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 2,051–2,100. Download as CSV
| Hospital | Cases | Average payment | vs national average | Medicare paid | Billed charge |
|---|---|---|---|---|---|
| Mountainview Hospital | 162 | $14,341 | 19% above the national average | $11,555 | $138,739 |
| Maine General Medical Center | 46 | $14,355 | 19% above the national average | $12,534 | $49,233 |
| St Luke's Hospital - Anderson Campus | 41 | $14,364 | 20% above the national average | $10,457 | $81,134 |
| HCA Houston Healthcare West | 33 | $14,373 | 20% above the national average | $12,635 | $124,020 |
| Glendale Adventist Medical Center | 321 | $14,373 | 20% above the national average | $12,846 | $114,907 |
| Berkshire Medical Center | 123 | $14,374 | 20% above the national average | $12,455 | $24,775 |
| Providence Queen Of The Valley Medical Center | 54 | $14,375 | 20% above the national average | $12,710 | $96,353 |
| Saint Francis Medical Center | 19 | $14,391 | 20% above the national average | $13,362 | $65,575 |
| Baystate Medical Center | 136 | $14,396 | 20% above the national average | $12,017 | $21,779 |
| Northside Hospital | 58 | $14,401 | 20% above the national average | $12,909 | $67,172 |
| Ascension Sacred Heart Gulf | 13 | $14,407 | 20% above the national average | $13,280 | $27,506 |
| Oklahoma State University Medical Center | 18 | $14,422 | 20% above the national average | $12,154 | $56,393 |
| Kaiser Foundation Hospital | 16 | $14,429 | 20% above the national average | $11,989 | $37,409 |
| Carroll Hospital Center | 82 | $14,436 | 20% above the national average | $12,539 | $16,184 |
| Southeastern Regional Medical Center | 58 | $14,438 | 20% above the national average | $10,415 | $32,771 |
| UF Health Shands Hospital | 138 | $14,438 | 20% above the national average | $11,517 | $55,276 |
| Emanate Health Inter-Community Hospital | 130 | $14,451 | 20% above the national average | $12,683 | $68,186 |
| San Gorgonio Memorial Hospital | 29 | $14,455 | 20% above the national average | $12,864 | $69,897 |
| Inspira Medical Center Vineland | 95 | $14,455 | 20% above the national average | $11,846 | $69,123 |
| Milton S Hershey Medical Center | 84 | $14,472 | 20% above the national average | $11,788 | $60,804 |
| Adventist Healthcare Fort Washington Medical Center | 12 | $14,485 | 21% above the national average | $11,963 | $16,306 |
| Antelope Valley Hospital | 28 | $14,487 | 21% above the national average | $11,873 | $65,356 |
| University Of Toledo Medical Center | 43 | $14,489 | 21% above the national average | $9,267 | $53,024 |
| Sisters Of Charity Hospital | 20 | $14,510 | 21% above the national average | $10,280 | $30,170 |
| Methodist Fremont Health | 22 | $14,511 | 21% above the national average | $10,464 | $44,213 |
| Mission Community Hospital | 21 | $14,522 | 21% above the national average | $13,144 | $75,516 |
| Providence St Joseph Hospital | 62 | $14,533 | 21% above the national average | $12,991 | $69,292 |
| Valley Presbyterian Hospital | 39 | $14,541 | 21% above the national average | $13,223 | $52,508 |
| Broward Health Medical Center | 59 | $14,563 | 21% above the national average | $13,154 | $66,848 |
| Boston Medical Center-Brighton | 19 | $14,564 | 21% above the national average | $12,572 | $15,194 |
| West Virginia University Hospitals, Inc | 90 | $14,565 | 21% above the national average | $8,493 | $50,354 |
| Sentara Norfolk General Hospital | 39 | $14,566 | 21% above the national average | $9,521 | $54,010 |
| MedStar Harbor Hospital | 26 | $14,577 | 21% above the national average | $12,818 | $16,050 |
| Detroit Receiving Hospital | 17 | $14,586 | 21% above the national average | $12,206 | $56,950 |
| Bay Area Hospital | 79 | $14,590 | 21% above the national average | $13,270 | $40,922 |
| Loma Linda University Medical Center-Murrieta | 38 | $14,592 | 21% above the national average | $12,937 | $81,971 |
| Presbyterian Espanola Hospital | 17 | $14,594 | 21% above the national average | $13,042 | $22,274 |
| Montefiore Mount Vernon Hospital | 11 | $14,597 | 21% above the national average | $12,917 | $55,461 |
| Essentia Health St Marys - Detroit Lakes | 18 | $14,599 | 21% above the national average | $13,421 | $21,023 |
| Insight Hospital And Medical Center Chicago | 11 | $14,603 | 21% above the national average | $13,166 | $56,159 |
| Winona Health Services | 12 | $14,612 | 22% above the national average | $11,689 | $25,089 |
| Community Memorial Hospital - Ventura | 63 | $14,612 | 22% above the national average | $12,583 | $46,215 |
| Providence Regional Medical Center Everett | 57 | $14,620 | 22% above the national average | $10,767 | $67,263 |
| Mercy Medical Center | 61 | $14,633 | 22% above the national average | $13,193 | $92,482 |
| Scripps Mercy Hospital | 35 | $14,636 | 22% above the national average | $13,235 | $72,648 |
| Staten Island University Hospital | 95 | $14,638 | 22% above the national average | $12,416 | $66,412 |
| PIH Health Good Samaritan Hospital | 47 | $14,641 | 22% above the national average | $13,117 | $74,857 |
| Kaleida Health | 95 | $14,666 | 22% above the national average | $11,961 | $30,886 |
| Prisma Health Greenville Memorial Hospital | 56 | $14,670 | 22% above the national average | $10,505 | $55,806 |
| Wellstar Kennestone Regional Medical Center | 180 | $14,691 | 22% above the national average | $11,711 | $87,054 |
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.