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 Maryland

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

Maryland

Specific hospitals up to 10

Sort by

Order

Year of care

Average payment across these 40 hospitals: $15,376National $12,020 · Maryland $15,376
Median hospital: $15,280
Lowest to highest: $11,037–$31,751
Medicare stays: 2,223

40 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
Suburban HospitalBethesda, MD · CCN 210022	56	$11,037	About average	$9,784	$12,379
MedStar Montgomery Medical CenterOlney, MD · CCN 210018	40	$11,709	About average	$10,067	$13,106
Johns Hopkins Howard County Medical CenterColumbia, MD · CCN 210048	90	$12,032	About average	$10,516	$13,119
Meritus Medical CenterHagerstown, MD · CCN 210001	121	$12,574	About average	$10,786	$13,590
University Of Maryland Baltimore Washington Medical CenterGlen Burnie, MD · CCN 210043	42	$12,625	About average	$11,422	$13,625
Tidalhealth Peninsula Regional, IncSalisbury, MD · CCN 210019	71	$12,828	About average	$11,473	$14,261
Frederick Health HospitalFrederick, MD · CCN 210005	96	$12,860	About average	$11,403	$14,053
Atlantic General HospitalBerlin, MD · CCN 210061	62	$12,948	About average	$10,928	$14,102
Union Hospital Of Cecil CountyElkton, MD · CCN 210032	80	$13,250	10% above the national average	$11,986	$14,891
UMD Upper Chesapeake Medical CenterBel Air, MD · CCN 210049	89	$13,554	13% above the national average	$12,399	$15,180
Mercy Medical Center IncBaltimore, MD · CCN 210008	18	$13,615	13% above the national average	$12,618	$16,472
MedStar Franklin Square Medical CenterRosedale, MD · CCN 210015	71	$13,684	14% above the national average	$12,468	$15,508
Holy Cross HospitalSilver Spring, MD · CCN 210004	54	$14,033	17% above the national average	$12,268	$15,267
Luminis Health Doctors Community Medical Center, IncLanham, MD · CCN 210051	71	$14,236	18% above the national average	$12,524	$15,245
Garrett Regional Medical CenterOakland, MD · CCN 210017	14	$14,256	19% above the national average	$12,741	$16,053
Carroll Hospital CenterWestminster, MD · CCN 210033	82	$14,436	20% above the national average	$12,539	$16,184
Adventist Healthcare Fort Washington Medical CenterFort Washington, MD · CCN 210060	12	$14,485	21% above the national average	$11,963	$16,306
MedStar Harbor HospitalBaltimore, MD · CCN 210034	26	$14,577	21% above the national average	$12,818	$16,050
Johns Hopkins Bayview Medical CenterBaltimore, MD · CCN 210029	44	$14,944	24% above the national average	$13,374	$17,105
Holy Cross Germantown HospitalGermantown, MD · CCN 210065	48	$15,076	25% above the national average	$11,104	$16,432
Luminis Health Anne Arundel Medical Center, IncAnnapolis, MD · CCN 210023	183	$15,484	29% above the national average	$14,270	$16,709
Calverthealth Medical CenterPrince Frederick, MD · CCN 210039	67	$15,510	29% above the national average	$13,429	$17,117
Western Maryland Regional Medical CenterCumberland, MD · CCN 210027	37	$15,886	32% above the national average	$14,607	$17,923
University Of Maryland St Joseph Medical CenterTowson, MD · CCN 210063	36	$16,005	33% above the national average	$14,504	$17,922
MedStar Saint Mary's HospitalLeonardtown, MD · CCN 210028	43	$16,076	34% above the national average	$14,143	$17,122
University Of Maryland Shore Medical Center At EastonEaston, MD · CCN 210037	50	$16,189	35% above the national average	$14,805	$18,046
Adventist Healthcare White Oak Medical CenterSilver Spring, MD · CCN 210016	98	$16,719	39% above the national average	$15,331	$18,618
MedStar Good Samaritan HospitalBaltimore, MD · CCN 210056	26	$17,753	48% above the national average	$15,877	$21,450
Greater Baltimore Medical CenterBaltimore, MD · CCN 210044	98	$17,869	49% above the national average	$16,440	$20,275
Adventist Healthcare Shady Grove Medical CenterRockville, MD · CCN 210057	63	$18,186	51% above the national average	$16,778	$22,297
Northwest Hospital CenterRandallstown, MD · CCN 210040	52	$18,362	53% above the national average	$17,390	$20,799
Saint Agnes HospitalBaltimore, MD · CCN 210011	29	$18,548	54% above the national average	$17,366	$21,426
MedStar Union Memorial HospitalBaltimore, MD · CCN 210024	24	$18,784	56% above the national average	$16,869	$21,113
MedStar Southern Maryland Hospital CenterClinton, MD · CCN 210062	33	$19,000	58% above the national average	$15,741	$20,445
University Of Maryland Capital Region Medical CenterUpper Marlboro, MD · CCN 210003	21	$19,052	58% above the national average	$17,294	$19,565
Sinai Hospital Of BaltimoreBaltimore, MD · CCN 210012	52	$19,175	60% above the national average	$17,583	$21,751
University Of Maryland Medical CenterBaltimore, MD · CCN 210002	20	$21,254	77% above the national average	$19,706	$26,507
University Of Maryland Charles Regional Medical CenterLa Plata, MD · CCN 210035	45	$22,789	90% above the national average	$21,521	$21,330
The Johns Hopkins HospitalBaltimore, MD · CCN 210009	46	$23,433	95% above the national average	$22,017	$26,705
University Of Maryland Shore Medical Center At ChestertownChestertown, MD · CCN 210030	13	$31,751	164% above the national average	$30,746	$34,675

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.