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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 Arkansas

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.

Location
Arkansas
Specific hospitals up to 10
Average payment across these 33 hospitals
$9,529National $12,020 · Arkansas $9,529
Median hospital
$9,364
Lowest to highest
$7,898–$14,153
Medicare stays
1,963

33 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
HospitalCasesAverage paymentvs national averageMedicare paidBilled charge
Arkansas Heart Hospital-EncoreBryant, AR · CCN 04016136$7,89834% below the national average$6,642$16,914
Arkansas Heart Hospital, LLCLittle Rock, AR · CCN 04013451$7,98834% below the national average$6,868$22,100
Baxter HealthMountain Home, AR · CCN 04002749$8,38130% below the national average$7,265$25,400
St Marys Regional Medical CenterRussellville, AR · CCN 04004134$8,62328% below the national average$6,951$54,953
Baptist Health Medical Center- ConwayConway, AR · CCN 04015469$8,64228% below the national average$7,483$46,584
St Vincent Medical Center/NorthSherwood, AR · CCN 04013719$8,72127% below the national average$7,435$29,371
Washington Regional Medical CenterFayetteville, AR · CCN 04000463$8,75427% below the national average$7,306$39,231
Baptist Memorial Hospital Jonesboro, Inc.Jonesboro, AR · CCN 040118117$8,86626% below the national average$7,033$42,852
Saline Memorial HospitalBenton, AR · CCN 04008450$8,89426% below the national average$7,343$31,402
Baptist Health - Fort SmithFort Smith, AR · CCN 040055147$8,96225% below the national average$7,419$45,964
National Park Medical CenterHot Springs, AR · CCN 04007855$9,03825% below the national average$7,896$131,454
Arkansas Methodist Medical CenterParagould, AR · CCN 04003923$9,07624% below the national average$8,083$24,538
Baptist Health Medical Center-Little RockLittle Rock, AR · CCN 040114137$9,08524% below the national average$7,624$54,679
St Bernards Medical CenterJonesboro, AR · CCN 04002084$9,13324% below the national average$7,809$24,675
CHI-St Vincent InfirmaryLittle Rock, AR · CCN 04000758$9,32322% below the national average$7,986$32,853
Conway Regional Medical Center, IncConway, AR · CCN 04002980$9,34022% below the national average$7,599$47,854
CHI St. Vincent Hospital Hot SpringsHot Springs, AR · CCN 040026145$9,36422% below the national average$7,937$32,630
Northwest Medical Center-SpringdaleSpringdale, AR · CCN 04002234$9,52421% below the national average$8,230$81,048
Mercy Hospital Northwest ArkansasRogers, AR · CCN 040010101$9,67919% below the national average$7,893$38,595
Mercy Hospital Fort SmithFort Smith, AR · CCN 04006279$9,69719% below the national average$8,301$28,894
South Arkansas Regional Hospital LLCEl Dorado, AR · CCN 04008828$9,86618% below the national average$8,028$88,936
White River Medical CenterBatesville, AR · CCN 04011939$9,89018% below the national average$8,036$21,738
Chambers Memorial HospitalDanville, AR · CCN 04001118$9,94317% below the national average$8,673$14,982
Baptist Health Medical Center-Drew CountyMonticello, AR · CCN 04005137$10,21115% below the national average$8,327$43,117
Siloam Springs Regional HospitalSiloam Springs, AR · CCN 04000115$10,23815% below the national average$8,932$49,809
North Arkansas Regional Medical CenterHarrison, AR · CCN 04001720$10,37914% below the national average$9,236$33,083
Ouachita County Medical CenterCamden, AR · CCN 04005011$10,46813% below the national average$9,281$27,755
Mena Regional Health SystemMena, AR · CCN 04001526$10,63811% below the national average$9,135$19,278
White County Medical CenterSearcy, AR · CCN 040014103$10,74011% below the national average$9,245$20,209
Jefferson Regional Medical CenterPine Bluff, AR · CCN 04007144$10,77510% below the national average$9,361$48,646
Baptist Health Medical Center North Little RockNorth Little Rock, AR · CCN 040036150$11,102About average$8,917$47,776
Johnson Regional Medical CenterClarksville, AR · CCN 04000211$11,355About average$10,316$16,696
University Of Arkansas Medical SciencesLittle Rock, AR · CCN 04001630$14,15318% above the national average$10,045$43,222

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 careAverage paymentAverage 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
StateHospitalsCasesAverage paymentTypical range
Vermont6262$9,426$6,701–$9,770
Arkansas331,963$9,529$8,894–$10,238
Louisiana371,716$9,767$8,917–$10,825
Mississippi371,478$9,770$9,347–$11,005
Kentucky552,917$9,950$9,327–$10,515
Iowa271,449$10,045$9,260–$10,723
Alabama452,103$10,084$9,068–$10,679
Tennessee633,473$10,291$9,193–$11,087
West Virginia211,236$10,349$9,004–$10,989
Oklahoma472,073$10,363$9,418–$11,102
Montana10539$10,500$10,134–$10,750
Kansas291,425$10,596$9,058–$11,411
Indiana703,772$10,628$9,943–$11,742
Ohio1015,322$10,698$9,466–$11,768
North Dakota6357$10,728$10,588–$11,333
Missouri563,051$10,786$9,580–$12,142
Florida15911,649$10,910$9,822–$11,670
Nebraska16628$11,028$9,541–$12,211
Virginia663,796$11,067$10,106–$11,398
Idaho10463$11,075$10,623–$12,345
South Carolina462,319$11,106$9,432–$12,285
Wisconsin531,776$11,266$9,692–$11,708
South Dakota9482$11,284$10,310–$11,442
Pennsylvania1095,303$11,339$9,567–$12,100
Colorado381,429$11,366$10,240–$11,989
Utah22709$11,433$10,452–$12,142
New Hampshire13951$11,445$10,591–$12,024
Texas1799,947$11,464$10,156–$12,256
North Carolina724,202$11,518$9,994–$11,552
Michigan693,790$11,570$10,809–$12,332
Arizona492,886$11,725$10,136–$12,798
Illinois1025,608$11,824$10,292–$13,128
Maine13522$11,946$10,542–$12,978
New Mexico20891$12,045$9,727–$14,723
Minnesota421,680$12,046$10,808–$12,460
Georgia733,741$12,085$10,636–$12,356
Delaware6888$12,102$11,368–$12,438
Washington422,122$12,459$11,587–$12,871
Massachusetts495,043$12,619$11,034–$14,374
Nevada191,412$12,697$12,104–$13,276
Rhode Island9390$12,735$10,495–$14,249
New Jersey564,920$13,120$11,594–$15,542
Oregon24903$13,291$11,516–$13,994
Connecticut251,807$14,233$12,350–$14,176
Wyoming7381$14,626$14,411–$16,677
California22312,363$15,080$13,473–$15,942
Maryland402,223$15,376$13,600–$18,230
District of Columbia5223$15,648$16,092–$20,175
New York1167,313$15,898$12,250–$17,002
Hawaii11475$16,180$14,201–$17,585
Alaska7278$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.