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 351–400. Download as CSV
| Hospital | Cases | Average payment | vs national average | Medicare paid | Billed charge |
|---|---|---|---|---|---|
| Mountain View Hospital | 16 | $9,524 | 21% below the national average | $8,300 | $46,139 |
| Wellspan Evangelical Community Hospital | 26 | $9,528 | 21% below the national average | $7,537 | $60,165 |
| Indiana Regional Medical Center | 21 | $9,529 | 21% below the national average | $8,420 | $23,999 |
| AdventHealth Port Charlotte | 110 | $9,531 | 21% below the national average | $8,047 | $94,105 |
| Fort Loudoun Medical Center | 19 | $9,533 | 21% below the national average | $8,159 | $19,248 |
| MercyOne Des Moines Medical Center | 114 | $9,536 | 21% below the national average | $7,702 | $50,306 |
| Union General Hospital | 22 | $9,538 | 21% below the national average | $8,425 | $27,518 |
| Novant Health Matthews Medical Center | 37 | $9,538 | 21% below the national average | $8,172 | $36,557 |
| St Lukes Regional Medical Center | 50 | $9,541 | 21% below the national average | $8,243 | $27,637 |
| UNC Health Nash | 48 | $9,541 | 21% below the national average | $7,750 | $36,851 |
| HMHP St Elizabeth Boardman Health Center | 78 | $9,543 | 21% below the national average | $6,951 | $42,274 |
| Aurora Memorial Hospital Burlington | 22 | $9,546 | 21% below the national average | $8,062 | $31,284 |
| Sarah Bush Lincoln Health Center | 45 | $9,548 | 21% below the national average | $8,171 | $41,590 |
| Walker Baptist Medical Center | 36 | $9,549 | 21% below the national average | $7,075 | $76,369 |
| UPMC Jameson | 45 | $9,551 | 21% below the national average | $7,503 | $24,207 |
| Ochsner American Legion Hospital | 17 | $9,553 | 21% below the national average | $8,405 | $26,399 |
| Marshall Medical Centers | 45 | $9,564 | 20% below the national average | $7,640 | $21,995 |
| Northside Hospital Duluth | 21 | $9,566 | 20% below the national average | $8,711 | $60,788 |
| Pottstown Hospital | 42 | $9,567 | 20% below the national average | $7,748 | $79,928 |
| UCHealth Greeley Hospital | 41 | $9,568 | 20% below the national average | $8,375 | $38,464 |
| Integris Health Enid Hospital | 30 | $9,575 | 20% below the national average | $7,887 | $85,400 |
| Penn Highlands Dubois | 35 | $9,576 | 20% below the national average | $8,144 | $21,898 |
| Nkc Health | 156 | $9,577 | 20% below the national average | $8,246 | $50,893 |
| Baptist Health Paducah | 89 | $9,578 | 20% below the national average | $8,104 | $45,155 |
| Mercy Hospital Joplin | 101 | $9,579 | 20% below the national average | $8,267 | $39,797 |
| Memorial Hospital At Gulfport | 100 | $9,580 | 20% below the national average | $8,171 | $107,638 |
| Poplar Bluff Regional Medical Center | 61 | $9,580 | 20% below the national average | $8,439 | $97,878 |
| Maury Regional Hospital | 51 | $9,581 | 20% below the national average | $8,133 | $56,097 |
| Andalusia Health | 20 | $9,584 | 20% below the national average | $8,115 | $46,481 |
| St Joseph Medical Center | 43 | $9,589 | 20% below the national average | $8,290 | $46,683 |
| Regional Hospital Of Scranton | 107 | $9,593 | 20% below the national average | $7,515 | $66,803 |
| Centra Health - Lynchburg Gen Hospital | 56 | $9,597 | 20% below the national average | $8,065 | $37,812 |
| Marymount Hospital | 77 | $9,602 | 20% below the national average | $7,212 | $43,047 |
| Licking Memorial Hospital | 35 | $9,605 | 20% below the national average | $8,339 | $28,868 |
| Trinity Regional Medical Center | 27 | $9,606 | 20% below the national average | $8,318 | $23,672 |
| Paris Regional Medical Center | 123 | $9,606 | 20% below the national average | $8,335 | $38,524 |
| North Okaloosa Medical Center | 59 | $9,610 | 20% below the national average | $8,345 | $88,894 |
| Cape Coral Hospital | 128 | $9,613 | 20% below the national average | $8,080 | $48,430 |
| Fort Hamilton Hughes Memorial Hospital | 28 | $9,616 | 20% below the national average | $7,593 | $43,220 |
| Norton Hospitals, Inc | 284 | $9,620 | 20% below the national average | $7,932 | $50,104 |
| Ascension St John Jane Phillips | 83 | $9,622 | 20% below the national average | $8,403 | $19,118 |
| North Alabama Medical Center | 95 | $9,629 | 20% below the national average | $7,821 | $47,654 |
| Deaconess Hospital Inc | 167 | $9,631 | 20% below the national average | $7,855 | $33,924 |
| John Randolph Medical Center | 58 | $9,638 | 20% below the national average | $8,372 | $82,858 |
| CHI Health St. Elizabeth | 11 | $9,639 | 20% below the national average | $8,774 | $39,964 |
| AdventHealth Waterman | 103 | $9,643 | 20% below the national average | $7,918 | $49,922 |
| Medical Center Of The Rockies | 54 | $9,643 | 20% below the national average | $8,284 | $44,762 |
| Jackson Purchase Medical Center | 28 | $9,645 | 20% below the national average | $7,944 | $62,653 |
| Bethesda North | 121 | $9,656 | 20% below the national average | $7,807 | $26,304 |
| Georgetown Community Hospital | 12 | $9,656 | 20% below the national average | $6,967 | $60,047 |
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.