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 Iowa
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 27 hospitals
- $10,045
- Median hospital
- $9,606
- Lowest to highest
- $8,563–$14,718
- Medicare stays
- 1,449
27 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 |
|---|---|---|---|---|---|
| Grinnell Regional Medical Center | 11 | $8,563 | 29% below the national average | $7,228 | $20,250 |
| Finley Hospital | 50 | $8,620 | 28% below the national average | $7,381 | $23,811 |
| Mary Greeley Medical Center | 50 | $8,705 | 28% below the national average | $7,351 | $34,160 |
| University Of Iowa Health Care Medical Center Down | 56 | $9,066 | 25% below the national average | $8,030 | $54,708 |
| Mercy Medical Center - Cedar Rapids | 108 | $9,108 | 24% below the national average | $7,802 | $28,582 |
| Trinity - Bettendorf | 37 | $9,168 | 24% below the national average | $7,437 | $27,701 |
| MercyOne Dubuque Medical Center | 104 | $9,242 | 23% below the national average | $7,830 | $29,569 |
| St Lukes Hospital | 74 | $9,277 | 23% below the national average | $7,535 | $23,558 |
| Genesis Medical Center-Davenport | 107 | $9,344 | 22% below the national average | $7,925 | $23,402 |
| Methodist Jennie Edmundson | 46 | $9,360 | 22% below the national average | $8,282 | $32,304 |
| MercyOne Newton Medical Center | 11 | $9,523 | 21% below the national average | $8,336 | $24,781 |
| MercyOne Des Moines Medical Center | 114 | $9,536 | 21% below the national average | $7,702 | $50,306 |
| St Lukes Regional Medical Center | 50 | $9,541 | 21% below the national average | $8,243 | $27,637 |
| Trinity Regional Medical Center | 27 | $9,606 | 20% below the national average | $8,318 | $23,672 |
| CHI Health Mercy Council Bluffs | 20 | $9,940 | 17% below the national average | $8,473 | $31,750 |
| Allen Hospital | 39 | $9,964 | 17% below the national average | $7,318 | $21,223 |
| MercyOne Waterloo Medical Center | 18 | $10,164 | 15% below the national average | $8,757 | $33,067 |
| UnityPoint Health - Des Moines Iowa Methodist Medi | 104 | $10,205 | 15% below the national average | $7,817 | $37,847 |
| MercyOne Siouxland Medical Center | 35 | $10,280 | 14% below the national average | $8,040 | $38,817 |
| MercyOne North Iowa Medical Center | 114 | $10,690 | 11% below the national average | $8,741 | $36,808 |
| Spencer Municipal Hospital | 33 | $10,757 | 11% below the national average | $9,466 | $17,530 |
| Southeast Iowa Regional Medical Center | 58 | $11,016 | About average | $9,739 | $29,676 |
| Ottumwa Regional Health Center | 23 | $11,053 | About average | $9,652 | $42,931 |
| MercyOne Clinton Medical Center | 53 | $11,608 | About average | $9,556 | $39,384 |
| UnityPoint Health - Marshalltown | 20 | $11,737 | About average | $10,430 | $23,205 |
| Trinity Muscatine | 27 | $13,579 | 13% above the national average | $12,305 | $19,331 |
| University Of Iowa Hospital & Clinics | 60 | $14,718 | 22% above the national average | $10,896 | $66,171 |
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.