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 Illinois

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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Illinois

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Average payment across these 102 hospitals: $11,824National $12,020 · Illinois $11,824
Median hospital: $11,175
Lowest to highest: $8,908–$58,655
Medicare stays: 5,608

102 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
Palos Community HospitalPalos Heights, IL · CCN 140062	120	$8,908	26% below the national average	$7,801	$44,020
Carle Health Proctor HospitalPeoria, IL · CCN 140013	19	$9,174	24% below the national average	$7,715	$62,399
Heartland Regional Medical CenterMarion, IL · CCN 140184	22	$9,263	23% below the national average	$8,227	$65,485
Carle Health Pekin HospitalPekin, IL · CCN 140120	18	$9,392	22% below the national average	$7,946	$35,715
Sarah Bush Lincoln Health CenterMattoon, IL · CCN 140189	45	$9,548	21% below the national average	$8,171	$41,590
St Joseph Medical CenterBloomington, IL · CCN 140162	43	$9,589	20% below the national average	$8,290	$46,683
Silver Cross Hospital And Medical CentersNew Lenox, IL · CCN 140213	133	$9,663	20% below the national average	$7,846	$23,293
Advocate Good Shepherd HospitalBarrington, IL · CCN 140291	105	$9,801	18% below the national average	$7,787	$44,035
CGH Medical CenterSterling, IL · CCN 140043	45	$9,806	18% below the national average	$8,755	$52,432
Anderson HospitalMaryville, IL · CCN 140289	82	$9,807	18% below the national average	$8,548	$45,549
Saint Joseph Medical CenterJoliet, IL · CCN 140007	71	$9,819	18% below the national average	$8,627	$60,881
Trinity Rock IslandRock Island, IL · CCN 140280	67	$9,859	18% below the national average	$8,172	$31,280
Good Samaritan Regional Health CenterMount Vernon, IL · CCN 140046	87	$9,925	17% below the national average	$8,210	$39,216
Carle Bromenn Medical CenterNormal, IL · CCN 140127	42	$9,993	17% below the national average	$8,339	$35,513
Genesis Medical CenterSilvis, IL · CCN 140275	13	$10,014	17% below the national average	$8,414	$23,975
OSF Heart Of Mary Medical CenterUrbana, IL · CCN 140113	24	$10,069	16% below the national average	$7,590	$60,100
OSF Saint Anthony's Health CenterAlton, IL · CCN 140052	30	$10,084	16% below the national average	$8,048	$31,365
Uchicago Medicine AdventHealth BolingbrookBolingbrook, IL · CCN 140304	37	$10,096	16% below the national average	$9,017	$34,108
Memorial HospitalBelleville, IL · CCN 140185	114	$10,112	16% below the national average	$8,065	$51,181
Vista Medical Center EastWaukegan, IL · CCN 140084	41	$10,124	16% below the national average	$8,991	$81,834
Herrin HospitalHerrin, IL · CCN 140011	82	$10,136	16% below the national average	$7,953	$33,225
HSHS St Elizabeth's HospitalO Fallon, IL · CCN 140187	41	$10,146	16% below the national average	$9,101	$45,318
Northwest Community Hospital 1Arlington Heights, IL · CCN 140252	162	$10,154	16% below the national average	$8,138	$31,623
Uchicago Medicine AdventHealth La GrangeLa Grange, IL · CCN 140065	62	$10,175	15% below the national average	$8,680	$38,108
Loyola Gottlieb Memorial HospitalMelrose Park, IL · CCN 140008	35	$10,217	15% below the national average	$8,728	$54,304
Rush Oak Park HospitalOak Park, IL · CCN 140063	22	$10,286	14% below the national average	$8,827	$23,744
Presence St Marys HospitalKankakee, IL · CCN 140155	45	$10,311	14% below the national average	$9,152	$89,504
Riverside Medical CenterKankakee, IL · CCN 140186	70	$10,374	14% below the national average	$8,795	$32,350
Memorial Hospital Of CarbondaleCarbondale, IL · CCN 140164	59	$10,376	14% below the national average	$8,700	$42,152
FHN Memorial HospitalFreeport, IL · CCN 140160	24	$10,449	13% below the national average	$9,293	$43,184
Decatur Memorial HospitalDecatur, IL · CCN 140135	72	$10,454	13% below the national average	$8,610	$40,673
OSF Saint Katharine Medical CenterDixon, IL · CCN 140012	35	$10,489	13% below the national average	$8,837	$41,656
Elmhurst Memorial HospitalElmhurst, IL · CCN 140200	116	$10,541	12% below the national average	$8,239	$51,361
Gateway Regional Medical CenterGranite City, IL · CCN 140125	16	$10,595	12% below the national average	$9,371	$103,318
St Marys HospitalDecatur, IL · CCN 140166	27	$10,610	12% below the national average	$7,708	$42,693
Saint Joseph Hospital-ElginElgin, IL · CCN 140217	39	$10,642	11% below the national average	$9,187	$70,410
Copley Memorial HospitalAurora, IL · CCN 140029	135	$10,651	11% below the national average	$9,008	$43,952
OSF Saint Elizabeth Mdl CenterPeru, IL · CCN 140110	23	$10,791	10% below the national average	$9,051	$38,168
Uchicago Medicine AdventHealth HinsdaleHinsdale, IL · CCN 140122	50	$10,824	About average	$8,507	$34,143
Morris Hospital & Healthcare CentersMorris, IL · CCN 140101	34	$10,867	About average	$8,304	$59,155
Community First Medical CenterChicago, IL · CCN 140251	17	$10,870	About average	$9,656	$48,557
St Alexius Medical CenterHoffman Estates, IL · CCN 140290	74	$10,878	About average	$9,698	$53,310
SSM Health St Mary's Hospital -CentraliaCentralia, IL · CCN 140034	68	$10,887	About average	$9,449	$26,585
Uw HealthRockford, IL · CCN 140228	143	$10,926	About average	$9,297	$62,122
Blessing HospitalQuincy, IL · CCN 140015	112	$11,004	About average	$8,471	$57,476
Advocate Sherman HospitalElgin, IL · CCN 140030	111	$11,063	About average	$8,844	$51,299
Northwestern Medicine Kishwaukee HospitalDekalb, IL · CCN 140286	25	$11,085	About average	$9,977	$58,315
OSF Little Company Of Mary Medical CenterEvergreen Park, IL · CCN 140179	63	$11,106	About average	$9,224	$37,906
Deaconess Illinois CrossroadsMount Vernon, IL · CCN 140294	13	$11,114	About average	$8,991	$46,668
St Josephs HospitalBreese, IL · CCN 140145	28	$11,147	About average	$9,807	$30,662

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.