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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 Kansas

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.

Location
Kansas
Specific hospitals up to 10
Average payment across these 29 hospitals
$10,596National $12,020 · Kansas $10,596
Median hospital
$10,219
Lowest to highest
$7,304–$14,135
Medicare stays
1,425

29 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
HospitalCasesAverage paymentvs national averageMedicare paidBilled charge
AdventHealth South Overland Park, IncOverland Park, KS · CCN 17020816$7,30439% below the national average$6,080$40,715
Kansas Medical Center LLCAndover, KS · CCN 17019712$7,70136% below the national average$6,205$14,065
Rock Regional Hospital, LLCDerby, KS · CCN 17020429$8,04833% below the national average$6,866$24,879
Via Christi Hospital Wichita St Teresa, IncWichita, KS · CCN 17020074$8,21932% below the national average$7,139$32,888
Stormont Vail Health Flint Hills, LLCJunction City, KS · CCN 17007414$8,32331% below the national average$6,093$29,024
Saint Luke's South HospitalOverland Park, KS · CCN 17018548$8,59728% below the national average$6,947$63,822
University Of Kansas Health System - St Francis CampusTopeka, KS · CCN 17001688$8,82027% below the national average$7,382$43,069
University Of Kansas Health System Olathe HospitalOlathe, KS · CCN 17004968$9,05825% below the national average$7,232$36,371
Ascension Via Christi Hospital Manhattan, IncManhattan, KS · CCN 17014228$9,32422% below the national average$7,926$19,986
NMC HealthNewton, KS · CCN 17010319$9,44321% below the national average$8,326$26,689
AdventHealth Shawnee MissionShawnee Mission, KS · CCN 17010471$9,67520% below the national average$7,837$58,378
Menorah Medical CenterOverland Park, KS · CCN 17018255$10,04016% below the national average$8,111$82,685
Providence Medical CenterKansas City, KS · CCN 17014614$10,07616% below the national average$8,486$42,670
Salina Regional Health CenterSalina, KS · CCN 17001251$10,21015% below the national average$8,653$36,540
Overland Park Regional Medical CenterOverland Park, KS · CCN 17017653$10,21915% below the national average$8,501$100,242
Stormont Vail HospitalTopeka, KS · CCN 17008683$10,32214% below the national average$6,974$49,052
LmhLawrence, KS · CCN 17013735$10,75211% below the national average$8,368$40,445
Hutchinson Regional Medical Center IncHutchinson, KS · CCN 17002052$10,905About average$8,748$34,728
Mercy Hospital Pittsburg, IncPittsburg, KS · CCN 17000636$11,057About average$9,429$24,384
Wesley Medical CenterWichita, KS · CCN 170123127$11,301About average$8,860$135,919
Labette HealthParsons, KS · CCN 17012021$11,371About average$9,896$19,933
Ascension Via Christi Hospitals Wichita, Inc.Wichita, KS · CCN 170122139$11,411About average$9,263$48,141
Hays Medical CenterHays, KS · CCN 17001372$11,665About average$10,472$44,036
McPherson HospitalMcpherson, KS · CCN 17010523$12,531About average$10,818$23,963
Southwest Medical CenterLiberal, KS · CCN 17006829$12,971About average$11,214$44,001
University Of Kansas Health System Great Bend CampusGreat Bend, KS · CCN 17019120$13,218About average$11,996$28,284
Pratt Regional Medical CenterPratt, KS · CCN 17002720$13,42312% above the national average$12,118$20,839
University Of Kansas HospitalKansas City, KS · CCN 170040108$13,58113% above the national average$9,907$85,935
AdventHealth OttawaOttawa, KS · CCN 17001420$14,13518% above the national average$11,073$40,619

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 careAverage paymentAverage 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
StateHospitalsCasesAverage paymentTypical range
Vermont6262$9,426$6,701–$9,770
Arkansas331,963$9,529$8,894–$10,238
Louisiana371,716$9,767$8,917–$10,825
Mississippi371,478$9,770$9,347–$11,005
Kentucky552,917$9,950$9,327–$10,515
Iowa271,449$10,045$9,260–$10,723
Alabama452,103$10,084$9,068–$10,679
Tennessee633,473$10,291$9,193–$11,087
West Virginia211,236$10,349$9,004–$10,989
Oklahoma472,073$10,363$9,418–$11,102
Montana10539$10,500$10,134–$10,750
Kansas291,425$10,596$9,058–$11,411
Indiana703,772$10,628$9,943–$11,742
Ohio1015,322$10,698$9,466–$11,768
North Dakota6357$10,728$10,588–$11,333
Missouri563,051$10,786$9,580–$12,142
Florida15911,649$10,910$9,822–$11,670
Nebraska16628$11,028$9,541–$12,211
Virginia663,796$11,067$10,106–$11,398
Idaho10463$11,075$10,623–$12,345
South Carolina462,319$11,106$9,432–$12,285
Wisconsin531,776$11,266$9,692–$11,708
South Dakota9482$11,284$10,310–$11,442
Pennsylvania1095,303$11,339$9,567–$12,100
Colorado381,429$11,366$10,240–$11,989
Utah22709$11,433$10,452–$12,142
New Hampshire13951$11,445$10,591–$12,024
Texas1799,947$11,464$10,156–$12,256
North Carolina724,202$11,518$9,994–$11,552
Michigan693,790$11,570$10,809–$12,332
Arizona492,886$11,725$10,136–$12,798
Illinois1025,608$11,824$10,292–$13,128
Maine13522$11,946$10,542–$12,978
New Mexico20891$12,045$9,727–$14,723
Minnesota421,680$12,046$10,808–$12,460
Georgia733,741$12,085$10,636–$12,356
Delaware6888$12,102$11,368–$12,438
Washington422,122$12,459$11,587–$12,871
Massachusetts495,043$12,619$11,034–$14,374
Nevada191,412$12,697$12,104–$13,276
Rhode Island9390$12,735$10,495–$14,249
New Jersey564,920$13,120$11,594–$15,542
Oregon24903$13,291$11,516–$13,994
Connecticut251,807$14,233$12,350–$14,176
Wyoming7381$14,626$14,411–$16,677
California22312,363$15,080$13,473–$15,942
Maryland402,223$15,376$13,600–$18,230
District of Columbia5223$15,648$16,092–$20,175
New York1167,313$15,898$12,250–$17,002
Hawaii11475$16,180$14,201–$17,585
Alaska7278$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.