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 New Jersey
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
- $13,120
- Median hospital
- $12,909
- Lowest to highest
- $10,110–$26,702
- Medicare stays
- 4,920
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 |
|---|---|---|---|---|---|
| Robert Wood Johnson University Hospital At Hamilton | 64 | $10,110 | 16% below the national average | $8,887 | $110,760 |
| Bayshore Medical Center | 149 | $10,468 | 13% below the national average | $9,049 | $83,286 |
| Cape Regional Medical Center Inc | 73 | $10,496 | 13% below the national average | $8,939 | $66,641 |
| Southern Ocean Medical Center | 137 | $10,588 | 12% below the national average | $8,451 | $70,953 |
| Ahs Hospital Corp | 67 | $10,660 | 11% below the national average | $8,476 | $127,794 |
| Riverview Medical Center | 115 | $10,707 | 11% below the national average | $8,837 | $77,761 |
| Shore Medical Center | 71 | $10,736 | 11% below the national average | $9,018 | $66,344 |
| Newton Medical Center | 89 | $10,878 | About average | $8,786 | $169,002 |
| West Jersey Hospital | 226 | $10,962 | About average | $9,299 | $113,009 |
| Virtua Willingboro Hospital | 26 | $11,023 | About average | $10,088 | $145,155 |
| Virtua Mount Holly Hospital | 90 | $11,077 | About average | $9,726 | $105,220 |
| Robert Wood Johnson University Hospital At Rahway | 14 | $11,085 | About average | $9,805 | $119,007 |
| Hunterdon Medical Center | 58 | $11,251 | About average | $9,710 | $48,905 |
| Clara Maass Medical Center | 64 | $11,586 | About average | $9,829 | $105,418 |
| University Medical Center Of Princeton At Plainsboro | 59 | $11,596 | About average | $10,151 | $79,099 |
| CentraState Medical Center | 154 | $11,762 | About average | $9,714 | $75,854 |
| Monmouth Medical Center-Southern Campus | 50 | $11,776 | About average | $9,869 | $107,282 |
| Valley Hospital | 186 | $11,818 | About average | $10,132 | $78,030 |
| Robert Wood Johnson University Hospital - Somerset | 80 | $11,884 | About average | $9,024 | $113,925 |
| Community Medical Center | 254 | $11,889 | About average | $9,519 | $88,535 |
| AtlantiCare Regional Medical Center - City Campus | 94 | $12,010 | About average | $10,215 | $63,998 |
| Chilton Medical Center | 94 | $12,120 | About average | $9,084 | $105,020 |
| Hackensack Meridian Health Pascack Valley Medical | 40 | $12,246 | About average | $9,995 | $77,986 |
| JFK University Medical Center | 136 | $12,350 | About average | $10,235 | $96,794 |
| Jersey Shore University Medical Center | 147 | $12,444 | About average | $10,411 | $92,020 |
| Holy Name Medical Center | 72 | $12,533 | About average | $10,264 | $66,435 |
| Ocean Medical Center | 198 | $12,684 | About average | $10,329 | $78,382 |
| Inspira Medical Center Mullica Hill | 115 | $12,901 | About average | $10,731 | $65,907 |
| Saint Clare's Hospital/ Denville Campus | 67 | $12,916 | About average | $10,954 | $60,127 |
| Raritan Bay Medical Center | 116 | $13,322 | 11% above the national average | $10,473 | $88,741 |
| Morristown Medical Center | 251 | $13,548 | 13% above the national average | $10,961 | $104,251 |
| Virtua Our Lady Of Lourdes Hospital | 52 | $13,614 | 13% above the national average | $10,218 | $110,273 |
| Jefferson Stratford Hospital | 120 | $13,750 | 14% above the national average | $10,439 | $93,421 |
| Hackensack Meridian Mountainside Medical | 65 | $13,841 | 15% above the national average | $11,227 | $66,861 |
| Englewood Hospital And Medical Center | 98 | $13,854 | 15% above the national average | $11,369 | $59,648 |
| St Luke's Warren Hospital | 28 | $13,898 | 16% above the national average | $11,715 | $97,514 |
| Overlook Medical Center | 170 | $14,141 | 18% above the national average | $11,150 | $83,373 |
| Capital Health Medical Center - Hopewell | 90 | $14,212 | 18% above the national average | $10,294 | $300,760 |
| Inspira Medical Center Vineland | 95 | $14,455 | 20% above the national average | $11,846 | $69,123 |
| Monmouth Medical Center | 43 | $15,095 | 26% above the national average | $11,894 | $89,863 |
| Capital Health Regional Medical Center | 26 | $15,412 | 28% above the national average | $12,952 | $375,925 |
| Saint Peter's University Hospital | 48 | $15,521 | 29% above the national average | $12,505 | $186,859 |
| Deborah Heart And Lung Center | 18 | $15,607 | 30% above the national average | $12,244 | $71,053 |
| Cooper University Hospital | 44 | $15,656 | 30% above the national average | $12,350 | $75,962 |
| Carepoint Health - Bayonne Medical Center | 26 | $15,744 | 31% above the national average | $12,510 | $339,310 |
| St Mary's General Hospital | 15 | $15,794 | 31% above the national average | $13,676 | $51,306 |
| Trinitas Regional Medical Center | 19 | $16,622 | 38% above the national average | $14,382 | $65,694 |
| Cooperman Barnabas Medical Center | 116 | $16,722 | 39% above the national average | $11,432 | $116,023 |
| St Joseph's University Medical Center Inc | 107 | $16,881 | 40% above the national average | $14,091 | $119,153 |
| Saint Michael's Medical Center | 17 | $17,660 | 47% above the national average | $14,860 | $74,747 |
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.