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 Georgia

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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Georgia

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Average payment across these 73 hospitals: $12,085National $12,020 · Georgia $12,085
Median hospital: $11,375
Lowest to highest: $7,890–$27,924
Medicare stays: 3,741

73 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
Piedmont Columbus Regional NorthsideColumbus, GA · CCN 110200	33	$7,890	34% below the national average	$6,704	$34,071
St Joseph's Hospital - SavannahSavannah, GA · CCN 110043	40	$8,647	28% below the national average	$7,342	$41,682
Saint Joseph's Hospital Of Atlanta, IncAtlanta, GA · CCN 110082	56	$9,170	24% below the national average	$7,841	$39,503
Piedmont Augusta HospitalAugusta, GA · CCN 110028	86	$9,243	23% below the national average	$7,528	$41,606
Emory Johns Creek HospitalJohns Creek, GA · CCN 110230	40	$9,445	21% below the national average	$7,454	$37,028
Union General HospitalBlairsville, GA · CCN 110051	22	$9,538	21% below the national average	$8,425	$27,518
Northside Hospital DuluthDuluth, GA · CCN 110252	21	$9,566	20% below the national average	$8,711	$60,788
Doctors HospitalAugusta, GA · CCN 110177	44	$9,846	18% below the national average	$8,241	$84,193
AdventHealth MurrayChatsworth, GA · CCN 110050	13	$9,857	18% below the national average	$8,604	$49,499
Memorial Satilla HealthWaycross, GA · CCN 110003	40	$9,910	18% below the national average	$8,879	$68,413
Emory Houston Hospital Warner RobinsWarner Robins, GA · CCN 110069	88	$9,961	17% below the national average	$8,312	$28,822
SGMC HealthValdosta, GA · CCN 110122	87	$9,989	17% below the national average	$8,835	$31,375
Fairview Park HospitalDublin, GA · CCN 110125	78	$10,065	16% below the national average	$7,952	$94,943
Coffee Regional Medical Center, IncDouglas, GA · CCN 110089	11	$10,108	16% below the national average	$9,069	$45,222
Northside Hospital ForsythCumming, GA · CCN 110005	129	$10,191	15% below the national average	$8,932	$68,705
Wellstar Paulding Medical CenterHiram, GA · CCN 110042	86	$10,213	15% below the national average	$8,009	$87,637
AdventHealth RedmondRome, GA · CCN 110168	42	$10,351	14% below the national average	$8,749	$77,889
Evans Memorial HospitalClaxton, GA · CCN 110142	12	$10,626	12% below the national average	$9,541	$49,739
Archbold Memorial HospitalThomasville, GA · CCN 110038	32	$10,636	12% below the national average	$9,185	$32,321
Piedmont Newton HospitalCovington, GA · CCN 110018	23	$10,637	12% below the national average	$9,289	$52,492
Northside Hospital CherokeeCanton, GA · CCN 110008	132	$10,647	11% below the national average	$9,346	$65,015
Ty Cobb Regional Medical Center, LLCLavonia, GA · CCN 110027	27	$10,706	11% below the national average	$8,961	$19,395
Piedmont Walton HospitalMonroe, GA · CCN 110046	43	$10,724	11% below the national average	$8,790	$59,007
Commonspirit-Memorial Hospital-North GeorgiaRinggold, GA · CCN 110236	14	$10,787	10% below the national average	$9,388	$27,678
Navicent Health BaldwinMilledgeville, GA · CCN 110150	22	$10,791	10% below the national average	$9,383	$30,794
Candler HospitalSavannah, GA · CCN 110024	46	$10,812	10% below the national average	$8,986	$40,058
Piedmont Macon North HospitalMacon, GA · CCN 110201	13	$10,942	About average	$7,486	$38,150
Wellstar West Georgia Medical CenterLagrange, GA · CCN 110016	22	$10,969	About average	$9,559	$64,676
Piedmont Newnan Hospital, IncNewnan, GA · CCN 110229	32	$11,079	About average	$9,043	$55,392
Tanner Medical Center - CarrolltonCarrollton, GA · CCN 110011	118	$11,092	About average	$9,402	$37,409
Piedmont Henry HospitalStockbridge, GA · CCN 110191	60	$11,132	About average	$9,401	$52,517
Piedmont Fayette HospitalFayetteville, GA · CCN 110215	65	$11,159	About average	$8,609	$49,661
Wellstar Spalding Medical CenterGriffin, GA · CCN 110031	36	$11,186	About average	$9,796	$81,097
Piedmont Cartersville Medical CenterCartersville, GA · CCN 110030	60	$11,186	About average	$8,805	$70,370
Colquitt Regional Medical CenterMoultrie, GA · CCN 110105	21	$11,295	About average	$9,557	$33,451
AdventHealth GordonCalhoun, GA · CCN 110023	39	$11,333	About average	$8,583	$62,347
Northeast Georgia Medical Center HabershamDemorest, GA · CCN 110041	33	$11,375	About average	$8,884	$40,918
Memorial Health Meadows HospitalVidalia, GA · CCN 110128	31	$11,386	About average	$9,069	$42,960
Piedmont Columbus Regional MidtownColumbus, GA · CCN 110064	34	$11,434	About average	$9,146	$37,964
Piedmont Eastside Medical CenterSnellville, GA · CCN 110192	51	$11,451	About average	$9,740	$56,990
Piedmont Athens Regional Medical CenterAthens, GA · CCN 110074	84	$11,479	About average	$9,409	$49,470
East Georgia Regional Medical CenterStatesboro, GA · CCN 110075	34	$11,515	About average	$7,854	$49,924
Tift Regional Medical CenterTifton, GA · CCN 110095	39	$11,516	About average	$9,477	$37,829
Coliseum Medical CentersMacon, GA · CCN 110164	39	$11,627	About average	$8,884	$50,740
Wayne Memorial HospitalJesup, GA · CCN 110124	13	$11,646	About average	$10,644	$28,558
Emory Decatur HospitalDecatur, GA · CCN 110076	25	$11,723	About average	$10,108	$40,925
Piedmont Mountainside Hospital IncJasper, GA · CCN 110225	18	$11,870	About average	$8,150	$39,852
Piedmont Rockdale HospitalConyers, GA · CCN 110091	32	$11,918	About average	$9,534	$53,197
Wellstar North Fulton Medical CenterRoswell, GA · CCN 110198	62	$12,129	About average	$9,692	$91,254
Hamilton Medical CenterDalton, GA · CCN 110001	124	$12,212	About average	$9,862	$53,912

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.