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 201–250. Download as CSV
| Hospital | Cases | Average payment | vs national average | Medicare paid | Billed charge |
|---|---|---|---|---|---|
| Integris Canadian Valley Hospital | 28 | $9,153 | 24% below the national average | $7,929 | $56,702 |
| Lehigh Valley Hospital - Dickson City | 19 | $9,160 | 24% below the national average | $6,731 | $55,400 |
| Baptist Health Hardin | 125 | $9,165 | 24% below the national average | $7,609 | $50,427 |
| Grand Island Regional Medical Center | 19 | $9,168 | 24% below the national average | $7,398 | $33,806 |
| Trinity - Bettendorf | 37 | $9,168 | 24% below the national average | $7,437 | $27,701 |
| Saint Joseph's Hospital Of Atlanta, Inc | 56 | $9,170 | 24% below the national average | $7,841 | $39,503 |
| St Vincent's Birmingham | 62 | $9,172 | 24% below the national average | $7,645 | $39,929 |
| Carle Health Proctor Hospital | 19 | $9,174 | 24% below the national average | $7,715 | $62,399 |
| Jennie Stuart Medical Center | 25 | $9,175 | 24% below the national average | $8,065 | $35,891 |
| Vanderbilt Tullahoma-Harton Hospital | 31 | $9,178 | 24% below the national average | $8,072 | $69,762 |
| Mease Countryside Hospital | 90 | $9,179 | 24% below the national average | $7,856 | $48,714 |
| Nacogdoches Medical Center | 41 | $9,190 | 24% below the national average | $7,758 | $118,785 |
| MUSC Health Florence Medical Center | 64 | $9,192 | 24% below the national average | $7,725 | $75,038 |
| Paintsville ARH Hospital | 24 | $9,206 | 23% below the national average | $8,118 | $60,374 |
| Fauquier Hospital | 35 | $9,207 | 23% below the national average | $7,998 | $49,872 |
| Cookeville Regional Medical Center | 163 | $9,208 | 23% below the national average | $7,721 | $22,675 |
| Orlando Health Melbourne Hospital | 27 | $9,209 | 23% below the national average | $7,752 | $51,388 |
| Harrison Memorial Hospital | 22 | $9,209 | 23% below the national average | $7,736 | $19,664 |
| Eastern New Mexico Medical Center | 58 | $9,209 | 23% below the national average | $8,217 | $75,242 |
| USA Health HCA Providence Hospital, LLC | 85 | $9,211 | 23% below the national average | $7,825 | $39,398 |
| Carrollton Regional Medical Center | 23 | $9,214 | 23% below the national average | $7,421 | $42,697 |
| Mercy Hospital Oklahoma City, Inc | 198 | $9,222 | 23% below the national average | $7,925 | $37,158 |
| Barnes-Jewish St Peters Hospital | 38 | $9,228 | 23% below the national average | $6,861 | $41,566 |
| Aurora Medical Center - Summit | 17 | $9,228 | 23% below the national average | $7,092 | $29,160 |
| Ascension St Vincent's St Johns County | 25 | $9,230 | 23% below the national average | $7,036 | $50,224 |
| Jefferson Hospital | 68 | $9,230 | 23% below the national average | $6,935 | $52,144 |
| Mercy Health-Anderson Hospital | 37 | $9,233 | 23% below the national average | $7,363 | $38,985 |
| St Francis-Downtown | 91 | $9,234 | 23% below the national average | $7,561 | $52,474 |
| Princeton Community Hospital Assn Inc | 97 | $9,236 | 23% below the national average | $7,901 | $23,923 |
| SSM Health St. Mary's Hospital - Jefferson City | 46 | $9,239 | 23% below the national average | $7,860 | $33,931 |
| MercyOne Dubuque Medical Center | 104 | $9,242 | 23% below the national average | $7,830 | $29,569 |
| Brookings Health System | 14 | $9,242 | 23% below the national average | $7,960 | $29,579 |
| Piedmont Augusta Hospital | 86 | $9,243 | 23% below the national average | $7,528 | $41,606 |
| Kearney Regional Medical Center | 38 | $9,244 | 23% below the national average | $6,879 | $37,937 |
| Kettering Health Troy | 23 | $9,249 | 23% below the national average | $7,376 | $41,706 |
| UF Health Leesburg Hospital | 69 | $9,252 | 23% below the national average | $7,855 | $50,933 |
| SSM St Joseph Hospital West | 57 | $9,253 | 23% below the national average | $7,510 | $39,267 |
| Baylor Scott & White Medical Center Grapevine | 57 | $9,254 | 23% below the national average | $7,117 | $41,891 |
| University Hospitals Ahuja Medical Center | 89 | $9,256 | 23% below the national average | $7,847 | $39,455 |
| Sharon Regional Medical Center | 21 | $9,260 | 23% below the national average | $7,836 | $37,218 |
| HCA Florida Highlands Hospital | 49 | $9,262 | 23% below the national average | $8,080 | $95,860 |
| Heartland Regional Medical Center | 22 | $9,263 | 23% below the national average | $8,227 | $65,485 |
| UPMC Northwest | 44 | $9,265 | 23% below the national average | $8,172 | $41,918 |
| Mercy Health - Lourdes Hospital | 51 | $9,267 | 23% below the national average | $7,944 | $42,576 |
| SSM Health St Mary's Hospital - Janesville | 18 | $9,269 | 23% below the national average | $7,999 | $42,374 |
| Marshfield Medical Center - Eau Claire | 32 | $9,269 | 23% below the national average | $7,994 | $34,525 |
| HCA Florida Twin Cities Hospital | 32 | $9,271 | 23% below the national average | $6,880 | $136,208 |
| Avera St Lukes | 23 | $9,277 | 23% below the national average | $7,731 | $38,696 |
| St Lukes Hospital | 74 | $9,277 | 23% below the national average | $7,535 | $23,558 |
| Affiliate Of Vitruvian Health | 77 | $9,279 | 23% below the national average | $7,349 | $81,849 |
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.