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 Michigan

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Michigan

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Average payment across these 69 hospitals: $11,570National $12,020 · Michigan $11,570
Median hospital: $11,503
Lowest to highest: $8,837–$17,929
Medicare stays: 3,790

69 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
McLaren Port HuronPort Huron, MI · CCN 230216	30	$8,837	26% below the national average	$7,635	$23,975
McLaren Bay RegionBay City, MI · CCN 230041	54	$8,861	26% below the national average	$7,575	$33,886
Memorial HealthcareOwosso, MI · CCN 230121	42	$9,415	22% below the national average	$8,171	$39,833
Mymichigan Medical Center SaginawSaginaw, MI · CCN 230077	27	$9,421	22% below the national average	$8,125	$39,098
Oaklawn HospitalMarshall, MI · CCN 230217	27	$9,494	21% below the national average	$8,092	$33,438
Beaumont Hospital, TroyTroy, MI · CCN 230269	196	$9,511	21% below the national average	$7,499	$40,130
Henry Ford Health West Bloomfield HospitalW Bloomfield, MI · CCN 230302	86	$9,706	19% below the national average	$8,247	$30,785
Beaumont Hospital - Grosse PointeGrosse Pointe, MI · CCN 230089	52	$9,921	17% below the national average	$7,934	$33,231
Covenant Medical CenterSaginaw, MI · CCN 230070	116	$10,004	17% below the national average	$8,426	$27,982
Chelsea HospitalChelsea, MI · CCN 230259	38	$10,101	16% below the national average	$6,895	$28,115
Corewell Health Trenton HospitalTrenton, MI · CCN 230176	68	$10,348	14% below the national average	$8,201	$46,274
Lakeland Hospital, St JosephSt Joseph, MI · CCN 230021	28	$10,391	14% below the national average	$8,674	$26,395
Wyandotte Hospital And Medical CenterWyandotte, MI · CCN 230146	62	$10,540	12% below the national average	$8,465	$40,750
Bronson Battle Creek HospitalBattle Creek, MI · CCN 230075	63	$10,621	12% below the national average	$8,351	$33,657
Beaumont Hospital - TaylorTaylor, MI · CCN 230270	48	$10,653	11% below the national average	$8,285	$38,271
Insight Hospital And Medical Center ColdwaterColdwater, MI · CCN 230022	30	$10,765	10% below the national average	$9,353	$35,509
Huron Valley-Sinai HospitalCommerce Township, MI · CCN 230277	29	$10,768	10% below the national average	$8,932	$54,664
McLaren Northern MichiganPetoskey, MI · CCN 230105	37	$10,809	10% below the national average	$9,644	$25,773
Mymichigan Medical Center ClareClare, MI · CCN 230180	21	$10,884	About average	$9,563	$21,385
Ascension Providence Rochester HospitalRochester, MI · CCN 230254	62	$11,012	About average	$8,733	$37,213
ProMedica Charles And Virginia Hickman HospitalAdrian, MI · CCN 230005	45	$11,126	About average	$9,151	$45,838
McLaren MacombMount Clemens, MI · CCN 230227	67	$11,224	About average	$9,074	$27,712
Borgess Medical CenterKalamazoo, MI · CCN 230117	45	$11,239	About average	$9,141	$40,694
Mymichigan Medical Center West BranchWest Branch, MI · CCN 230095	28	$11,254	About average	$9,914	$16,261
Mymichigan Medical Center AlmaAlma, MI · CCN 230030	43	$11,273	About average	$10,126	$24,742
Bronson Methodist HospitalKalamazoo, MI · CCN 230017	85	$11,283	About average	$8,310	$37,211
ProMedica Monroe Regional HospitalMonroe, MI · CCN 230099	33	$11,292	About average	$8,815	$30,612
Henry Ford Macomb HospitalClinton Township, MI · CCN 230047	135	$11,294	About average	$8,730	$30,314
Beaumont Hospital - DearbornDearborn, MI · CCN 230020	94	$11,321	About average	$8,860	$41,189
Henry Ford Health Warren HospitalWarren, MI · CCN 230195	106	$11,341	About average	$9,483	$33,374
Mymichigan Medical Center AlpenaAlpena, MI · CCN 230036	26	$11,349	About average	$10,219	$22,215
Mymichigan Medical Center MidlandMidland, MI · CCN 230222	75	$11,409	About average	$9,217	$29,568
McLaren FlintFlint, MI · CCN 230141	62	$11,439	About average	$9,150	$31,168
Spectrum Health United HospitalGreenville, MI · CCN 230035	18	$11,495	About average	$10,071	$23,295
McLaren Lapeer RegionLapeer, MI · CCN 230193	41	$11,503	About average	$9,850	$31,981
Trinity Health Ann Arbor HospitalAnn Arbor, MI · CCN 230156	147	$11,512	About average	$8,960	$37,226
Munson Medical CenterTraverse City, MI · CCN 230097	77	$11,554	About average	$9,713	$30,659
University Of Michigan Health-Sparrow CarsonCarson City, MI · CCN 230208	11	$11,589	About average	$9,856	$23,264
Tawas St Joseph HospitalTawas City, MI · CCN 230100	20	$11,619	About average	$10,395	$14,594
Munson Healthcare Cadillac HospitalCadillac, MI · CCN 230081	19	$11,697	About average	$8,519	$22,680
Munson Healthcare Otsego Memorial HospitalGaylord, MI · CCN 230133	26	$11,698	About average	$10,317	$20,179
Henry Ford Allegiance HealthJackson, MI · CCN 230092	143	$11,902	About average	$9,511	$36,876
Garden City HospitalGarden City, MI · CCN 230244	17	$11,938	About average	$8,676	$39,429
Uphs Marquette Dlp HospitalMarquette, MI · CCN 230054	40	$11,950	About average	$10,195	$46,250
Ascension Providence Hospital, Southfield And NoviSouthfield, MI · CCN 230019	106	$12,028	About average	$9,574	$38,077
Trinity Health Oakland HospitalPontiac, MI · CCN 230029	85	$12,040	About average	$9,404	$37,081
Ascension Genesys HospitalGrand Blanc, MI · CCN 230197	85	$12,064	About average	$9,658	$34,405
Edward W Sparrow HospitalLansing, MI · CCN 230230	101	$12,071	About average	$8,483	$47,076
Corewell Health Wayne HospitalWayne, MI · CCN 230142	32	$12,091	About average	$8,858	$54,850
St Joe Mercy Hospital System LivoniaLivonia, MI · CCN 230002	75	$12,216	About average	$10,007	$35,243

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.