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 York
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 116 hospitals
- $15,898
- Median hospital
- $13,546
- Lowest to highest
- $10,304–$48,754
- Medicare stays
- 7,313
116 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 |
|---|---|---|---|---|---|
| Northern Westchester Hospital | 50 | $10,304 | 14% below the national average | $8,821 | $46,668 |
| UPMC Chautauqua | 20 | $10,502 | 13% below the national average | $9,237 | $14,782 |
| St Catherine Of Siena Hospital | 34 | $10,797 | 10% below the national average | $10,029 | $67,949 |
| Corning Hospital | 42 | $10,849 | About average | $9,546 | $31,173 |
| F F Thompson Hospital | 30 | $10,912 | About average | $8,977 | $20,253 |
| Olean General Hospital | 67 | $10,993 | About average | $9,348 | $19,514 |
| Putnam Hospital Center | 26 | $11,077 | About average | $9,351 | $32,672 |
| Glens Falls Hospital | 38 | $11,114 | About average | $9,848 | $29,372 |
| Huntington Hospital | 105 | $11,229 | About average | $9,782 | $54,178 |
| Newark-Wayne Community Hospital | 12 | $11,365 | About average | $10,549 | $28,065 |
| Canton-Potsdam Hospital | 30 | $11,427 | About average | $9,329 | $24,646 |
| Nathan Littauer Hospital | 15 | $11,492 | About average | $9,968 | $26,978 |
| United Memorial Medical Center | 30 | $11,597 | About average | $9,949 | $23,277 |
| Auburn Community Hospital | 49 | $11,602 | About average | $10,150 | $21,479 |
| Mercy Hospital Of Buffalo | 34 | $11,645 | About average | $10,157 | $37,258 |
| St Joseph Hospital | 63 | $11,674 | About average | $9,712 | $57,285 |
| Saratoga Hospital | 59 | $11,839 | About average | $10,429 | $52,043 |
| Geneva General Hospital | 18 | $11,846 | About average | $9,515 | $22,544 |
| White Plains Hospital Center | 135 | $11,848 | About average | $10,307 | $72,492 |
| Oswego Hospital | 23 | $11,864 | About average | $10,941 | $24,313 |
| Cayuga Medical Center At Ithaca | 33 | $11,944 | About average | $10,245 | $29,267 |
| Rome Memorial Hospital, Inc | 19 | $11,973 | About average | $9,563 | $24,985 |
| Nyack Hospital | 65 | $12,004 | About average | $10,385 | $90,982 |
| Columbia Memorial Hospital | 23 | $12,019 | About average | $10,529 | $24,107 |
| Bon Secours Community Hospital | 40 | $12,038 | About average | $10,896 | $105,013 |
| St Francis Hospital - The Heart Center | 157 | $12,050 | About average | $10,089 | $79,110 |
| Jones Memorial Hospital | 17 | $12,125 | About average | $11,069 | $16,755 |
| Kenmore Mercy Hospital | 33 | $12,134 | About average | $8,770 | $22,197 |
| St Anthony Community Hospital | 36 | $12,184 | About average | $9,559 | $91,743 |
| St Marys Healthcare | 26 | $12,272 | About average | $10,141 | $37,225 |
| Guthrie Cortland Regional Medical Center | 38 | $12,280 | About average | $9,904 | $30,831 |
| Good Samaritan Hospital Of Suffern | 134 | $12,294 | About average | $10,750 | $111,918 |
| Oneida Health Hospital | 11 | $12,311 | About average | $10,448 | $17,403 |
| Bertrand Chaffee Hospital | 16 | $12,341 | About average | $11,219 | $13,644 |
| Montefiore St Luke's Cornwall | 57 | $12,357 | About average | $10,787 | $87,724 |
| Hudson Valley Hospital Center | 100 | $12,364 | About average | $10,393 | $61,088 |
| Our Lady Of Lourdes Memorial Hospital, Inc | 67 | $12,452 | About average | $10,793 | $33,710 |
| Mercy Medical Center | 36 | $12,483 | About average | $10,664 | $82,870 |
| HealthAlliance Hospital Marys Avenue Campus | 53 | $12,531 | About average | $10,670 | $105,236 |
| Crouse Hospital | 60 | $12,643 | About average | $10,127 | $30,891 |
| St Joseph's Hospital Health Center | 68 | $12,668 | About average | $9,665 | $31,060 |
| United Health Services Hospitals, Inc | 58 | $12,670 | About average | $10,951 | $32,241 |
| Good Samaritan Hospital Medical Center | 115 | $12,699 | About average | $10,739 | $73,598 |
| Nicholas H Noyes Memorial Hospital | 28 | $12,729 | About average | $11,651 | $13,642 |
| Ellis Hospital | 35 | $12,741 | About average | $10,385 | $24,882 |
| Claxton-Hepburn Medical Center | 29 | $12,803 | About average | $11,623 | $23,581 |
| Long Island Community Hospital | 59 | $12,845 | About average | $10,686 | $104,867 |
| Peconic Bay Medical Center | 85 | $12,890 | About average | $10,752 | $92,276 |
| Wynn Hospital | 76 | $12,890 | About average | $10,575 | $52,306 |
| Samaritan Hospital Of Troy, New York | 60 | $12,988 | About average | $9,893 | $28,314 |
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.