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 Massachusetts

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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Massachusetts

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Average payment across these 49 hospitals: $12,619National $12,020 · Massachusetts $12,619
Median hospital: $11,349
Lowest to highest: $9,720–$25,272
Medicare stays: 5,043

49 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
Hospital	Cases	Average payment	vs national average	Medicare paid	Billed charge
Emerson Hospital -W Concord, MA · CCN 220084	54	$9,720	19% below the national average	$8,512	$18,976
Beth Israel Deaconess Hospital - MiltonMilton, MA · CCN 220108	95	$10,123	16% below the national average	$8,922	$18,874
Nashoba Valley Medical CenterAyer, MA · CCN 220098	30	$10,191	15% below the national average	$8,495	$15,885
Beth Israel Deaconess Hospital - NeedhamNeedham, MA · CCN 220083	102	$10,269	15% below the national average	$8,365	$16,792
Falmouth HospitalFalmouth, MA · CCN 220135	100	$10,294	14% below the national average	$9,136	$22,478
Winchester HospitalWinchester, MA · CCN 220105	158	$10,472	13% below the national average	$9,110	$19,957
The Cooley Dickinson Hospital IncNorthampton, MA · CCN 220015	62	$10,504	13% below the national average	$9,188	$27,084
Good Samaritan Medical CenterBrockton, MA · CCN 220111	155	$10,773	10% below the national average	$9,396	$15,744
Brown University Health Morton HospitalTaunton, MA · CCN 220073	124	$10,852	About average	$9,629	$18,645
Beth Israel Deaconess Hospital PlymouthPlymouth, MA · CCN 220060	111	$10,860	About average	$9,202	$24,393
Baystate Franklin Medical CenterGreenfield, MA · CCN 220016	36	$10,966	About average	$9,632	$17,859
Heywood Hospital -Gardner, MA · CCN 220095	100	$10,997	About average	$9,797	$21,569
Northeast Hospital CorporationBeverly, MA · CCN 220033	180	$11,034	About average	$9,296	$23,913
Mercy Medical CenterSpringfield, MA · CCN 220066	49	$11,038	About average	$9,659	$22,126
Baystate Wing HospitalPalmer, MA · CCN 220030	42	$11,041	About average	$9,404	$18,663
Sturdy Memorial HospitalAttleboro, MA · CCN 220008	88	$11,044	About average	$9,207	$19,546
South Shore HospitalSouth Weymouth, MA · CCN 220100	270	$11,047	About average	$8,988	$20,001
Baystate Noble HospitalWestfield, MA · CCN 220065	37	$11,047	About average	$9,357	$19,148
Milford Regional Medical CenterMilford, MA · CCN 220090	158	$11,099	About average	$9,710	$15,988
UMass Memorial Health - Harrington HospitalSouthbridge, MA · CCN 220019	56	$11,119	About average	$10,129	$23,460
Saint Anne's HospitalFall River, MA · CCN 220020	91	$11,127	About average	$10,018	$24,846
Holy Family HospitalMethuen, MA · CCN 220080	113	$11,180	About average	$9,869	$19,161
Southcoast Hospitals GroupFall River, MA · CCN 220074	304	$11,253	About average	$9,991	$30,795
Lowell General HospitalLowell, MA · CCN 220063	159	$11,312	About average	$9,960	$25,077
Marlborough HospitalMarlborough, MA · CCN 220049	70	$11,349	About average	$9,159	$26,335
Holyoke Medical CenterHolyoke, MA · CCN 220024	57	$11,354	About average	$9,987	$14,209
Anna Jaques HospitalNewburyport, MA · CCN 220029	88	$11,372	About average	$10,353	$25,400
Newton-Wellesley HospitalNewton, MA · CCN 220101	136	$11,954	About average	$10,042	$36,018
UMass Memorial HealthAlliance HospitalsLeominster, MA · CCN 220001	107	$12,166	About average	$10,379	$30,207
MelroseWakefield HealthcareMelrose, MA · CCN 220070	98	$12,259	About average	$9,705	$19,279
North Shore Medical Center -Salem, MA · CCN 220035	157	$12,274	About average	$10,629	$34,200
MetroWest Medical CenterFramingham, MA · CCN 220175	62	$12,781	About average	$10,951	$57,063
Merrimack Health Lawrence HospitalLawrence, MA · CCN 220010	104	$12,883	About average	$10,985	$23,445
Brigham And Women Faulkner HospitalJamaica Plain, MA · CCN 220119	61	$13,085	About average	$10,878	$34,502
Mount Auburn HospitalCambridge, MA · CCN 220002	79	$13,695	14% above the national average	$11,548	$20,704
Cape Cod HospitalHyannis, MA · CCN 220012	207	$13,719	14% above the national average	$12,607	$23,858
Berkshire Medical CenterPittsfield, MA · CCN 220046	123	$14,374	20% above the national average	$12,455	$24,775
Baystate Medical CenterSpringfield, MA · CCN 220077	136	$14,396	20% above the national average	$12,017	$21,779
Boston Medical Center-BrightonBrighton, MA · CCN 220036	19	$14,564	21% above the national average	$12,572	$15,194
Lahey Hospital & Medical Center, BurlingtonBurlington, MA · CCN 220171	90	$14,725	23% above the national average	$11,287	$23,879
St Vincent HospitalWorcester, MA · CCN 220176	98	$14,842	23% above the national average	$11,941	$63,849
Signature Healthcare Brockton HospitalBrockton, MA · CCN 220052	26	$14,977	25% above the national average	$11,322	$30,633
UMass Memorial Medical Center/University CampusWorcester, MA · CCN 220163	221	$17,211	43% above the national average	$14,188	$44,045
Brigham And Women's HospitalBoston, MA · CCN 220110	90	$17,624	47% above the national average	$13,117	$77,969
Massachusetts General HospitalBoston, MA · CCN 220071	149	$17,882	49% above the national average	$13,295	$70,792
Tufts Medical CenterBoston, MA · CCN 220116	44	$18,425	53% above the national average	$13,599	$36,089
Beth Israel Deaconess Medical CenterBoston, MA · CCN 220086	62	$19,375	61% above the national average	$13,974	$32,849
Cambridge Health AllianceCambridge, MA · CCN 220011	53	$21,212	76% above the national average	$18,610	$23,171
Boston Medical CenterBoston, MA · CCN 220031	32	$25,272	110% above the national average	$20,683	$36,715

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.