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 Ohio
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 101 hospitals
- $10,698
- Median hospital
- $10,554
- Lowest to highest
- $5,659–$16,835
- Medicare stays
- 5,322
101 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 |
|---|---|---|---|---|---|
| Marietta Memorial Hospital | 59 | $5,659 | 53% below the national average | $3,656 | $35,552 |
| Memorial Hospital | 18 | $6,666 | 45% below the national average | $5,669 | $31,820 |
| Lake Health | 66 | $8,219 | 32% below the national average | $7,008 | $36,797 |
| East Ohio Regional Hospital | 25 | $8,276 | 31% below the national average | $7,232 | $21,130 |
| Southwest General Health Center | 104 | $8,478 | 29% below the national average | $6,916 | $33,893 |
| Parma Community General Hospital | 64 | $8,518 | 29% below the national average | $6,601 | $40,657 |
| University Hospitals Portage Medical Center | 30 | $8,524 | 29% below the national average | $7,173 | $29,936 |
| Cleveland Clinic Avon Hospital | 86 | $8,586 | 29% below the national average | $6,815 | $33,093 |
| Bellevue Hospital | 16 | $8,698 | 28% below the national average | $7,984 | $40,407 |
| Wooster Community Hospital | 23 | $8,802 | 27% below the national average | $7,269 | $20,541 |
| Blanchard Valley Hospital | 46 | $8,820 | 27% below the national average | $7,221 | $24,442 |
| Medina Hospital | 111 | $8,852 | 26% below the national average | $6,749 | $43,941 |
| Hillcrest Hospital | 149 | $8,986 | 25% below the national average | $7,344 | $46,935 |
| University Hospitals - Elyria Medical Center | 53 | $8,995 | 25% below the national average | $7,733 | $30,685 |
| Mercy Health - Clermont Hospital | 27 | $9,007 | 25% below the national average | $7,739 | $36,545 |
| Upper Valley Medical Center | 58 | $9,040 | 25% below the national average | $7,747 | $48,225 |
| Mercy Regional Medical Center | 22 | $9,123 | 24% below the national average | $7,695 | $44,002 |
| MH St Joseph Warren Hospital | 36 | $9,124 | 24% below the national average | $7,354 | $44,034 |
| Mercy Health - West Hospital | 41 | $9,146 | 24% below the national average | $7,309 | $35,340 |
| Mercy Health-Anderson Hospital | 37 | $9,233 | 23% below the national average | $7,363 | $38,985 |
| Kettering Health Troy | 23 | $9,249 | 23% below the national average | $7,376 | $41,706 |
| University Hospitals Ahuja Medical Center | 89 | $9,256 | 23% below the national average | $7,847 | $39,455 |
| Union Hospital | 43 | $9,315 | 23% below the national average | $8,139 | $47,584 |
| McCullough-Hyde Memorial Hospital | 18 | $9,373 | 22% below the national average | $8,285 | $26,528 |
| Mercy Medical Center | 62 | $9,378 | 22% below the national average | $7,259 | $46,275 |
| Holzer Medical Center | 39 | $9,466 | 21% below the national average | $7,875 | $34,564 |
| Mercy Health - Fairfield Hospital | 24 | $9,479 | 21% below the national average | $7,462 | $40,986 |
| Avita Ontario | 11 | $9,514 | 21% below the national average | $8,179 | $42,265 |
| HMHP St Elizabeth Boardman Health Center | 78 | $9,543 | 21% below the national average | $6,951 | $42,274 |
| Marymount Hospital | 77 | $9,602 | 20% below the national average | $7,212 | $43,047 |
| Licking Memorial Hospital | 35 | $9,605 | 20% below the national average | $8,339 | $28,868 |
| Fort Hamilton Hughes Memorial Hospital | 28 | $9,616 | 20% below the national average | $7,593 | $43,220 |
| Bethesda North | 121 | $9,656 | 20% below the national average | $7,807 | $26,304 |
| OhioHealth Mansfield Hospital | 96 | $9,658 | 20% below the national average | $8,073 | $40,364 |
| South Pointe Hospital | 40 | $9,749 | 19% below the national average | $7,432 | $46,859 |
| West Chester Hospital | 78 | $9,756 | 19% below the national average | $7,477 | $45,561 |
| Marion General Hospital | 82 | $9,799 | 18% below the national average | $8,234 | $30,753 |
| Springfield Regional Medical Center | 43 | $9,889 | 18% below the national average | $7,940 | $46,446 |
| University Hospitals Samaritan Medical Center | 24 | $9,947 | 17% below the national average | $8,183 | $19,313 |
| Lima Memorial Health System | 48 | $9,956 | 17% below the national average | $8,542 | $28,738 |
| Kettering Health Miamisburg | 35 | $10,015 | 17% below the national average | $8,246 | $42,070 |
| Fairview Hospital | 112 | $10,034 | 17% below the national average | $7,874 | $43,966 |
| Mercy Health - Defiance Hospital | 29 | $10,037 | 16% below the national average | $8,857 | $26,312 |
| Fairfield Medical Center | 63 | $10,107 | 16% below the national average | $8,626 | $26,160 |
| Ashtabula County Medical Center | 46 | $10,367 | 14% below the national average | $9,374 | $29,137 |
| Euclid Hospital | 39 | $10,369 | 14% below the national average | $7,202 | $51,983 |
| Grand Lake Health System | 32 | $10,404 | 13% below the national average | $8,976 | $22,324 |
| Atrium Medical Center | 58 | $10,434 | 13% below the national average | $6,856 | $41,605 |
| Wilson Memorial Hospital | 13 | $10,479 | 13% below the national average | $9,098 | $31,693 |
| Miami Valley Hospital | 137 | $10,480 | 13% below the national average | $8,668 | $46,750 |
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.