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 Oklahoma

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.

Location

Oklahoma

Specific hospitals up to 10

Sort by

Order

Year of care

Average payment across these 47 hospitals: $10,363National $12,020 · Oklahoma $10,363
Median hospital: $9,970
Lowest to highest: $8,244–$15,280
Medicare stays: 2,073

47 hospitals reported at least 11 Medicare stays for this in 2024. 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
Oklahoma Heart Hospital, LLCOklahoma City, OK · CCN 370215	28	$8,244	31% below the national average	$7,254	$33,105
Integris Community Hospital - Council CrossingOklahoma City, OK · CCN 370240	11	$8,254	31% below the national average	$7,216	$24,044
Ascension St John Broken ArrowBroken Arrow, OK · CCN 370235	16	$8,398	30% below the national average	$7,380	$19,885
Saint Francis Hospital MuskogeeMuskogee, OK · CCN 370025	34	$8,550	29% below the national average	$7,386	$22,569
Oklahoma Heart Hospital South, LLCOklahoma City, OK · CCN 370234	15	$8,554	29% below the national average	$7,602	$32,774
Duncan Regional Hospital, IncDuncan, OK · CCN 370023	65	$9,083	24% below the national average	$8,030	$38,561
Integris Canadian Valley HospitalYukon, OK · CCN 370211	28	$9,153	24% below the national average	$7,929	$56,702
Mercy Hospital Oklahoma City, IncOklahoma City, OK · CCN 370013	198	$9,222	23% below the national average	$7,925	$37,158
Saint Francis Hospital South, LLCTulsa, OK · CCN 370218	22	$9,283	23% below the national average	$7,177	$23,458
Integris Health Edmond HospitalEdmond, OK · CCN 370236	27	$9,293	23% below the national average	$8,145	$55,019
St Mary's Regional Medical CenterEnid, OK · CCN 370026	75	$9,350	22% below the national average	$7,848	$76,051
Hillcrest Hospital SouthTulsa, OK · CCN 370202	79	$9,390	22% below the national average	$7,626	$62,736
Northeastern Health SystemTahlequah, OK · CCN 370089	16	$9,446	21% below the national average	$7,953	$22,107
Saint Francis Hospital, IncTulsa, OK · CCN 370091	27	$9,508	21% below the national average	$7,619	$40,532
Integris Health Enid HospitalEnid, OK · CCN 370016	30	$9,575	20% below the national average	$7,887	$85,400
Ascension St John Jane PhillipsBartlesville, OK · CCN 370018	83	$9,622	20% below the national average	$8,403	$19,118
Norman RegionalNorman, OK · CCN 370008	79	$9,688	19% below the national average	$8,249	$39,287
SSM Health St Anthony Hospital - MidwestMidwest City, OK · CCN 370094	68	$9,708	19% below the national average	$8,254	$78,564
Memorial HealthLawton, OK · CCN 370056	59	$9,710	19% below the national average	$8,376	$34,728
SSM Health St Anthony Hospital - ShawneeShawnee, OK · CCN 370149	38	$9,753	19% below the national average	$8,286	$28,091
Hillcrest Hospital ClaremoreClaremore, OK · CCN 370039	24	$9,759	19% below the national average	$7,051	$41,387
Great Plains Regional Medical CenterElk City, OK · CCN 370019	18	$9,886	18% below the national average	$7,176	$29,201
Mercy Hospital AdaAda, OK · CCN 370020	40	$9,939	17% below the national average	$8,653	$29,150
Southwestern Medical CenterLawton, OK · CCN 370097	16	$9,970	17% below the national average	$6,850	$37,416
AllianceHealth DurantDurant, OK · CCN 370014	87	$10,030	17% below the national average	$8,351	$147,433
Stillwater Medical CenterStillwater, OK · CCN 370049	59	$10,135	16% below the national average	$8,896	$49,087
Hillcrest Medical CenterTulsa, OK · CCN 370001	83	$10,263	15% below the national average	$8,779	$96,253
SSM Health St Anthony Hospital - Oklahoma CityOklahoma City, OK · CCN 370037	56	$10,367	14% below the national average	$9,053	$59,426
Mercy Hospital Ardmore, IncArdmore, OK · CCN 370047	79	$10,372	14% below the national average	$8,671	$31,024
Bailey Medical Center, LLCOwasso, OK · CCN 370228	16	$10,509	13% below the national average	$8,438	$56,795
St John OwassoOwasso, OK · CCN 370227	25	$10,569	12% below the national average	$9,002	$25,248
Purcell Municipal HospitalPurcell, OK · CCN 370158	14	$10,605	12% below the national average	$9,322	$23,913
Integris Health Ponca CityPonca City, OK · CCN 370006	22	$10,717	11% below the national average	$9,235	$75,934
Saint Francis Hospital Vinita, IncVinita, OK · CCN 370237	25	$11,074	About average	$8,814	$20,419
Jackson County Memorial Hospital AuthorityAltus, OK · CCN 370022	22	$11,101	About average	$9,563	$18,948
Mcalester Regional Health CenterMcalester, OK · CCN 370034	37	$11,102	About average	$9,641	$38,872
Integris Health Woodward HospitalWoodward, OK · CCN 370002	16	$11,259	About average	$10,035	$78,931
Integris Southwest Medical CenterOklahoma City, OK · CCN 370106	59	$11,363	About average	$9,917	$67,299
Integris Grove HospitalGrove, OK · CCN 370113	16	$11,728	About average	$9,273	$60,977
Hillcrest Hospital PryorPryor, OK · CCN 370015	11	$11,890	About average	$10,703	$34,004
Grady Memorial HospitalChickasha, OK · CCN 370054	22	$11,947	About average	$10,835	$20,032
Ascension St John Medical CenterTulsa, OK · CCN 370114	75	$11,949	About average	$9,662	$42,876
Integris Baptist Medical Center, IncOklahoma City, OK · CCN 370028	114	$11,990	About average	$9,049	$78,307
Hillcrest Hospital CushingCushing, OK · CCN 370099	22	$13,048	About average	$11,787	$32,432
Cherokee Nation W W Hastings Indian HospitalTahlequah, OK · CCN 370171	16	$14,067	17% above the national average	$12,639	$22,077
Oklahoma State University Medical CenterTulsa, OK · CCN 370078	18	$14,422	20% above the national average	$12,154	$56,393
O U Medical CenterOklahoma City, OK · CCN 370093	83	$15,280	27% above the national average	$12,864	$83,975

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.