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 North Carolina

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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North Carolina

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Average payment across these 72 hospitals: $11,518National $12,020 · North Carolina $11,518
Median hospital: $10,733
Lowest to highest: $7,745–$32,122
Medicare stays: 4,202

72 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
Novant Health Ballantyne Medical CenterCharlotte, NC · CCN 340195	22	$7,745	36% below the national average	$6,152	$30,630
WakeMed, Cary HospitalCary, NC · CCN 340173	69	$8,983	25% below the national average	$7,488	$47,516
Frye Regional Medical CenterHickory, NC · CCN 340116	59	$9,070	25% below the national average	$7,378	$64,485
Rex HospitalRaleigh, NC · CCN 340114	91	$9,314	23% below the national average	$8,086	$28,781
Duke Health Lake Norman HospitalMooresville, NC · CCN 340129	32	$9,347	22% below the national average	$7,849	$57,740
Columbus Regional Healthcare SystemWhiteville, NC · CCN 340068	15	$9,494	21% below the national average	$8,519	$37,402
Northern Regional HospitalMount Airy, NC · CCN 340003	78	$9,507	21% below the national average	$7,915	$16,120
Haywood Regional Medical CenterClyde, NC · CCN 340184	60	$9,513	21% below the national average	$7,973	$51,065
Novant Health Matthews Medical CenterMatthews, NC · CCN 340171	37	$9,538	21% below the national average	$8,172	$36,557
UNC Health NashRocky Mount, NC · CCN 340147	48	$9,541	21% below the national average	$7,750	$36,851
Iredell Memorial Hospital IncStatesville, NC · CCN 340039	87	$9,689	19% below the national average	$8,078	$58,186
FirstHealth Moore Regional HospitalPinehurst, NC · CCN 340115	92	$9,692	19% below the national average	$7,922	$46,730
Caldwell Memorial HospitalLenoir, NC · CCN 340041	32	$9,705	19% below the national average	$8,193	$28,678
Pardee Hospital Henderson CountyHendersonville, NC · CCN 340017	16	$9,765	19% below the national average	$8,388	$36,394
Johnston HealthSmithfield, NC · CCN 340090	50	$9,818	18% below the national average	$8,408	$37,230
Atrium Health PinevilleCharlotte, NC · CCN 340098	126	$9,867	18% below the national average	$7,945	$53,033
Novant Health Mint Hill Medical CenterCharlotte, NC · CCN 340190	23	$9,936	17% below the national average	$7,569	$38,809
UNC Lenoir Health CareKinston, NC · CCN 340027	47	$9,987	17% below the national average	$8,696	$19,957
High Point Regional Health SystemHigh Point, NC · CCN 340004	43	$9,997	17% below the national average	$8,982	$35,204
AdventHealth HendersonvilleHendersonville, NC · CCN 340023	47	$10,034	17% below the national average	$8,406	$30,532
Novant Health Brunswick Medical CenterSupply, NC · CCN 340158	47	$10,069	16% below the national average	$8,784	$31,685
Wilkes Regional Medical CenterNorth Wilkesboro, NC · CCN 340064	22	$10,099	16% below the national average	$9,283	$36,911
Caromont Regional Medical CenterGastonia, NC · CCN 340032	41	$10,103	16% below the national average	$8,674	$50,885
Rutherford Regional Medical CenterRutherfordton, NC · CCN 340013	23	$10,274	15% below the national average	$8,928	$50,386
Atrium Health UnionMonroe, NC · CCN 340130	78	$10,318	14% below the national average	$8,715	$43,889
Novant Health Rowan Medical CenterSalisbury, NC · CCN 340015	54	$10,323	14% below the national average	$8,205	$39,884
Novant Health Huntersville Medical CenterHuntersville, NC · CCN 340183	58	$10,411	13% below the national average	$8,024	$31,977
Novant Health Forsyth Medical CenterWinston-Salem, NC · CCN 340014	201	$10,434	13% below the national average	$8,760	$37,780
Lexington Memorial Hospital IncLexington, NC · CCN 340096	18	$10,491	13% below the national average	$9,041	$24,689
Harris Regional HospitalSylva, NC · CCN 340016	38	$10,494	13% below the national average	$9,059	$40,360
Maria Parham Medical CenterHenderson, NC · CCN 340132	21	$10,495	13% below the national average	$8,686	$52,254
Scotland Memorial HospitalLaurinburg, NC · CCN 340008	28	$10,579	12% below the national average	$9,704	$40,113
Atrium Health ClevelandShelby, NC · CCN 340021	75	$10,638	11% below the national average	$8,712	$54,447
Central Carolina HospitalSanford, NC · CCN 340020	21	$10,640	11% below the national average	$9,320	$50,657
Catawba Valley Medical CenterHickory, NC · CCN 340143	53	$10,724	11% below the national average	$9,195	$33,963
Memorial Mission Hospital And Asheville Surgery CeAsheville, NC · CCN 340002	158	$10,732	11% below the national average	$8,531	$43,138
Stanly Regional Medical CenterAlbemarle, NC · CCN 340119	51	$10,734	11% below the national average	$8,930	$46,526
Novant Health Presbyterian Medical CenterCharlotte, NC · CCN 340053	56	$10,777	10% below the national average	$9,075	$43,576
Wilson Medical CenterWilson, NC · CCN 340126	32	$10,782	10% below the national average	$9,125	$47,222
Hugh Chatham Memorial HospitalElkin, NC · CCN 340097	36	$10,866	About average	$8,498	$38,191
Duke Health Raleigh HospitalRaleigh, NC · CCN 340073	22	$10,889	About average	$8,673	$34,357
Carolinas Medical Center-NortheastConcord, NC · CCN 340001	123	$10,902	About average	$8,670	$50,068
Alamance Regional Medical CenterBurlington, NC · CCN 340070	40	$10,939	About average	$8,908	$30,868
Granville Health SystemsOxford, NC · CCN 340127	15	$11,073	About average	$9,767	$31,724
Randolph HospitalAsheboro, NC · CCN 340123	43	$11,085	About average	$9,738	$61,138
Onslow Memorial HospitalJacksonville, NC · CCN 340042	92	$11,117	About average	$9,680	$35,910
UNC Health Care WayneGoldsboro, NC · CCN 340010	57	$11,148	About average	$9,656	$31,930
Carolina East Medical CenterNew Bern, NC · CCN 340131	116	$11,164	About average	$9,940	$28,650
Cape Fear Valley Medical CenterFayetteville, NC · CCN 340028	89	$11,186	About average	$9,760	$28,541
Cape Fear Valley Hoke HospitalRaeford, NC · CCN 340188	11	$11,204	About average	$9,572	$24,765

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.