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 401–450. Download as CSV
| Hospital | Cases | Average payment | vs national average | Medicare paid | Billed charge |
|---|---|---|---|---|---|
| OhioHealth Mansfield Hospital | 96 | $9,658 | 20% below the national average | $8,073 | $40,364 |
| Community Hospital Of Anderson And Madison County | 47 | $9,659 | 20% below the national average | $8,203 | $27,929 |
| Silver Cross Hospital And Medical Centers | 133 | $9,663 | 20% below the national average | $7,846 | $23,293 |
| Kootenai Health | 74 | $9,666 | 20% below the national average | $8,035 | $31,662 |
| Acadia General Hospital | 24 | $9,669 | 20% below the national average | $8,581 | $35,600 |
| Ochsner Rush Hospital | 15 | $9,669 | 20% below the national average | $8,257 | $30,255 |
| AdventHealth Shawnee Mission | 71 | $9,675 | 20% below the national average | $7,837 | $58,378 |
| Essentia Health | 37 | $9,676 | 20% below the national average | $8,384 | $26,015 |
| Mercy Hospital Northwest Arkansas | 101 | $9,679 | 19% below the national average | $7,893 | $38,595 |
| Sentara Obici Hospital | 73 | $9,680 | 19% below the national average | $7,737 | $38,385 |
| Ascension St Vincent's Clay County | 63 | $9,680 | 19% below the national average | $8,315 | $41,856 |
| HonorHealth Scottsdale Shea Medical Center | 67 | $9,680 | 19% below the national average | $8,463 | $74,748 |
| Baton Rouge General Medical Center | 38 | $9,685 | 19% below the national average | $8,262 | $21,954 |
| Christus St Michael Health System | 177 | $9,685 | 19% below the national average | $8,461 | $65,682 |
| North Mississippi Medical Center-Gilmore Amory | 17 | $9,687 | 19% below the national average | $8,347 | $36,108 |
| Norman Regional | 79 | $9,688 | 19% below the national average | $8,249 | $39,287 |
| Iredell Memorial Hospital Inc | 87 | $9,689 | 19% below the national average | $8,078 | $58,186 |
| Baylor Scott & White Medical Center - Marble Falls | 13 | $9,690 | 19% below the national average | $8,560 | $42,019 |
| Baptist Memorial Hospital Desoto | 54 | $9,690 | 19% below the national average | $7,569 | $46,480 |
| St Vincent Hospital | 27 | $9,692 | 19% below the national average | $8,724 | $44,898 |
| FirstHealth Moore Regional Hospital | 92 | $9,692 | 19% below the national average | $7,922 | $46,730 |
| St Lukes Hospital | 83 | $9,694 | 19% below the national average | $7,959 | $50,529 |
| Mercy Hospital Fort Smith | 79 | $9,697 | 19% below the national average | $8,301 | $28,894 |
| Chester County Hospital | 100 | $9,698 | 19% below the national average | $8,149 | $46,438 |
| Wentworth-Douglass Hospital | 83 | $9,700 | 19% below the national average | $8,297 | $33,989 |
| Citizens Medical Center | 40 | $9,702 | 19% below the national average | $8,542 | $34,759 |
| Caldwell Memorial Hospital | 32 | $9,705 | 19% below the national average | $8,193 | $28,678 |
| Henry Ford Health West Bloomfield Hospital | 86 | $9,706 | 19% below the national average | $8,247 | $30,785 |
| SSM Health St Anthony Hospital - Midwest | 68 | $9,708 | 19% below the national average | $8,254 | $78,564 |
| Baptist Medical Center Beaches | 68 | $9,708 | 19% below the national average | $7,700 | $69,069 |
| Memorial Health | 59 | $9,710 | 19% below the national average | $8,376 | $34,728 |
| Oro Valley Hospital | 57 | $9,710 | 19% below the national average | $7,892 | $73,534 |
| Penn State Health Holy Spirit Medical Center | 29 | $9,716 | 19% below the national average | $7,500 | $44,951 |
| Bryan Medical Center | 82 | $9,716 | 19% below the national average | $8,015 | $37,359 |
| Norton Clark Hospital | 86 | $9,719 | 19% below the national average | $8,545 | $48,962 |
| Emerson Hospital - | 54 | $9,720 | 19% below the national average | $8,512 | $18,976 |
| Christus Mother Frances Hospital | 216 | $9,721 | 19% below the national average | $8,443 | $79,535 |
| Sentara Leigh Hospital | 102 | $9,722 | 19% below the national average | $7,895 | $39,093 |
| Willis Knighton Medical Center | 233 | $9,724 | 19% below the national average | $7,754 | $50,499 |
| Community Howard Regional Health Inc. | 38 | $9,726 | 19% below the national average | $8,027 | $36,621 |
| Banner Ocotillo Medical Center | 22 | $9,729 | 19% below the national average | $8,323 | $42,574 |
| St Claire Regional Medical Center | 20 | $9,733 | 19% below the national average | $8,382 | $28,497 |
| Uniontown Hospital | 41 | $9,734 | 19% below the national average | $7,942 | $26,460 |
| AdventHealth Daytona Beach | 107 | $9,746 | 19% below the national average | $8,354 | $51,074 |
| The Washington Hospital | 27 | $9,748 | 19% below the national average | $7,505 | $12,247 |
| South Pointe Hospital | 40 | $9,749 | 19% below the national average | $7,432 | $46,859 |
| SSM Health St Anthony Hospital - Shawnee | 38 | $9,753 | 19% below the national average | $8,286 | $28,091 |
| Froedtert South Inc. | 48 | $9,754 | 19% below the national average | $8,564 | $32,226 |
| West Chester Hospital | 78 | $9,756 | 19% below the national average | $7,477 | $45,561 |
| Doylestown Hospital | 68 | $9,756 | 19% below the national average | $7,985 | $37,343 |
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.