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 301–350. Download as CSV
| Hospital | Cases | Average payment | vs national average | Medicare paid | Billed charge |
|---|---|---|---|---|---|
| Memorial Healthcare | 42 | $9,415 | 22% below the national average | $8,171 | $39,833 |
| Mymichigan Medical Center Saginaw | 27 | $9,421 | 22% below the national average | $8,125 | $39,098 |
| Riddle Memorial Hospital | 76 | $9,422 | 22% below the national average | $8,134 | $78,289 |
| Baptist Medical Center East | 64 | $9,422 | 22% below the national average | $8,173 | $30,083 |
| Sentara Princess Anne Hospital | 68 | $9,424 | 22% below the national average | $7,627 | $35,206 |
| Penn Highlands Mon Valley | 17 | $9,426 | 22% below the national average | $7,480 | $34,513 |
| Lovelace Women's Hospital | 23 | $9,427 | 22% below the national average | $7,576 | $71,150 |
| St Elizabeth Dearborn Hospital | 32 | $9,428 | 22% below the national average | $6,918 | $24,047 |
| Longview Regional Medical Center | 92 | $9,428 | 22% below the national average | $8,017 | $65,719 |
| Ozarks Healthcare | 27 | $9,430 | 22% below the national average | $8,040 | $32,346 |
| Methodist Hospital Stone Oak | 77 | $9,434 | 22% below the national average | $7,803 | $99,955 |
| AdventHealth New Smyrna Beach | 50 | $9,438 | 21% below the national average | $8,198 | $36,252 |
| Fort Sanders Regional Medical Center | 35 | $9,439 | 21% below the national average | $7,924 | $22,040 |
| Cumberland Medical Center | 46 | $9,440 | 21% below the national average | $8,375 | $21,171 |
| Bellin Memorial Hospital | 17 | $9,440 | 21% below the national average | $8,096 | $23,912 |
| NMC Health | 19 | $9,443 | 21% below the national average | $8,326 | $26,689 |
| Emory Johns Creek Hospital | 40 | $9,445 | 21% below the national average | $7,454 | $37,028 |
| Northeastern Health System | 16 | $9,446 | 21% below the national average | $7,953 | $22,107 |
| Baptist Health Richmond | 40 | $9,447 | 21% below the national average | $8,157 | $46,255 |
| Indiana University Health North Hospital | 37 | $9,451 | 21% below the national average | $8,304 | $46,029 |
| Methodist Healthcare - Olive Branch Hospital | 17 | $9,453 | 21% below the national average | $8,013 | $36,544 |
| Tristar Greenview Regional Hospital | 40 | $9,457 | 21% below the national average | $6,934 | $64,325 |
| Baptist Memorial Hospital North Ms | 61 | $9,457 | 21% below the national average | $7,760 | $37,411 |
| Holzer Medical Center | 39 | $9,466 | 21% below the national average | $7,875 | $34,564 |
| Huntsville Hospital | 108 | $9,467 | 21% below the national average | $8,053 | $44,075 |
| Whitesburg ARH Hospital | 25 | $9,477 | 21% below the national average | $7,938 | $50,027 |
| Wellspan Ephrata Community Hospital | 26 | $9,478 | 21% below the national average | $7,417 | $40,969 |
| Lovelace Medical Center | 56 | $9,479 | 21% below the national average | $7,840 | $84,506 |
| Mercy Health - Fairfield Hospital | 24 | $9,479 | 21% below the national average | $7,462 | $40,986 |
| Hazard ARH Regional Medical Center | 38 | $9,482 | 21% below the national average | $8,164 | $68,885 |
| Christus St Frances Cabrini Hospital | 147 | $9,485 | 21% below the national average | $8,257 | $45,708 |
| Singing River Health System | 47 | $9,487 | 21% below the national average | $7,083 | $59,093 |
| Orlando Health South Lake Hospital | 44 | $9,488 | 21% below the national average | $8,135 | $72,491 |
| Oaklawn Hospital | 27 | $9,494 | 21% below the national average | $8,092 | $33,438 |
| Columbus Regional Healthcare System | 15 | $9,494 | 21% below the national average | $8,519 | $37,402 |
| KershawHealth | 13 | $9,495 | 21% below the national average | $8,463 | $42,642 |
| Paoli Hospital | 120 | $9,499 | 21% below the national average | $8,102 | $83,248 |
| Berkeley Medical Center | 34 | $9,500 | 21% below the national average | $7,994 | $21,068 |
| Kosciusko Community Hospital | 17 | $9,505 | 21% below the national average | $8,355 | $68,267 |
| Northern Regional Hospital | 78 | $9,507 | 21% below the national average | $7,915 | $16,120 |
| Saint Francis Hospital, Inc | 27 | $9,508 | 21% below the national average | $7,619 | $40,532 |
| UPMC Horizon | 38 | $9,509 | 21% below the national average | $7,968 | $39,918 |
| Sierra Medical Center | 41 | $9,510 | 21% below the national average | $7,911 | $142,858 |
| Beaumont Hospital, Troy | 196 | $9,511 | 21% below the national average | $7,499 | $40,130 |
| Wilson N Jones Regional Medical Center | 13 | $9,513 | 21% below the national average | $8,132 | $53,578 |
| Haywood Regional Medical Center | 60 | $9,513 | 21% below the national average | $7,973 | $51,065 |
| Avita Ontario | 11 | $9,514 | 21% below the national average | $8,179 | $42,265 |
| Saint Joseph Hospital | 68 | $9,516 | 21% below the national average | $7,645 | $38,000 |
| MercyOne Newton Medical Center | 11 | $9,523 | 21% below the national average | $8,336 | $24,781 |
| Northwest Medical Center-Springdale | 34 | $9,524 | 21% below the national average | $8,230 | $81,048 |
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.