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
- $9,868
- Average billed charge
- $60,101
- Hospitals reporting
- 2,442
Hospitals in Kentucky
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 55 hospitals
- $9,950
- Median hospital
- $9,856
- Lowest to highest
- $8,576–$20,297
- Medicare stays
- 2,917
55 hospitals reported at least 11 Medicare stays for this in 2024; showing 1–50. Download as CSV
| Hospital | Cases | Average payment | vs national average | Medicare paid | Billed charge |
|---|---|---|---|---|---|
| Baptist Health Louisville | 176 | $8,576 | 29% below the national average | $7,016 | $44,717 |
| Highlands ARH Regional Medical Center | 25 | $8,642 | 28% below the national average | $7,401 | $48,023 |
| Ephraim McDowell Regional Medical Center | 78 | $8,921 | 26% below the national average | $7,216 | $30,644 |
| Baptist Health Lexington | 122 | $8,954 | 26% below the national average | $7,341 | $48,091 |
| King's Daughters' Medical Center | 137 | $8,956 | 25% below the national average | $7,536 | $37,446 |
| Clark Regional Medical Center | 32 | $9,000 | 25% below the national average | $7,726 | $65,608 |
| Bourbon Community Hospital | 13 | $9,022 | 25% below the national average | $7,515 | $39,273 |
| Baptist Health Corbin | 43 | $9,091 | 24% below the national average | $7,441 | $49,841 |
| Saint Joseph London | 53 | $9,102 | 24% below the national average | $8,025 | $44,935 |
| Baptist Health Hardin | 125 | $9,165 | 24% below the national average | $7,609 | $50,427 |
| Jennie Stuart Medical Center | 25 | $9,175 | 24% below the national average | $8,065 | $35,891 |
| Paintsville ARH Hospital | 24 | $9,206 | 23% below the national average | $8,118 | $60,374 |
| Harrison Memorial Hospital | 22 | $9,209 | 23% below the national average | $7,736 | $19,664 |
| Mercy Health - Lourdes Hospital | 51 | $9,267 | 23% below the national average | $7,944 | $42,576 |
| Deaconess Henderson Hospital | 32 | $9,388 | 22% below the national average | $8,319 | $31,130 |
| Baptist Health Richmond | 40 | $9,447 | 21% below the national average | $8,157 | $46,255 |
| Tristar Greenview Regional Hospital | 40 | $9,457 | 21% below the national average | $6,934 | $64,325 |
| Whitesburg ARH Hospital | 25 | $9,477 | 21% below the national average | $7,938 | $50,027 |
| Hazard ARH Regional Medical Center | 38 | $9,482 | 21% below the national average | $8,164 | $68,885 |
| Saint Joseph Hospital | 68 | $9,516 | 21% below the national average | $7,645 | $38,000 |
| Baptist Health Paducah | 89 | $9,578 | 20% below the national average | $8,104 | $45,155 |
| Norton Hospitals, Inc | 284 | $9,620 | 20% below the national average | $7,932 | $50,104 |
| Jackson Purchase Medical Center | 28 | $9,645 | 20% below the national average | $7,944 | $62,653 |
| Georgetown Community Hospital | 12 | $9,656 | 20% below the national average | $6,967 | $60,047 |
| St Claire Regional Medical Center | 20 | $9,733 | 19% below the national average | $8,382 | $28,497 |
| Meadowview Regional Medical Center | 20 | $9,794 | 19% below the national average | $8,815 | $42,533 |
| Kentucky River Medical Center | 23 | $9,801 | 18% below the national average | $8,665 | $64,199 |
| Owensboro Health Muhlenberg Community Hospital | 29 | $9,856 | 18% below the national average | $8,731 | $19,540 |
| St Elizabeth Edgewood | 102 | $9,861 | 18% below the national average | $7,273 | $30,881 |
| St Elizabeth Ft Thomas | 30 | $9,906 | 18% below the national average | $6,824 | $32,480 |
| Lake Cumberland Regional Hospital | 69 | $9,944 | 17% below the national average | $8,288 | $79,587 |
| St Elizabeth Florence | 65 | $9,980 | 17% below the national average | $7,036 | $25,232 |
| T J Samson Community Hospital | 77 | $10,002 | 17% below the national average | $8,616 | $20,775 |
| Baptist Health Deaconess Madisonville | 51 | $10,022 | 17% below the national average | $8,223 | $48,976 |
| Owensboro Health Twin Lakes Medical Center | 23 | $10,027 | 17% below the national average | $8,539 | $26,327 |
| Frankfort Regional Medical Center | 28 | $10,199 | 15% below the national average | $6,892 | $64,710 |
| The Medical Center At Russellville | 29 | $10,224 | 15% below the national average | $8,986 | $56,858 |
| Three Rivers Medical Center | 15 | $10,283 | 14% below the national average | $8,978 | $57,898 |
| Tug Valley ARH Regional Medical Center | 33 | $10,310 | 14% below the national average | $9,432 | $43,277 |
| Spring View Hospital | 15 | $10,386 | 14% below the national average | $8,863 | $45,238 |
| The Medical Center (Bowling Green) | 82 | $10,515 | 13% below the national average | $8,435 | $41,184 |
| Saint Joseph Mount Sterling | 38 | $10,515 | 13% below the national average | $9,441 | $34,455 |
| Uofl Health - Jewish Hospital And Mary & Elizabeth Hospital | 110 | $10,542 | 12% below the national average | $8,024 | $32,431 |
| Murray-Calloway County Hospital | 45 | $10,551 | 12% below the national average | $9,501 | $36,797 |
| Middlesboro ARH Hospital | 14 | $10,562 | 12% below the national average | $9,397 | $46,451 |
| Saint Joseph East | 16 | $10,591 | 12% below the national average | $8,517 | $28,723 |
| Harlan ARH Hospital | 24 | $10,599 | 12% below the national average | $9,758 | $31,946 |
| Taylor Regional Hospital | 14 | $10,839 | About average | $9,557 | $31,112 |
| CHI Saint Joseph Flaget Memorial Hospital | 29 | $10,897 | About average | $8,895 | $35,351 |
| Baptist Health Lagrange | 18 | $10,948 | About average | $9,497 | $30,937 |
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.