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 Missouri
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 56 hospitals
- $10,786
- Median hospital
- $10,339
- Lowest to highest
- $8,201–$23,932
- Medicare stays
- 3,051
56 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 |
|---|---|---|---|---|---|
| Boone Hospital Center | 93 | $8,201 | 32% below the national average | $7,060 | $34,513 |
| Belton Regional Medical Center | 27 | $8,229 | 32% below the national average | $7,186 | $69,026 |
| Saint Luke's East Hospital | 96 | $8,473 | 30% below the national average | $7,175 | $80,204 |
| Lee's Summit Medical Center | 39 | $8,636 | 28% below the national average | $7,470 | $71,965 |
| Missouri Baptist Medical Center | 68 | $8,888 | 26% below the national average | $7,267 | $41,516 |
| Barnes-Jewish St Peters Hospital | 38 | $9,228 | 23% below the national average | $6,861 | $41,566 |
| SSM Health St. Mary's Hospital - Jefferson City | 46 | $9,239 | 23% below the national average | $7,860 | $33,931 |
| SSM St Joseph Hospital West | 57 | $9,253 | 23% below the national average | $7,510 | $39,267 |
| Liberty Hospital | 49 | $9,315 | 23% below the national average | $7,562 | $37,277 |
| Mercy Hospital South | 106 | $9,355 | 22% below the national average | $8,156 | $31,343 |
| SSM St Clare Health Center | 44 | $9,361 | 22% below the national average | $7,696 | $32,878 |
| Ozarks Healthcare | 27 | $9,430 | 22% below the national average | $8,040 | $32,346 |
| Nkc Health | 156 | $9,577 | 20% below the national average | $8,246 | $50,893 |
| Mercy Hospital Joplin | 101 | $9,579 | 20% below the national average | $8,267 | $39,797 |
| Poplar Bluff Regional Medical Center | 61 | $9,580 | 20% below the national average | $8,439 | $97,878 |
| St Lukes Hospital | 83 | $9,694 | 19% below the national average | $7,959 | $50,529 |
| Centerpoint Medical Center | 88 | $9,769 | 19% below the national average | $7,857 | $94,319 |
| Barnes-Jewish West County Hospital | 13 | $9,869 | 18% below the national average | $8,204 | $33,516 |
| Saint Lukes North Hospital | 31 | $9,899 | 18% below the national average | $7,719 | $67,511 |
| Mercy Hospital Jefferson | 75 | $10,018 | 17% below the national average | $8,122 | $37,508 |
| Progress West Hospital | 24 | $10,050 | 16% below the national average | $8,758 | $42,804 |
| Mercy Hospital Southeast | 58 | $10,175 | 15% below the national average | $8,522 | $38,069 |
| Mercy Hospital Springfield | 147 | $10,178 | 15% below the national average | $8,783 | $42,815 |
| Mercy Hospital Washington | 36 | $10,250 | 15% below the national average | $8,260 | $30,384 |
| Freeman Health System - Freeman West | 82 | $10,281 | 14% below the national average | $7,948 | $49,454 |
| Parkland Health Center | 70 | $10,291 | 14% below the national average | $8,826 | $30,608 |
| Bothwell Regional Health Center | 41 | $10,308 | 14% below the national average | $9,026 | $31,659 |
| Saint Francis Medical Center | 40 | $10,335 | 14% below the national average | $9,031 | $71,563 |
| Mercy Hospital St Louis | 90 | $10,343 | 14% below the national average | $8,466 | $38,411 |
| St Joseph Medical Center | 24 | $10,357 | 14% below the national average | $6,794 | $53,825 |
| SSM St Joseph Health Center | 29 | $10,419 | 13% below the national average | $8,450 | $34,969 |
| SSM Health DePaul Hospital St Louis | 26 | $10,610 | 12% below the national average | $8,688 | $37,434 |
| Hannibal Regional Hospital | 74 | $10,699 | 11% below the national average | $9,215 | $29,658 |
| Cox Medical Centers | 128 | $10,833 | About average | $9,226 | $47,139 |
| Lake Regional Health System | 79 | $11,164 | About average | $9,896 | $33,380 |
| Missouri Delta Medical Center | 60 | $11,372 | About average | $9,742 | $60,280 |
| Christian Hospital Northeast | 36 | $11,385 | About average | $9,498 | $51,670 |
| Golden Valley Memorial Hospital | 18 | $11,464 | About average | $10,378 | $28,637 |
| Fitzgibbon Hospital | 15 | $11,660 | About average | $10,464 | $27,794 |
| Mercy Hospital Stoddard | 21 | $11,872 | About average | $10,716 | $26,464 |
| Phelps County Regional Medical Center | 35 | $11,954 | About average | $10,905 | $67,343 |
| Cox Medical Center Branson | 39 | $12,060 | About average | $8,215 | $42,806 |
| Mosaic Life Care At St Joseph | 176 | $12,387 | About average | $11,019 | $43,663 |
| University Of Missouri Health Care | 103 | $12,413 | About average | $9,954 | $45,848 |
| St Lukes Hospital Of Kansas City | 32 | $13,197 | About average | $8,731 | $93,722 |
| SSM Health St Mary's Hospital - St Louis | 27 | $13,440 | 12% above the national average | $10,539 | $30,375 |
| Moberly Regional Medical Center | 13 | $13,687 | 14% above the national average | $12,164 | $75,698 |
| Western Missouri Medical Center | 36 | $13,955 | 16% above the national average | $12,754 | $24,709 |
| Mercy Hospital Lebanon | 14 | $14,157 | 18% above the national average | $12,758 | $21,175 |
| Bates County Memorial Hospital | 17 | $14,857 | 24% above the national average | $13,325 | $29,848 |
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.