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 251–300. Download as CSV
| Hospital | Cases | Average payment | vs national average | Medicare paid | Billed charge |
|---|---|---|---|---|---|
| Saint Francis Hospital South, LLC | 22 | $9,283 | 23% below the national average | $7,177 | $23,458 |
| Roper Hospital | 69 | $9,292 | 23% below the national average | $6,867 | $38,890 |
| Integris Health Edmond Hospital | 27 | $9,293 | 23% below the national average | $8,145 | $55,019 |
| Blount Memorial Hospital | 103 | $9,294 | 23% below the national average | $7,716 | $30,655 |
| Minden Medical Center | 21 | $9,297 | 23% below the national average | $8,134 | $39,829 |
| Aurora BayCare Medical Center | 12 | $9,297 | 23% below the national average | $8,100 | $34,919 |
| Franklin Woods Community Hospital | 37 | $9,314 | 23% below the national average | $7,484 | $40,510 |
| Rex Hospital | 91 | $9,314 | 23% below the national average | $8,086 | $28,781 |
| Union Hospital | 43 | $9,315 | 23% below the national average | $8,139 | $47,584 |
| Liberty Hospital | 49 | $9,315 | 23% below the national average | $7,562 | $37,277 |
| Sentara Virginia Beach General Hospital | 97 | $9,316 | 22% below the national average | $7,798 | $40,320 |
| St Luke's Hospital - Grand View Campus | 70 | $9,317 | 22% below the national average | $8,176 | $46,040 |
| CHI-St Vincent Infirmary | 58 | $9,323 | 22% below the national average | $7,986 | $32,853 |
| St Marys Hospital Medical Center | 15 | $9,324 | 22% below the national average | $8,238 | $47,068 |
| Ascension Via Christi Hospital Manhattan, Inc | 28 | $9,324 | 22% below the national average | $7,926 | $19,986 |
| UPMC East | 37 | $9,326 | 22% below the national average | $7,864 | $62,734 |
| Houston Methodist The Woodlands Hospital | 72 | $9,330 | 22% below the national average | $8,119 | $72,830 |
| Conway Regional Medical Center, Inc | 80 | $9,340 | 22% below the national average | $7,599 | $47,854 |
| Good Samaritan Medical Center | 54 | $9,340 | 22% below the national average | $8,524 | $140,343 |
| Genesis Medical Center-Davenport | 107 | $9,344 | 22% below the national average | $7,925 | $23,402 |
| Singing River Gulfport | 30 | $9,347 | 22% below the national average | $7,807 | $81,657 |
| Duke Health Lake Norman Hospital | 32 | $9,347 | 22% below the national average | $7,849 | $57,740 |
| St Mary's Regional Medical Center | 75 | $9,350 | 22% below the national average | $7,848 | $76,051 |
| Lovelace Regional Hospital - Roswell | 11 | $9,354 | 22% below the national average | $8,019 | $87,168 |
| Mercy Hospital South | 106 | $9,355 | 22% below the national average | $8,156 | $31,343 |
| Methodist Jennie Edmundson | 46 | $9,360 | 22% below the national average | $8,282 | $32,304 |
| SSM St Clare Health Center | 44 | $9,361 | 22% below the national average | $7,696 | $32,878 |
| Woodland Heights Medical Center | 18 | $9,363 | 22% below the national average | $8,094 | $75,081 |
| CHI St. Vincent Hospital Hot Springs | 145 | $9,364 | 22% below the national average | $7,937 | $32,630 |
| Northwest Health - Porter | 101 | $9,364 | 22% below the national average | $7,637 | $81,660 |
| St Luke's Hospital - Carbon Campus | 19 | $9,368 | 22% below the national average | $7,550 | $66,904 |
| McCullough-Hyde Memorial Hospital | 18 | $9,373 | 22% below the national average | $8,285 | $26,528 |
| Delta County Memorial Hospital | 19 | $9,378 | 22% below the national average | $7,919 | $38,458 |
| Mercy Medical Center | 62 | $9,378 | 22% below the national average | $7,259 | $46,275 |
| HonorHealth Sonoran Crossing Medical Center | 21 | $9,381 | 22% below the national average | $8,294 | $48,681 |
| Chesapeake General Hospital | 101 | $9,385 | 22% below the national average | $7,989 | $28,336 |
| Northwest Health-La Porte | 60 | $9,388 | 22% below the national average | $8,219 | $54,886 |
| Deaconess Henderson Hospital | 32 | $9,388 | 22% below the national average | $8,319 | $31,130 |
| Hillcrest Hospital South | 79 | $9,390 | 22% below the national average | $7,626 | $62,736 |
| Lehigh Valley Hospital - Hazleton | 39 | $9,391 | 22% below the national average | $7,871 | $54,807 |
| Texas Health Presbyterian Hospital Rockwall | 40 | $9,391 | 22% below the national average | $6,817 | $48,369 |
| Carle Health Pekin Hospital | 18 | $9,392 | 22% below the national average | $7,946 | $35,715 |
| Banner Goldfield Medical Center | 17 | $9,394 | 22% below the national average | $8,052 | $28,198 |
| UPMC Passavant | 59 | $9,395 | 22% below the national average | $6,845 | $63,097 |
| Intermountain Health Layton Hospital | 14 | $9,397 | 22% below the national average | $7,765 | $21,932 |
| Dyersburg Regional Medical Center | 20 | $9,404 | 22% below the national average | $8,261 | $34,722 |
| Excela Health Latrobe Hospital | 22 | $9,404 | 22% below the national average | $7,372 | $27,572 |
| Independence Health System Butler Memorial Hospita | 36 | $9,408 | 22% below the national average | $8,218 | $33,963 |
| Cleveland Clinic Indian River Hospital | 111 | $9,410 | 22% below the national average | $8,158 | $40,681 |
| Piedmont Medical Center | 97 | $9,410 | 22% below the national average | $7,902 | $93,455 |
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.