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 California

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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Year of care

Average payment across these 223 hospitals: $15,080National $12,020 · California $15,080
Median hospital: $14,391
Lowest to highest: $10,483–$60,274
Medicare stays: 12,363

223 hospitals reported at least 11 Medicare stays for this in 2024; showing 1–50. 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
Palomar Medical Center PowayPoway, CA · CCN 050636	57	$10,483	13% below the national average	$8,768	$119,269
USC Arcadia HospitalArcadia, CA · CCN 050238	129	$11,210	About average	$9,715	$103,492
Palomar Health Downtown CampusEscondido, CA · CCN 050115	122	$11,223	About average	$9,783	$126,156
Goleta Valley Cottage HospitalSanta Barbara, CA · CCN 050357	14	$12,165	About average	$10,768	$67,039
Adventist Health Simi ValleySimi Valley, CA · CCN 050236	63	$12,172	About average	$10,700	$92,389
USC Verdugo Hills HospitalGlendale, CA · CCN 050124	61	$12,177	About average	$10,299	$91,193
Scripps Memorial Hospital - EncinitasEncinitas, CA · CCN 050503	61	$12,331	About average	$11,057	$58,290
Torrance Memorial Medical CenterTorrance, CA · CCN 050351	139	$12,408	About average	$11,160	$119,067
French Hospital Medical CenterSan Luis Obispo, CA · CCN 050232	56	$12,419	About average	$11,079	$73,970
Oak Valley Hospital DistrictOakdale, CA · CCN 050067	14	$12,419	About average	$11,487	$52,326
Uci Health - Los AlamitosLos Alamitos, CA · CCN 050551	48	$12,443	About average	$11,164	$208,478
Henry Mayo Newhall HospitalValencia, CA · CCN 050624	89	$12,456	About average	$11,169	$129,794
Scripps Memorial Hospital La JollaLa Jolla, CA · CCN 050324	81	$12,538	About average	$11,310	$67,854
Sharp Coronado Hospital And Healthcare CenterCoronado, CA · CCN 050234	34	$12,572	About average	$11,276	$96,034
Tri-City Medical CenterOceanside, CA · CCN 050128	35	$12,645	About average	$11,325	$72,645
Shasta Regional Medical CenterRedding, CA · CCN 050764	67	$12,677	About average	$11,613	$56,535
Adventist Health TulareTulare, CA · CCN 050784	24	$12,703	About average	$11,056	$49,353
Enloe HealthChico, CA · CCN 050039	207	$12,704	About average	$11,660	$99,725
Cedar-Sinai Marina Del Rey HospitalMarina Del Rey, CA · CCN 050740	44	$12,779	About average	$11,499	$106,126
Memorial Medical CenterModesto, CA · CCN 050557	113	$12,782	About average	$11,054	$75,716
Adventist Health BakersfieldBakersfield, CA · CCN 050455	105	$12,799	About average	$11,714	$92,154
PIH Health Downey HospitalDowney, CA · CCN 050393	37	$12,805	About average	$11,564	$60,213
Adventist Health Sierra VistaSan Luis Obispo, CA · CCN 050506	39	$12,816	About average	$11,478	$155,896
Saint John's Health CenterSanta Monica, CA · CCN 050290	87	$12,833	About average	$10,967	$68,053
Huntington Beach HospitalHuntington Beach, CA · CCN 050526	24	$12,885	About average	$11,918	$53,472
Providence Little Co Of Mary Medical Center San PedroSan Pedro, CA · CCN 050078	17	$12,901	About average	$11,450	$68,830
Emanate Health Foothill Presbyterian HospitalGlendora, CA · CCN 050597	52	$12,908	About average	$11,756	$76,604
MemorialCare Orange Coast Medical CenterFountain Valley, CA · CCN 050678	67	$12,912	About average	$11,268	$106,839
Doctors Hospital Of MantecaManteca, CA · CCN 050118	32	$12,914	About average	$11,588	$190,540
Redlands Community HospitalRedlands, CA · CCN 050272	31	$12,936	About average	$11,777	$88,976
Uci Health - Placentia LindaPlacentia, CA · CCN 050589	34	$12,982	About average	$11,591	$203,876
Foothill Regional Medical CenterTustin, CA · CCN 050780	27	$13,074	About average	$11,896	$75,604
PIH Health Hospital-WhittierWhittier, CA · CCN 050169	60	$13,083	About average	$11,794	$81,002
Providence Saint Joseph Medical CenterBurbank, CA · CCN 050235	114	$13,088	About average	$11,640	$96,395
UCLA West Valley Medical CenterWest Hills, CA · CCN 050481	82	$13,133	About average	$11,680	$210,315
Clovis Community Medical CenterClovis, CA · CCN 050492	149	$13,133	About average	$11,456	$82,364
San Antonio Regional HospitalUpland, CA · CCN 050099	109	$13,178	About average	$11,448	$108,976
Sierra Nevada Memorial HospitalGrass Valley, CA · CCN 050150	55	$13,206	About average	$11,872	$75,350
Hoag Memorial Hospital PresbyterianNewport Beach, CA · CCN 050224	135	$13,219	About average	$11,491	$70,271
Providence Cedars Sinai Tarzana Medical CenterTarzana, CA · CCN 050761	65	$13,244	10% above the national average	$11,789	$110,041
Adventist Health Twin CitiesTempleton, CA · CCN 050633	55	$13,279	10% above the national average	$10,700	$146,916
Mercy General HospitalSacramento, CA · CCN 050017	45	$13,283	11% above the national average	$12,123	$115,960
Bakersfield Memorial HospitalBakersfield, CA · CCN 050036	40	$13,301	11% above the national average	$11,279	$78,862
Uci Health-LakewoodLakewood, CA · CCN 050581	52	$13,306	11% above the national average	$11,924	$139,055
Marshall Medical CenterPlacerville, CA · CCN 050254	40	$13,322	11% above the national average	$11,646	$79,032
St Johns Regional Medical CenterOxnard, CA · CCN 050082	130	$13,324	11% above the national average	$11,679	$80,184
College Medical CenterLong Beach, CA · CCN 050776	11	$13,340	11% above the national average	$12,418	$49,911
Sutter Davis HospitalDavis, CA · CCN 050537	13	$13,353	11% above the national average	$10,613	$58,473
Sutter Tracy Community HospitalTracy, CA · CCN 050313	32	$13,369	11% above the national average	$11,675	$62,748
Sutter Auburn Faith HospitalAuburn, CA · CCN 050498	38	$13,379	11% above the national average	$12,092	$61,694

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.