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 Minnesota

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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Minnesota

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Year of care

Average payment across these 42 hospitals: $12,046National $12,020 · Minnesota $12,046
Median hospital: $11,330
Lowest to highest: $9,031–$18,695
Medicare stays: 1,680

42 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
Lakeview Memorial HospitalStillwater, MN · CCN 240066	20	$9,031	25% below the national average	$7,563	$41,390
Ridgeview Medical CenterWaconia, MN · CCN 240056	38	$9,891	18% below the national average	$7,844	$42,506
Essentia Health St Mary's Medical CenterDuluth, MN · CCN 240002	33	$10,119	16% below the national average	$8,985	$34,194
M Health Fairview Woodwinds HospitalWoodbury, MN · CCN 240213	41	$10,186	15% below the national average	$8,873	$50,512
M Health Fairview Ridges HospitalBurnsville, MN · CCN 240207	83	$10,306	14% below the national average	$8,601	$44,865
St Lukes HospitalDuluth, MN · CCN 240047	57	$10,457	13% below the national average	$9,126	$28,959
Allina United HospitalSaint Paul, MN · CCN 240038	45	$10,590	12% below the national average	$8,698	$41,802
M Health Fairview Southdale HospitalEdina, MN · CCN 240078	83	$10,673	11% below the national average	$8,449	$54,590
Park Nicollet Methodist HospitalSaint Louis Park, MN · CCN 240053	65	$10,722	11% below the national average	$8,463	$34,964
Range Regional Health ServicesHibbing, MN · CCN 240040	27	$10,783	10% below the national average	$9,513	$43,085
Maple Grove HospitalMaple Grove, MN · CCN 240214	24	$10,794	10% below the national average	$8,618	$31,121
Sanford Bemidji Medical CenterBemidji, MN · CCN 240100	46	$10,850	About average	$8,094	$34,360
St Francis Regional Medical CenterShakopee, MN · CCN 240104	21	$10,864	About average	$8,776	$36,089
Mercy HospitalCoon Rapids, MN · CCN 240115	100	$10,899	About average	$8,807	$42,399
Abbott Northwestern HospitalMinneapolis, MN · CCN 240057	66	$10,998	About average	$9,356	$48,990
North Memorial Health HospitalRobbinsdale, MN · CCN 240001	50	$11,004	About average	$8,481	$34,528
M Health Fairview St John's HospitalMaplewood, MN · CCN 240210	70	$11,010	About average	$8,739	$48,904
Essentia Health VirginiaVirginia, MN · CCN 240084	16	$11,027	About average	$9,803	$23,027
Grand Itasca Clinic And HospitalGrand Rapids, MN · CCN 240064	28	$11,276	About average	$9,702	$29,925
Owatonna HospitalOwatonna, MN · CCN 240069	23	$11,282	About average	$10,076	$21,538
Buffalo HospitalBuffalo, MN · CCN 240076	18	$11,287	About average	$10,019	$23,937
Fairview Lakes Health ServicesWyoming, MN · CCN 240050	21	$11,374	About average	$9,151	$52,530
Lake Region Healthcare CorporationFergus Falls, MN · CCN 240052	22	$11,387	About average	$10,423	$39,650
Alomere HealthAlexandria, MN · CCN 240030	29	$11,492	About average	$10,255	$28,806
Mayo Clinic Health System - MankatoMankato, MN · CCN 240093	54	$11,554	About average	$8,939	$30,630
Olmsted Medical CenterRochester, MN · CCN 240006	24	$11,706	About average	$9,849	$20,191
Mayo Clinic Health System In Red WingRed Wing, MN · CCN 240018	19	$11,849	About average	$10,560	$20,256
Cambridge Medical CenterCambridge, MN · CCN 240020	17	$11,882	About average	$10,539	$24,515
Northfield HospitalNorthfield, MN · CCN 240014	21	$11,998	About average	$10,523	$35,565
Allina Health Faribault Medical CenterFaribault, MN · CCN 240071	12	$12,034	About average	$8,539	$24,873
Centracare- Rice Memorial HospitalWillmar, MN · CCN 240088	29	$12,052	About average	$10,701	$19,737
Mayo Clinic Health System - Albert Lea And AustinAlbert Lea, MN · CCN 240043	53	$12,596	About average	$10,811	$24,195
Centracare - St. Cloud HospitalSaint Cloud, MN · CCN 240036	90	$12,763	About average	$11,286	$26,506
Regions HospitalSaint Paul, MN · CCN 240106	54	$12,834	About average	$9,828	$35,924
Hutchinson HealthHutchinson, MN · CCN 240187	16	$13,383	11% above the national average	$12,057	$21,999
Fairview Northland Regional HospitalPrinceton, MN · CCN 240141	16	$14,235	18% above the national average	$8,807	$48,521
Mayo Clinic Health System - FairmontFairmont, MN · CCN 240166	16	$14,326	19% above the national average	$11,715	$17,310
Essentia Health St Marys - Detroit LakesDetroit Lakes, MN · CCN 240101	18	$14,599	21% above the national average	$13,421	$21,023
Winona Health ServicesWinona, MN · CCN 240044	12	$14,612	22% above the national average	$11,689	$25,089
M Health Fairview University Of Mn Medical CenterMinneapolis, MN · CCN 240080	47	$17,139	43% above the national average	$10,767	$82,957
Mayo Clinic Hospital RochesterRochester, MN · CCN 240010	139	$17,318	44% above the national average	$12,321	$40,355
Hennepin County Medical CenterMinneapolis, MN · CCN 240004	17	$18,695	56% above the national average	$14,564	$62,498

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.