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 2,151–2,200. Download as CSV
| Hospital | Cases | Average payment | vs national average | Medicare paid | Billed charge |
|---|---|---|---|---|---|
| Holy Cross Germantown Hospital | 48 | $15,076 | 25% above the national average | $11,104 | $16,432 |
| St Bernardine Medical Center | 93 | $15,094 | 26% above the national average | $13,651 | $107,649 |
| Monmouth Medical Center | 43 | $15,095 | 26% above the national average | $11,894 | $89,863 |
| St Josephs Hospital And Medical Center | 47 | $15,105 | 26% above the national average | $11,438 | $53,088 |
| CHI St Lukes Health Memorial Livingston | 16 | $15,108 | 26% above the national average | $13,782 | $55,629 |
| Northeastern Nevada Regional Hospital | 21 | $15,112 | 26% above the national average | $12,021 | $48,181 |
| Saint Agnes Medical Center | 199 | $15,122 | 26% above the national average | $13,173 | $60,787 |
| Southwest Healthcare Rancho Springs Hospital | 70 | $15,137 | 26% above the national average | $12,567 | $97,100 |
| Sutter Delta Medical Center | 46 | $15,147 | 26% above the national average | $14,041 | $95,248 |
| East Los Angeles Doctors Hospital | 12 | $15,150 | 26% above the national average | $13,722 | $59,813 |
| Northwestern Medical Center Inc | 37 | $15,154 | 26% above the national average | $13,964 | $21,862 |
| Community Hospital Of The Monterey Peninsula | 108 | $15,160 | 26% above the national average | $13,087 | $95,407 |
| Highland Hospital | 59 | $15,164 | 26% above the national average | $10,707 | $29,725 |
| Louis A Weiss Memorial Hospital | 15 | $15,202 | 26% above the national average | $11,645 | $43,308 |
| The Nebraska Medical Center | 44 | $15,205 | 26% above the national average | $9,742 | $48,667 |
| Verde Valley Medical Center | 51 | $15,208 | 27% above the national average | $13,624 | $72,548 |
| Mosaic Medical Center - Maryville | 20 | $15,212 | 27% above the national average | $13,989 | $28,880 |
| Salinas Valley Health Medical Center | 92 | $15,212 | 27% above the national average | $13,693 | $114,336 |
| Sampson Regional Medical Center | 30 | $15,214 | 27% above the national average | $10,931 | $21,798 |
| Sky Lakes Medical Center | 76 | $15,220 | 27% above the national average | $13,140 | $33,970 |
| 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 |
| Christus Spohn Hospital Beeville | 13 | $15,258 | 27% above the national average | $14,380 | $52,824 |
| University Of Alabama Hospital | 76 | $15,259 | 27% above the national average | $9,384 | $54,927 |
| Hi-Desert Medical Center | 37 | $15,260 | 27% above the national average | $13,857 | $96,215 |
| O U Medical Center | 83 | $15,280 | 27% above the national average | $12,864 | $83,975 |
| Fort Defiance Indian Hospital | 14 | $15,280 | 27% above the national average | $13,998 | $17,939 |
| Norwalk Hospital | 45 | $15,336 | 28% above the national average | $10,786 | $49,457 |
| 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 |
| Christus Jasper Memorial Hospital | 16 | $15,350 | 28% above the national average | $14,228 | $31,210 |
| John Muir Medical Center - Concord Campus | 53 | $15,357 | 28% above the national average | $13,768 | $149,637 |
| Vassar Brothers Medical Center | 89 | $15,371 | 28% above the national average | $11,716 | $35,978 |
| UH Cleveland Medical Center | 38 | $15,371 | 28% above the national average | $11,334 | $64,083 |
| 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 |
| Banner - University Medical Center Phoenix | 57 | $15,393 | 28% above the national average | $11,184 | $55,727 |
| Gallup Indian Medical Center | 22 | $15,409 | 28% above the national average | $14,148 | $26,298 |
| Capital Health Regional Medical Center | 26 | $15,412 | 28% above the national average | $12,952 | $375,925 |
| UH St John Medical Center | 65 | $15,458 | 29% above the national average | $13,070 | $34,729 |
| St Joseph Health System, LLC | 12 | $15,466 | 29% above the national average | $12,266 | $59,277 |
| Kaiser Foundation Hospital Fontana/Ontario | 21 | $15,472 | 29% above the national average | $10,793 | $54,535 |
| HCA Houston Healthcare Southeast | 43 | $15,481 | 29% above the national average | $13,302 | $136,156 |
| NorthBay Medical Center | 96 | $15,481 | 29% above the national average | $14,256 | $167,010 |
| Luminis Health Anne Arundel Medical Center, Inc | 183 | $15,484 | 29% above the national average | $14,270 | $16,709 |
| Bassett Healthcare | 54 | $15,491 | 29% above the national average | $13,335 | $28,338 |
| Mayo Clinic | 94 | $15,494 | 29% above the national average | $9,428 | $51,338 |
| Calverthealth Medical Center | 67 | $15,510 | 29% above the national average | $13,429 | $17,117 |
| Saint Peter's University Hospital | 48 | $15,521 | 29% above the national average | $12,505 | $186,859 |
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.