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 Indiana

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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Indiana

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Average payment across these 70 hospitals: $10,628National $12,020 · Indiana $10,628
Median hospital: $10,724
Lowest to highest: $9,017–$17,916
Medicare stays: 3,772

70 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
Baptist Health FloydNew Albany, IN · CCN 150044	154	$9,017	25% below the national average	$7,656	$43,019
Northwest Health - PorterValparaiso, IN · CCN 150035	101	$9,364	22% below the national average	$7,637	$81,660
Northwest Health-La PorteLa Porte, IN · CCN 150006	60	$9,388	22% below the national average	$8,219	$54,886
St Elizabeth Dearborn HospitalLawrenceburg, IN · CCN 150086	32	$9,428	22% below the national average	$6,918	$24,047
Indiana University Health North HospitalCarmel, IN · CCN 150161	37	$9,451	21% below the national average	$8,304	$46,029
Kosciusko Community HospitalWarsaw, IN · CCN 150133	17	$9,505	21% below the national average	$8,355	$68,267
Deaconess Hospital IncEvansville, IN · CCN 150082	167	$9,631	20% below the national average	$7,855	$33,924
Community Hospital Of Anderson And Madison CountyAnderson, IN · CCN 150113	47	$9,659	20% below the national average	$8,203	$27,929
Norton Clark HospitalJeffersonville, IN · CCN 150009	86	$9,719	19% below the national average	$8,545	$48,962
Community Howard Regional Health Inc.Kokomo, IN · CCN 150007	38	$9,726	19% below the national average	$8,027	$36,621
Columbus Regional HospitalColumbus, IN · CCN 150112	67	$9,777	19% below the national average	$8,349	$28,753
Johnson Memorial HospitalFranklin, IN · CCN 150001	15	$9,778	19% below the national average	$8,366	$37,076
IU Health West HospitalAvon, IN · CCN 150158	64	$9,786	19% below the national average	$8,716	$56,807
Indiana University Health Bloomington HospitalBloomington, IN · CCN 150051	82	$9,862	18% below the national average	$8,412	$43,383
Terre Haute Regional HospitalTerre Haute, IN · CCN 150046	48	$9,880	18% below the national average	$8,349	$65,123
Monroe HospitalBloomington, IN · CCN 150183	17	$9,880	18% below the national average	$7,513	$28,976
Lutheran Hospital Of IndianaFort Wayne, IN · CCN 150017	63	$9,934	17% below the national average	$8,270	$86,227
Community HospitalMunster, IN · CCN 150125	117	$9,943	17% below the national average	$7,821	$42,718
Ascension St Vincent KokomoKokomo, IN · CCN 150010	58	$9,943	17% below the national average	$8,697	$37,729
Ascension St Vincent EvansvilleEvansville, IN · CCN 150100	69	$9,984	17% below the national average	$8,452	$34,536
Franciscan Health Crown PointCrown Point, IN · CCN 150126	104	$10,005	17% below the national average	$8,050	$42,649
Hendricks Regional HealthDanville, IN · CCN 150005	51	$10,057	16% below the national average	$8,673	$31,038
Elkhart General HospitalElkhart, IN · CCN 150018	41	$10,104	16% below the national average	$8,736	$48,296
Goshen HospitalGoshen, IN · CCN 150026	48	$10,129	16% below the national average	$8,843	$31,373
Ascension St Vincent CarmelCarmel, IN · CCN 150157	32	$10,139	16% below the national average	$8,268	$48,085
Franciscan Health LafayetteLafayette, IN · CCN 150109	50	$10,205	15% below the national average	$8,444	$35,971
Community Hospital South, Inc.Indianapolis, IN · CCN 150128	54	$10,209	15% below the national average	$8,683	$38,534
Union Hospital IncTerre Haute, IN · CCN 150023	195	$10,234	15% below the national average	$8,873	$36,193
Hancock Regional HospitalGreenfield, IN · CCN 150037	23	$10,252	15% below the national average	$8,921	$28,275
Parkview Regional Medical CenterFort Wayne, IN · CCN 150021	113	$10,273	15% below the national average	$8,898	$40,580
Indiana University Health Arnett HospitalLafayette, IN · CCN 150173	102	$10,470	13% below the national average	$8,419	$40,093
Dupont Hospital LLCFort Wayne, IN · CCN 150150	12	$10,484	13% below the national average	$9,260	$84,805
Franciscan Health Michigan CityMichigan City, IN · CCN 150015	88	$10,588	12% below the national average	$8,036	$55,194
Community Hospital NorthIndianapolis, IN · CCN 150169	50	$10,655	11% below the national average	$8,882	$48,253
St Catherine Hospital IncEast Chicago, IN · CCN 150008	23	$10,709	11% below the national average	$9,720	$49,823
Indiana University Health Ball Memorial HospitalMuncie, IN · CCN 150089	87	$10,738	11% below the national average	$9,093	$45,487
Franciscan Health MunsterMunster, IN · CCN 150165	47	$10,763	10% below the national average	$8,279	$40,757
Memorial Hospital And Health Care CenterJasper, IN · CCN 150115	49	$10,820	About average	$8,911	$29,756
Norton-King's Daughters' HealthMadison, IN · CCN 150069	57	$10,833	About average	$9,720	$29,974
Memorial Hospital Of South BendSouth Bend, IN · CCN 150058	28	$10,835	About average	$8,511	$52,833
Methodist Hospitals IncGary, IN · CCN 150002	69	$10,898	About average	$9,310	$49,888
Marion General HospitalMarion, IN · CCN 150011	61	$10,900	About average	$8,992	$18,571
Saint Joseph Regional Medical CenterMishawaka, IN · CCN 150012	59	$10,905	About average	$8,937	$32,488
Ascension St Vincent FishersFishers, IN · CCN 150181	12	$10,923	About average	$9,699	$32,907
Community Hospital EastIndianapolis, IN · CCN 150074	28	$10,950	About average	$9,797	$37,178
Ascension St Vincent AndersonAnderson, IN · CCN 150088	73	$10,986	About average	$9,905	$64,725
Riverview HealthNoblesville, IN · CCN 150059	42	$11,089	About average	$9,477	$55,654
Reid HealthRichmond, IN · CCN 150048	96	$11,095	About average	$9,429	$26,497
St Mary Medical Center IncHobart, IN · CCN 150034	45	$11,098	About average	$7,694	$40,095
Witham Health ServicesLebanon, IN · CCN 150104	21	$11,234	About average	$9,835	$45,436

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.