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: $9,86882% of the payment
Average billed charge: $60,101
Hospitals reporting: 2,442136,649 stays

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.

Location

Specific hospitals up to 10

Sort by

Order

Year of care

2,442 hospitals reported at least 11 Medicare stays for this in 2024; showing 2,301–2,350. Download as CSV

Medicare payments per case for Simple pneumonia and pleurisy with MCC by hospital, 2024
Hospital	Cases	Average payment	vs national average	Medicare paid	Billed charge
Scripps Green HospitalLa Jolla, CA · CCN 050424	25	$17,288	44% above the national average	$13,138	$48,861
Riverside University Health System-Medical CenterMoreno Valley, CA · CCN 050292	33	$17,294	44% above the national average	$15,891	$95,169
Mayo Clinic HospitalPhoenix, AZ · CCN 030103	123	$17,318	44% above the national average	$10,074	$43,985
Mayo Clinic Hospital RochesterRochester, MN · CCN 240010	139	$17,318	44% above the national average	$12,321	$40,355
Yale-New Haven HospitalNew Haven, CT · CCN 070022	231	$17,336	44% above the national average	$13,543	$52,528
Vanderbilt University Medical CenterNashville, TN · CCN 440039	69	$17,340	44% above the national average	$10,645	$61,272
Flagstaff Medical CenterFlagstaff, AZ · CCN 030023	79	$17,394	45% above the national average	$15,876	$52,005
Martin Luther King, Jr. Community HospitalLos Angeles, CA · CCN 050779	16	$17,508	46% above the national average	$16,478	$202,123
Duke University HospitalDurham, NC · CCN 340030	90	$17,521	46% above the national average	$11,388	$42,747
Mount Sinai Beth IsraelNew York, NY · CCN 330169	81	$17,544	46% above the national average	$13,160	$123,873
Richmond University Medical CenterStaten Island, NY · CCN 330028	76	$17,554	46% above the national average	$14,226	$85,662
Brigham And Women's HospitalBoston, MA · CCN 220110	90	$17,624	47% above the national average	$13,117	$77,969
Baylor University Medical CenterDallas, TX · CCN 450021	34	$17,633	47% above the national average	$9,222	$49,087
Rush University Medical CenterChicago, IL · CCN 140119	55	$17,648	47% above the national average	$13,618	$33,587
Saint Michael's Medical CenterNewark, NJ · CCN 310096	17	$17,660	47% above the national average	$14,860	$74,747
MedStar Good Samaritan HospitalBaltimore, MD · CCN 210056	26	$17,753	48% above the national average	$15,877	$21,450
George Washington University HospitalWashington, DC · CCN 090001	29	$17,756	48% above the national average	$13,851	$148,700
Swedish Medical CenterSeattle, WA · CCN 500027	18	$17,761	48% above the national average	$12,168	$76,974
Carolinas Medical Center/Behavioral HealthCharlotte, NC · CCN 340113	106	$17,765	48% above the national average	$10,682	$57,839
Mt Sinai Hospital Medical CenterChicago, IL · CCN 140018	13	$17,843	48% above the national average	$15,663	$45,859
Greater Baltimore Medical CenterBaltimore, MD · CCN 210044	98	$17,869	49% above the national average	$16,440	$20,275
Massachusetts General HospitalBoston, MA · CCN 220071	149	$17,882	49% above the national average	$13,295	$70,792
Eskenazi HealthIndianapolis, IN · CCN 150024	18	$17,916	49% above the national average	$16,108	$46,383
University Of Michigan Health SystemAnn Arbor, MI · CCN 230046	59	$17,929	49% above the national average	$11,304	$55,514
San Mateo Medical CenterSan Mateo, CA · CCN 050113	11	$17,958	49% above the national average	$16,512	$41,399
Flushing Hospital Medical CenterFlushing, NY · CCN 330193	20	$17,980	50% above the national average	$14,766	$25,735
Riverside Community HospitalRiverside, CA · CCN 050022	65	$18,062	50% above the national average	$13,895	$190,283
SUNY/Stony Brook University HospitalStony Brook, NY · CCN 330393	351	$18,074	50% above the national average	$13,806	$100,053
Adventist Healthcare Shady Grove Medical CenterRockville, MD · CCN 210057	63	$18,186	51% above the national average	$16,778	$22,297
North Hawaii Community Hospital, IncKamuela, HI · CCN 120028	20	$18,305	52% above the national average	$11,796	$48,691
UCSF Health St. Mary's HospitalSan Francisco, CA · CCN 050457	21	$18,320	52% above the national average	$15,940	$85,823
Northwest Hospital CenterRandallstown, MD · CCN 210040	52	$18,362	53% above the national average	$17,390	$20,799
Wyckoff Heights Medical CenterBrooklyn, NY · CCN 330221	29	$18,375	53% above the national average	$14,408	$53,892
Tufts Medical CenterBoston, MA · CCN 220116	44	$18,425	53% above the national average	$13,599	$36,089
Jersey City Medical CenterJersey City, NJ · CCN 310074	31	$18,460	54% above the national average	$15,871	$120,261
Saint Agnes HospitalBaltimore, MD · CCN 210011	29	$18,548	54% above the national average	$17,366	$21,426
Hennepin County Medical CenterMinneapolis, MN · CCN 240004	17	$18,695	56% above the national average	$14,564	$62,498
UCSF Health Saint Francis HospitalSan Francisco, CA · CCN 050152	15	$18,767	56% above the national average	$17,222	$127,875
MedStar Union Memorial HospitalBaltimore, MD · CCN 210024	24	$18,784	56% above the national average	$16,869	$21,113
Strong Memorial HospitalRochester, NY · CCN 330285	53	$18,789	56% above the national average	$13,433	$35,180
Hackensack University Medical CenterHackensack, NJ · CCN 310001	182	$18,820	57% above the national average	$15,018	$119,987
Alaska Native Medical CenterAnchorage, AK · CCN 020026	19	$18,857	57% above the national average	$17,655	$71,658
Palisades Medical CenterNorth Bergen, NJ · CCN 310003	44	$18,872	57% above the national average	$14,911	$87,401
Mount Sinai WestNew York, NY · CCN 330046	83	$18,931	57% above the national average	$15,081	$107,587
Natividad Medical CenterSalinas, CA · CCN 050248	21	$18,942	58% above the national average	$17,201	$90,760
Kaiser Foundation Hospital - San DiegoSan Diego, CA · CCN 050515	15	$18,999	58% above the national average	$8,961	$51,854
MedStar Southern Maryland Hospital CenterClinton, MD · CCN 210062	33	$19,000	58% above the national average	$15,741	$20,445
Montefiore New Rochelle HospitalNew Rochelle, NY · CCN 330184	40	$19,047	58% above the national average	$15,090	$106,927
University Of Maryland Capital Region Medical CenterUpper Marlboro, MD · CCN 210003	21	$19,052	58% above the national average	$17,294	$19,565
Jamaica Hospital Medical CenterJamaica, NY · CCN 330014	23	$19,157	59% above the national average	$14,624	$28,840

National trend

Average payment and billed charge per stay, and how many Medicare stays were reported each year.

Average payment
Average billed charge

2020: 114,641 stays at 2,375 hospitals · 2021: 84,232 stays at 2,205 hospitals · 2022: 120,805 stays at 2,448 hospitals · 2023: 125,793 stays at 2,412 hospitals · 2024: 136,649 stays at 2,442 hospitals

View data as a table

National average payment and billed charge for Simple pneumonia and pleurisy with MCC
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

Average payment by state for Simple pneumonia and pleurisy with MCC, 2024
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.