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 Pennsylvania
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 109 hospitals
- $11,339
- Median hospital
- $10,474
- Lowest to highest
- $8,717–$22,598
- Medicare stays
- 5,303
109 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 |
|---|---|---|---|---|---|
| Canonsburg General Hospital | 19 | $8,717 | 27% below the national average | $7,515 | $49,605 |
| St Clair Hospital | 76 | $8,753 | 27% below the national average | $6,883 | $26,020 |
| Jefferson Lansdale Hospital | 54 | $8,773 | 27% below the national average | $7,747 | $37,106 |
| Excela Health - Frick Hospital | 27 | $8,859 | 26% below the national average | $7,468 | $26,783 |
| Heritage Valley Sewickley | 25 | $8,874 | 26% below the national average | $7,450 | $17,629 |
| Allegheny Valley Hospital | 24 | $9,083 | 24% below the national average | $7,422 | $38,060 |
| Excela Health Westmoreland Regional Hospital | 44 | $9,119 | 24% below the national average | $7,859 | $32,287 |
| Geisinger St. Luke's Hospital | 39 | $9,129 | 24% below the national average | $7,397 | $53,877 |
| Lehigh Valley Hospital - Dickson City | 19 | $9,160 | 24% below the national average | $6,731 | $55,400 |
| Jefferson Hospital | 68 | $9,230 | 23% below the national average | $6,935 | $52,144 |
| Sharon Regional Medical Center | 21 | $9,260 | 23% below the national average | $7,836 | $37,218 |
| UPMC Northwest | 44 | $9,265 | 23% below the national average | $8,172 | $41,918 |
| St Luke's Hospital - Grand View Campus | 70 | $9,317 | 22% below the national average | $8,176 | $46,040 |
| UPMC East | 37 | $9,326 | 22% below the national average | $7,864 | $62,734 |
| St Luke's Hospital - Carbon Campus | 19 | $9,368 | 22% below the national average | $7,550 | $66,904 |
| Lehigh Valley Hospital - Hazleton | 39 | $9,391 | 22% below the national average | $7,871 | $54,807 |
| UPMC Passavant | 59 | $9,395 | 22% below the national average | $6,845 | $63,097 |
| Excela Health Latrobe Hospital | 22 | $9,404 | 22% below the national average | $7,372 | $27,572 |
| Independence Health System Butler Memorial Hospita | 36 | $9,408 | 22% below the national average | $8,218 | $33,963 |
| Riddle Memorial Hospital | 76 | $9,422 | 22% below the national average | $8,134 | $78,289 |
| Penn Highlands Mon Valley | 17 | $9,426 | 22% below the national average | $7,480 | $34,513 |
| Wellspan Ephrata Community Hospital | 26 | $9,478 | 21% below the national average | $7,417 | $40,969 |
| Paoli Hospital | 120 | $9,499 | 21% below the national average | $8,102 | $83,248 |
| UPMC Horizon | 38 | $9,509 | 21% below the national average | $7,968 | $39,918 |
| Wellspan Evangelical Community Hospital | 26 | $9,528 | 21% below the national average | $7,537 | $60,165 |
| Indiana Regional Medical Center | 21 | $9,529 | 21% below the national average | $8,420 | $23,999 |
| UPMC Jameson | 45 | $9,551 | 21% below the national average | $7,503 | $24,207 |
| Pottstown Hospital | 42 | $9,567 | 20% below the national average | $7,748 | $79,928 |
| Penn Highlands Dubois | 35 | $9,576 | 20% below the national average | $8,144 | $21,898 |
| Regional Hospital Of Scranton | 107 | $9,593 | 20% below the national average | $7,515 | $66,803 |
| Chester County Hospital | 100 | $9,698 | 19% below the national average | $8,149 | $46,438 |
| Penn State Health Holy Spirit Medical Center | 29 | $9,716 | 19% below the national average | $7,500 | $44,951 |
| Uniontown Hospital | 41 | $9,734 | 19% below the national average | $7,942 | $26,460 |
| The Washington Hospital | 27 | $9,748 | 19% below the national average | $7,505 | $12,247 |
| Doylestown Hospital | 68 | $9,756 | 19% below the national average | $7,985 | $37,343 |
| St Luke's Hospital - Monroe Campus | 32 | $9,809 | 18% below the national average | $8,497 | $84,743 |
| Ahn Wexford Hospital | 39 | $9,830 | 18% below the national average | $6,587 | $43,461 |
| UPMC Memorial | 24 | $9,872 | 18% below the national average | $7,991 | $53,397 |
| Wilkes-Barre General Hospital | 80 | $9,903 | 18% below the national average | $7,847 | $76,169 |
| ACMH Hospital | 16 | $10,031 | 17% below the national average | $8,245 | $25,822 |
| UPMC Williamsport | 62 | $10,056 | 16% below the national average | $8,829 | $56,650 |
| Wellspan Good Samaritan Hospital | 24 | $10,063 | 16% below the national average | $8,354 | $38,441 |
| UPMC Lititz | 15 | $10,077 | 16% below the national average | $8,756 | $51,227 |
| Lehigh Valley Hospital - Pocono | 45 | $10,172 | 15% below the national average | $8,880 | $66,791 |
| UPMC Somerset | 19 | $10,246 | 15% below the national average | $8,958 | $21,209 |
| Schuylkill Medical Center - South Jackson Street | 31 | $10,249 | 15% below the national average | $8,454 | $55,321 |
| Geisinger-Community Medical Center | 64 | $10,286 | 14% below the national average | $9,039 | $88,248 |
| Holy Redeemer Hospital And Medical Center | 66 | $10,317 | 14% below the national average | $8,133 | $31,587 |
| Heritage Valley Beaver | 35 | $10,372 | 14% below the national average | $8,590 | $26,230 |
| Meadville Medical Center | 27 | $10,397 | 14% below the national average | $8,297 | $33,156 |
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.