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 Oregon

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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Oregon

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Average payment across these 24 hospitals: $13,291National $12,020 · Oregon $13,291
Median hospital: $12,832
Lowest to highest: $10,773–$16,969
Medicare stays: 903

24 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
Willamette Valley Medical CenterMcminnville, OR · CCN 380071	22	$10,773	10% below the national average	$9,363	$37,703
McKenzie-Willamette Medical CenterSpringfield, OR · CCN 380020	14	$10,814	10% below the national average	$9,182	$36,813
Providence Newberg Medical CenterNewberg, OR · CCN 380037	13	$10,955	About average	$9,951	$18,689
Sacred Heart Medical Center - RiverbendSpringfield, OR · CCN 380102	55	$11,285	About average	$9,994	$46,443
Adventist Health PortlandPortland, OR · CCN 380060	26	$11,358	About average	$10,224	$49,057
Legacy Meridian Park Medical CenterTualatin, OR · CCN 380089	33	$11,405	About average	$8,960	$41,226
Kaiser Sunnyside Medical CenterClackamas, OR · CCN 380091	11	$11,552	About average	$8,556	$28,239
Legacy Mount Hood Medical CenterGresham, OR · CCN 380025	23	$12,228	About average	$10,347	$34,960
Providence Willamette Falls Medical CenterOregon City, OR · CCN 380038	22	$12,417	About average	$9,799	$30,016
Providence Portland Medical CenterPortland, OR · CCN 380061	27	$12,723	About average	$9,864	$30,590
Asante Three Rivers Medical CenterGrants Pass, OR · CCN 380002	48	$12,751	About average	$10,240	$54,019
Mercy Medical CenterRoseburg, OR · CCN 380027	31	$12,815	About average	$11,273	$36,382
Salem HospitalSalem, OR · CCN 380051	92	$12,849	About average	$10,818	$31,839
Providence St Vincent Medical CenterPortland, OR · CCN 380004	48	$12,955	About average	$10,081	$25,968
Providence Medford Medical CenterMedford, OR · CCN 380075	28	$13,532	13% above the national average	$12,010	$50,698
St Charles Medical Center - BendBend, OR · CCN 380047	100	$13,553	13% above the national average	$11,756	$34,292
Legacy Emanuel Medical CenterPortland, OR · CCN 380007	17	$13,921	16% above the national average	$12,542	$40,016
Hillsboro Medical CenterHillsboro, OR · CCN 380021	28	$13,968	16% above the national average	$11,590	$49,221
Legacy Good Samaritan Medical CenterPortland, OR · CCN 380017	20	$14,071	17% above the national average	$11,074	$30,437
Mid-Columbia Medical CenterThe Dalles, OR · CCN 380001	18	$14,086	17% above the national average	$12,726	$22,070
Bay Area HospitalCoos Bay, OR · CCN 380090	79	$14,590	21% above the national average	$13,270	$40,922
Asante Rogue Regional Medical CenterMedford, OR · CCN 380018	44	$14,978	25% above the national average	$11,251	$46,529
Sky Lakes Medical CenterKlamath Falls, OR · CCN 380050	76	$15,220	27% above the national average	$13,140	$33,970
OHSU Hospital And ClinicsPortland, OR · CCN 380009	28	$16,969	41% above the national average	$13,516	$51,069

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.