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: $9,86882% of the payment
Average billed charge: $60,101
Hospitals reporting: 2,442136,649 stays

Hospitals in Alabama

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.

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Alabama

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Year of care

Average payment across these 45 hospitals: $10,084National $12,020 · Alabama $10,084
Median hospital: $9,791
Lowest to highest: $7,547–$15,658
Medicare stays: 2,103

45 hospitals reported at least 11 Medicare stays for this in 2024. Download as CSV

Medicare payments per case for Simple pneumonia and pleurisy with MCC by hospital, 2024
Hospital	Cases	Average payment	vs national average	Medicare paid	Billed charge
Shelby Baptist Medical CenterAlabaster, AL · CCN 010016	32	$7,547	37% below the national average	$5,876	$74,051
Riverview Regional Medical CenterGadsden, AL · CCN 010046	44	$8,473	30% below the national average	$7,120	$56,684
Helen Keller HospitalSheffield, AL · CCN 010019	41	$8,559	29% below the national average	$7,415	$31,307
Jackson Hospital & Clinic IncMontgomery, AL · CCN 010024	50	$8,687	28% below the national average	$7,311	$36,483
Medical Center EnterpriseEnterprise, AL · CCN 010049	25	$8,704	28% below the national average	$7,277	$63,698
Gadsden Regional Medical CenterGadsden, AL · CCN 010040	39	$8,720	27% below the national average	$7,247	$137,014
Baptist Health Brookwood HospitalBirmingham, AL · CCN 010139	24	$8,750	27% below the national average	$7,187	$123,912
St Vincent's St ClairPell City, AL · CCN 010130	37	$8,777	27% below the national average	$7,555	$25,649
Prattville Baptist HospitalPrattville, AL · CCN 010108	56	$8,990	25% below the national average	$7,638	$41,723
Springhill Medical CenterMobile, AL · CCN 010144	63	$8,996	25% below the national average	$7,901	$25,496
Flowers HospitalDothan, AL · CCN 010055	29	$9,029	25% below the national average	$7,850	$80,804
Crestwood Medical CenterHuntsville, AL · CCN 010131	63	$9,068	25% below the national average	$6,218	$137,309
Decatur Morgan Hospital - Decatur CampusDecatur, AL · CCN 010085	49	$9,086	24% below the national average	$7,615	$19,109
Grandview Medical CenterBirmingham, AL · CCN 010104	97	$9,148	24% below the national average	$6,857	$95,437
St Vincent's BirminghamBirmingham, AL · CCN 010056	62	$9,172	24% below the national average	$7,645	$39,929
USA Health HCA Providence Hospital, LLCMobile, AL · CCN 010090	85	$9,211	23% below the national average	$7,825	$39,398
Baptist Medical Center EastMontgomery, AL · CCN 010149	64	$9,422	22% below the national average	$8,173	$30,083
Huntsville HospitalHuntsville, AL · CCN 010039	108	$9,467	21% below the national average	$8,053	$44,075
Walker Baptist Medical CenterJasper, AL · CCN 010089	36	$9,549	21% below the national average	$7,075	$76,369
Marshall Medical CentersBoaz, AL · CCN 010005	45	$9,564	20% below the national average	$7,640	$21,995
Andalusia HealthAndalusia, AL · CCN 010036	20	$9,584	20% below the national average	$8,115	$46,481
North Alabama Medical CenterFlorence, AL · CCN 010006	95	$9,629	20% below the national average	$7,821	$47,654
DeKalb Regional Medical CenterFort Payne, AL · CCN 010012	16	$9,791	19% below the national average	$8,620	$52,226
Medical West, An Affiliate Of UAB Health SystemBessemer, AL · CCN 010114	47	$9,795	19% below the national average	$8,131	$32,447
Mobile Infirmary Medical CenterMobile, AL · CCN 010113	77	$10,141	16% below the national average	$8,189	$47,682
Lakeland Community HospitalHaleyville, AL · CCN 010125	18	$10,186	15% below the national average	$8,920	$27,299
Cullman Regional Medical CenterCullman, AL · CCN 010035	44	$10,273	15% below the national average	$9,068	$35,161
Northeast Alabama Regional Medical CenterAnniston, AL · CCN 010078	58	$10,290	14% below the national average	$7,249	$57,039
Southeast Health Medical CenterDothan, AL · CCN 010001	83	$10,306	14% below the national average	$8,247	$49,609
Highlands Medical CenterScottsboro, AL · CCN 010061	20	$10,403	13% below the national average	$8,547	$18,252
The East Alabama Healthcare AuthorityOpelika, AL · CCN 010029	49	$10,403	13% below the national average	$7,852	$39,094
Thomas HospitalFairhope, AL · CCN 010100	47	$10,494	13% below the national average	$8,380	$34,131
Baldwin HealthFoley, AL · CCN 010083	42	$10,677	11% below the national average	$8,395	$89,279
Athens Limestone HospitalAthens, AL · CCN 010079	17	$10,679	11% below the national average	$6,552	$17,955
St. Vincent's EastBirmingham, AL · CCN 010011	58	$11,135	About average	$8,626	$49,034
Citizens Baptist Medical CenterTalladega, AL · CCN 010101	13	$11,158	About average	$10,153	$79,130
North Baldwin InfirmaryBay Minette, AL · CCN 010129	11	$11,495	About average	$10,308	$22,509
Dch Regional Medical CenterTuscaloosa, AL · CCN 010092	128	$11,634	About average	$9,534	$39,011
Troy Regional Medical CenterTroy, AL · CCN 010126	16	$12,169	About average	$10,721	$25,145
Marion Regional Medical CenterHamilton, AL · CCN 010044	11	$12,342	About average	$11,007	$21,168
Baptist Medical Center SouthMontgomery, AL · CCN 010023	59	$12,381	About average	$9,034	$34,084
Fayette Medical CenterFayette, AL · CCN 010045	18	$12,822	About average	$11,553	$25,979
Princeton Baptist Medical CenterBirmingham, AL · CCN 010103	20	$13,200	About average	$8,738	$92,909
University Of Alabama HospitalBirmingham, AL · CCN 010033	76	$15,259	27% above the national average	$9,384	$54,927
USA Health University HospitalMobile, AL · CCN 010087	11	$15,658	30% above the national average	$10,465	$26,299

National trend

Average payment and billed charge per stay, and how many Medicare stays were reported each year.

Average payment
Average billed charge

2020: 114,641 stays at 2,375 hospitals · 2021: 84,232 stays at 2,205 hospitals · 2022: 120,805 stays at 2,448 hospitals · 2023: 125,793 stays at 2,412 hospitals · 2024: 136,649 stays at 2,442 hospitals

View data as a table

National average payment and billed charge for Simple pneumonia and pleurisy with MCC
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

Average payment by state for Simple pneumonia and pleurisy with MCC, 2024
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.