist Dallas Medical Center | 36 | $16,266 | 35% above the national average | $13,043 | $81,323 |
| Memorial Hermann - Texas Medical Center | 51 | $17,106 | 42% above the national average | $13,235 | $56,245 |
| Baylor University Medical Center | 34 | $17,633 | 47% above the national average | $9,222 | $49,087 |
| University Medical Center Of El Paso | 25 | $27,089 | 125% above the national average | $24,640 | $47,357 |
| University Health System | 27 | $29,559 | 146% above the national average | $21,274 | $76,436 |
| JPS Health Network | 33 | $38,767 | 223% above the national average | $36,617 | $61,570 |
| Parkland Health & Hospital System | 25 | $55,573 | 362% above the national average | $52,334 | $69,787 |
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.