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 Colorado

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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Colorado

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Year of care

Average payment across these 38 hospitals: $11,366National $12,020 · Colorado $11,366
Median hospital: $10,805
Lowest to highest: $9,378–$22,209
Medicare stays: 1,429

38 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
Delta County Memorial HospitalDelta, CO · CCN 060071	19	$9,378	22% below the national average	$7,919	$38,458
UCHealth Greeley HospitalGreeley, CO · CCN 060131	41	$9,568	20% below the national average	$8,375	$38,464
Medical Center Of The RockiesLoveland, CO · CCN 060119	54	$9,643	20% below the national average	$8,284	$44,762
UCHealth Grandview HospitalColorado Springs, CO · CCN 060130	11	$9,978	17% below the national average	$8,494	$45,576
Boulder Community HealthBoulder, CO · CCN 060027	53	$10,051	16% below the national average	$8,159	$72,083
AdventHealth LittletonLittleton, CO · CCN 060113	42	$10,067	16% below the national average	$7,898	$65,700
UCHealth Highlands Ranch HospitalHighlands Ranch, CO · CCN 060132	49	$10,076	16% below the national average	$7,969	$66,886
Longs Peak HospitalLongmont, CO · CCN 060128	28	$10,109	16% below the national average	$8,536	$78,627
Centura Health-Penrose St Francis Health ServicesColorado Springs, CO · CCN 060031	59	$10,218	15% below the national average	$8,208	$58,557
AdventHealth Castle RockCastle Rock, CO · CCN 060125	36	$10,233	15% below the national average	$8,097	$52,083
Community HospitalGrand Junction, CO · CCN 060054	17	$10,262	15% below the national average	$8,727	$58,072
AdventHealth ParkerParker, CO · CCN 060114	41	$10,273	15% below the national average	$8,638	$70,011
Good Samaritan Medical Center LLCLafayette, CO · CCN 060116	21	$10,335	14% below the national average	$7,567	$70,402
Montrose Regional HealthMontrose, CO · CCN 060006	17	$10,364	14% below the national average	$9,116	$37,092
UCH-Memorial Health SystemColorado Springs, CO · CCN 060022	132	$10,478	13% below the national average	$8,312	$72,774
HCA Healthone RoseDenver, CO · CCN 060032	37	$10,634	12% below the national average	$8,677	$114,700
Centura Health-St Anthony HospitalLakewood, CO · CCN 060015	40	$10,638	11% below the national average	$8,885	$69,562
Parkview Medical Center, IncPueblo, CO · CCN 060020	62	$10,734	11% below the national average	$8,972	$58,003
Longmont United HospitalLongmont, CO · CCN 060003	12	$10,784	10% below the national average	$8,631	$56,347
Swedish Medical CenterEnglewood, CO · CCN 060034	50	$10,826	About average	$9,006	$131,037
Banner North Co Medical Center - Loveland CampusLoveland, CO · CCN 060030	17	$10,849	About average	$9,409	$33,491
Intermountain Health Lutheran HospitalWheat Ridge, CO · CCN 060009	39	$11,011	About average	$8,940	$66,541
HCA Healthone Presbyterian St. LukesDenver, CO · CCN 060014	12	$11,171	About average	$10,128	$119,083
Poudre Valley HospitalFort Collins, CO · CCN 060010	77	$11,203	About average	$8,892	$50,284
AdventHealth PorterDenver, CO · CCN 060064	19	$11,355	About average	$8,871	$67,141
HCA Healthone Mountain RidgeThornton, CO · CCN 060065	35	$11,822	About average	$10,206	$114,652
The Medical Center Of Aurora & South HospitalAurora, CO · CCN 060100	44	$11,904	About average	$9,518	$109,328
Banner North Colorado Medical CenterGreeley, CO · CCN 060001	27	$11,911	About average	$9,990	$30,044
Sky Ridge Medical CenterLone Tree, CO · CCN 060112	37	$12,015	About average	$8,846	$117,555
Centura Health-St Anthony North Health CampusWestminster, CO · CCN 060104	38	$12,134	About average	$10,351	$66,456
Intermountain Health St. Mary's Regional HospitalGrand Junction, CO · CCN 060023	47	$12,369	About average	$9,665	$44,901
Mercy Regional Medical CenterDurango, CO · CCN 060013	28	$12,805	About average	$11,348	$44,262
Valley View Hospital AssociationGlenwood Springs, CO · CCN 060075	15	$13,131	About average	$11,716	$47,250
Intermountain Health Platte Valley HospitalBrighton, CO · CCN 060004	13	$13,253	10% above the national average	$7,841	$53,822
Saint Joseph HospitalDenver, CO · CCN 060028	24	$13,383	11% above the national average	$11,181	$67,372
University Of Colorado Hospital AuthorityAurora, CO · CCN 060024	108	$14,835	23% above the national average	$11,579	$89,953
Denver Health & Hospital AuthorityDenver, CO · CCN 060011	12	$19,327	61% above the national average	$17,862	$35,199
Vail Health HospitalVail, CO · CCN 060096	16	$22,209	85% above the national average	$20,985	$41,277

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.