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

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Year of care

2,442 hospitals reported at least 11 Medicare stays for this in 2024; showing 2,401–2,442. 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
St John's Episcopal Hospital At South ShoreFar Rockaway, NY · CCN 330395	14	$22,730	89% above the national average	$15,425	$78,306
Mount Sinai HospitalNew York, NY · CCN 330024	156	$22,745	89% above the national average	$15,528	$105,644
University Of Maryland Charles Regional Medical CenterLa Plata, MD · CCN 210035	45	$22,789	90% above the national average	$21,521	$21,330
Erie County Medical CenterBuffalo, NY · CCN 330219	14	$22,947	91% above the national average	$18,706	$70,411
UCSan Diego Health Hillcrest - Hillcrest Medical CenterSan Diego, CA · CCN 050025	64	$23,035	92% above the national average	$16,002	$91,147
University Of California Davis Medical CenterSacramento, CA · CCN 050599	86	$23,200	93% above the national average	$16,896	$120,265
SUNY/Downstate University Hospital Of BrooklynBrooklyn, NY · CCN 330350	11	$23,300	94% above the national average	$14,726	$77,101
The Johns Hopkins HospitalBaltimore, MD · CCN 210009	46	$23,433	95% above the national average	$22,017	$26,705
Ronald Reagan UCLA Medical CenterLos Angeles, CA · CCN 050262	39	$23,499	95% above the national average	$18,445	$69,396
Truman Medical Center Hospital HillKansas City, MO · CCN 260048	22	$23,932	99% above the national average	$21,537	$26,587
Brooklyn Hospital Center - Downtown CampusBrooklyn, NY · CCN 330056	36	$23,942	99% above the national average	$15,943	$152,299
Bronxcare Hospital CenterBronx, NY · CCN 330009	21	$24,536	104% above the national average	$21,481	$33,821
Santa Clara Valley Medical CenterSan Jose, CA · CCN 050038	93	$24,599	105% above the national average	$22,424	$134,256
Boston Medical CenterBoston, MA · CCN 220031	32	$25,272	110% above the national average	$20,683	$36,715
Kaiser Foundation Hospital MantecaManteca, CA · CCN 050748	11	$25,558	113% above the national average	$6,736	$86,369
Zuckerberg San Francisco General Hospital & Trauma CenterSan Francisco, CA · CCN 050228	36	$26,244	118% above the national average	$23,614	$91,139
The University HospitalNewark, NJ · CCN 310119	13	$26,702	122% above the national average	$22,141	$118,251
University Medical Center Of El PasoEl Paso, TX · CCN 450024	25	$27,089	125% above the national average	$24,640	$47,357
Lac/Harbor-UCLA Medical CenterTorrance, CA · CCN 050376	15	$27,680	130% above the national average	$24,672	$51,147
Stanford Health CareStanford, CA · CCN 050441	112	$27,695	130% above the national average	$20,920	$257,291
Adventist Health ReedleyReedley, CA · CCN 050192	12	$27,871	132% above the national average	$26,388	$48,507
Grady Memorial HospitalAtlanta, GA · CCN 110079	31	$27,924	132% above the national average	$22,267	$87,581
UCSF Medical CenterSan Francisco, CA · CCN 050454	55	$28,073	134% above the national average	$22,965	$151,740
Jacobi Medical CenterBronx, NY · CCN 330127	40	$29,024	141% above the national average	$21,267	$55,280
Los Angeles General Medical CenterLos Angeles, CA · CCN 050373	30	$29,319	144% above the national average	$25,062	$49,079
University Health SystemSan Antonio, TX · CCN 450213	27	$29,559	146% above the national average	$21,274	$76,436
Kaiser Foundation Hospital - Oakland/RichmondOakland, CA · CCN 050075	28	$30,031	150% above the national average	$22,269	$99,940
Harlem Hospital CenterNew York, NY · CCN 330240	12	$31,034	158% above the national average	$25,353	$76,022
Lincoln Medical & Mental Health CenterBronx, NY · CCN 330080	11	$31,098	159% above the national average	$26,438	$41,423
University Of Maryland Shore Medical Center At ChestertownChestertown, MD · CCN 210030	13	$31,751	164% above the national average	$30,746	$34,675
North Carolina Baptist HospitalWinston-Salem, NC · CCN 340047	57	$32,122	167% above the national average	$19,328	$91,652
Memorial Hospital Los BanosLos Banos, CA · CCN 050528	18	$32,775	173% above the national average	$31,687	$47,720
Loyola University Medical CenterMaywood, IL · CCN 140276	41	$34,165	184% above the national average	$11,393	$77,730
Lac/Olive View-UCLA Medical CenterSylmar, CA · CCN 050040	13	$34,368	186% above the national average	$27,835	$56,242
Elmhurst Hospital CenterElmhurst, NY · CCN 330128	27	$34,795	189% above the national average	$31,719	$51,112
Contra Costa Regional Medical CenterMartinez, CA · CCN 050276	12	$38,078	217% above the national average	$22,964	$66,028
JPS Health NetworkFort Worth, TX · CCN 450039	33	$38,767	223% above the national average	$36,617	$61,570
Queens Hospital CenterJamaica, NY · CCN 330231	25	$41,422	245% above the national average	$30,215	$41,787
Kings County Hospital CenterBrooklyn, NY · CCN 330202	19	$48,754	306% above the national average	$31,886	$49,837
Parkland Health & Hospital SystemDallas, TX · CCN 450015	25	$55,573	362% above the national average	$52,334	$69,787
John H Stroger Jr HospitalChicago, IL · CCN 140124	11	$58,655	388% above the national average	$54,099	$34,786
Kaiser Foundation Hospital - RosevilleRoseville, CA · CCN 050772	14	$60,274	401% above the national average	$9,556	$194,190

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.