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
Hospitals in Arizona
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.
- Average payment across these 49 hospitals
- $11,725
- Median hospital
- $11,033
- Lowest to highest
- $9,381–$17,394
- Medicare stays
- 2,886
49 hospitals reported at least 11 Medicare stays for this in 2024. Download as CSV
| Hospital | Cases | Average payment | vs national average | Medicare paid | Billed charge |
|---|---|---|---|---|---|
| HonorHealth Sonoran Crossing Medical Center | 21 | $9,381 | 22% below the national average | $8,294 | $48,681 |
| Banner Goldfield Medical Center | 17 | $9,394 | 22% below the national average | $8,052 | $28,198 |
| HonorHealth Scottsdale Shea Medical Center | 67 | $9,680 | 19% below the national average | $8,463 | $74,748 |
| Oro Valley Hospital | 57 | $9,710 | 19% below the national average | $7,892 | $73,534 |
| Banner Ocotillo Medical Center | 22 | $9,729 | 19% below the national average | $8,323 | $42,574 |
| Northwest Medical Center | 66 | $9,854 | 18% below the national average | $8,393 | $72,025 |
| Valley View Medical Center | 16 | $9,913 | 18% below the national average | $8,485 | $91,753 |
| St Joseph's Hospital | 31 | $9,922 | 17% below the national average | $8,555 | $102,154 |
| Mercy Gilbert Medical Center | 112 | $9,932 | 17% below the national average | $8,665 | $76,262 |
| Western Arizona Regional Medical Center | 64 | $9,963 | 17% below the national average | $8,518 | $108,556 |
| Banner Boswell Medical Center | 131 | $10,039 | 16% below the national average | $8,622 | $51,595 |
| Chandler Regional Medical Center | 120 | $10,047 | 16% below the national average | $8,940 | $72,102 |
| Banner Baywood Medical Center | 121 | $10,136 | 16% below the national average | $8,485 | $45,269 |
| Banner Del E. Webb Medical Center | 100 | $10,238 | 15% below the national average | $8,518 | $43,902 |
| Havasu Regional Medical Center | 34 | $10,243 | 15% below the national average | $8,510 | $108,561 |
| St. Mary's Hospital | 28 | $10,243 | 15% below the national average | $8,960 | $77,881 |
| Banner Ironwood Medical Center | 29 | $10,279 | 14% below the national average | $8,986 | $39,420 |
| HonorHealth Deer Valley Medical Center | 50 | $10,338 | 14% below the national average | $8,882 | $79,423 |
| Banner Gateway Medical Center | 46 | $10,423 | 13% below the national average | $9,059 | $44,080 |
| Abrazo Scottsdale Campus | 21 | $10,650 | 11% below the national average | $8,511 | $125,399 |
| HonorHealth Scottsdale Osborn Medical Center | 54 | $10,688 | 11% below the national average | $9,369 | $72,164 |
| Abrazo Arrowhead Hospital | 56 | $10,968 | About average | $9,382 | $101,032 |
| Tucson Medical Center | 130 | $10,984 | About average | $9,437 | $40,632 |
| Northwest Medical Center Sahuarita | 65 | $10,998 | About average | $9,359 | $67,574 |
| Banner Thunderbird Medical Center | 79 | $11,033 | About average | $9,370 | $42,700 |
| Banner Desert Medical Center | 81 | $11,071 | About average | $9,276 | $47,104 |
| Honor Health John C. Lincoln Medical Center | 42 | $11,079 | About average | $9,290 | $85,526 |
| Banner Estrella Medical Center | 36 | $11,190 | About average | $9,727 | $60,439 |
| Yuma Regional Medical Center | 99 | $11,319 | About average | $9,894 | $48,027 |
| Dignity Health Arizona General Hospital | 37 | $11,504 | About average | $8,875 | $59,879 |
| Banner Casa Grande Medical Center | 31 | $11,584 | About average | $10,584 | $38,808 |
| HonorHealth Scottsdale Thompson Peak Medical Center | 51 | $11,625 | About average | $9,417 | $77,555 |
| Yavapai Regional Medical Center | 172 | $11,680 | About average | $10,186 | $46,920 |
| Abrazo West Campus | 56 | $11,817 | About average | $9,877 | $81,500 |
| Kingman Regional Medical Center | 104 | $12,160 | About average | $10,559 | $66,719 |
| HonorHealth Four Peaks Medical Center | 34 | $12,369 | About average | $10,191 | $45,053 |
| Abrazo Central Campus | 27 | $12,798 | About average | $10,233 | $115,346 |
| Canyon Vista Medical Center | 84 | $13,315 | 11% above the national average | $11,813 | $41,967 |
| Summit Healthcare Regional Medical Center | 38 | $13,445 | 12% above the national average | $12,200 | $30,029 |
| Banner-University Medical Center South Campus | 22 | $14,846 | 24% above the national average | $12,752 | $29,620 |
| St Josephs Hospital And Medical Center | 47 | $15,105 | 26% above the national average | $11,438 | $53,088 |
| Verde Valley Medical Center | 51 | $15,208 | 27% above the national average | $13,624 | $72,548 |
| Fort Defiance Indian Hospital | 14 | $15,280 | 27% above the national average | $13,998 | $17,939 |
| Banner - University Medical Center Phoenix | 57 | $15,393 | 28% above the national average | $11,184 | $55,727 |
| Chinle Comprehensive Health Care Facility | 16 | $16,213 | 35% above the national average | $14,785 | $20,014 |
| Banner - University Medical Center Tucson Campus | 36 | $16,827 | 40% above the national average | $12,444 | $42,304 |
| Tuba City Regional Health Care Corporation | 12 | $16,848 | 40% above the national average | $15,352 | $9,396 |
| Mayo Clinic Hospital | 123 | $17,318 | 44% above the national average | $10,074 | $43,985 |
| Flagstaff Medical Center | 79 | $17,394 | 45% above the national average | $15,876 | $52,005 |
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.