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 South Carolina

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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South Carolina

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Average payment across these 46 hospitals: $11,106National $12,020 · South Carolina $11,106
Median hospital: $10,624
Lowest to highest: $7,639–$17,277
Medicare stays: 2,319

46 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
Coastal Carolina HospitalHardeeville, SC · CCN 420101	15	$7,639	36% below the national average	$6,551	$62,915
Pelham Medical CenterGreer, SC · CCN 420103	28	$7,949	34% below the national average	$6,283	$43,005
Novant Health East Cooper Medical CenterMount Pleasant, SC · CCN 420089	22	$8,287	31% below the national average	$5,955	$70,900
Mount Pleasant HospitalMount Pleasant, SC · CCN 420104	32	$8,553	29% below the national average	$6,636	$32,167
Prisma Health Baptist Easley HospitalEasley, SC · CCN 420015	28	$8,646	28% below the national average	$7,574	$34,015
MUSC Health Columbia Medical Center DowntownColumbia, SC · CCN 420026	57	$8,701	28% below the national average	$7,421	$34,585
McLeod Loris HospitalLoris, SC · CCN 420105	72	$8,826	27% below the national average	$7,514	$44,510
Prisma Health Baptist ParkridgeColumbia, SC · CCN 420106	12	$9,134	24% below the national average	$7,460	$50,536
MUSC Health Florence Medical CenterFlorence, SC · CCN 420091	64	$9,192	24% below the national average	$7,725	$75,038
St Francis-DowntownGreenville, SC · CCN 420023	91	$9,234	23% below the national average	$7,561	$52,474
Roper HospitalCharleston, SC · CCN 420087	69	$9,292	23% below the national average	$6,867	$38,890
Piedmont Medical CenterRock Hill, SC · CCN 420002	97	$9,410	22% below the national average	$7,902	$93,455
KershawHealthCamden, SC · CCN 420048	13	$9,495	21% below the national average	$8,463	$42,642
Roper St Francis Hospital-Berkeley IncSummerville, SC · CCN 420110	30	$9,866	18% below the national average	$7,662	$35,206
Trident Medical CenterCharleston, SC · CCN 420079	87	$9,872	18% below the national average	$8,551	$103,569
Tidelands Waccamaw Community HospitalMurrells Inlet, SC · CCN 420098	86	$9,878	18% below the national average	$7,909	$31,910
Carolina Pines Regional Medical CenterHartsville, SC · CCN 420010	29	$10,160	15% below the national average	$7,964	$66,917
Bon Secours-St Francis Xavier HospitalCharleston, SC · CCN 420065	43	$10,194	15% below the national average	$8,266	$41,513
Aiken Regional Medical CenterAiken, SC · CCN 420082	51	$10,266	15% below the national average	$8,773	$76,970
Prisma Health Tuomey HospitalSumter, SC · CCN 420070	30	$10,283	14% below the national average	$9,018	$49,973
Lexington Medical CenterWest Columbia, SC · CCN 420073	121	$10,509	13% below the national average	$7,742	$42,384
McLeod Health CherawCheraw, SC · CCN 420107	19	$10,539	12% below the national average	$9,852	$45,394
Tidelands Georgetown Memorial HospitalGeorgetown, SC · CCN 420020	33	$10,564	12% below the national average	$8,963	$31,890
Beaufort County Memorial HospitalBeaufort, SC · CCN 420067	36	$10,685	11% below the national average	$9,325	$27,923
McLeod Regional Medical Center-Pee DeeFlorence, SC · CCN 420051	190	$10,854	About average	$8,513	$54,455
Colleton Medical CenterWalterboro, SC · CCN 420030	19	$10,910	About average	$9,872	$59,182
Prisma Health BaptistColumbia, SC · CCN 420086	16	$10,970	About average	$8,948	$43,786
Prisma Health Hillcrest HospitalSimpsonville, SC · CCN 420037	12	$11,427	About average	$5,752	$41,178
Prisma Health Oconee Memorial HospitalSeneca, SC · CCN 420009	36	$11,491	About average	$9,517	$37,324
Conway Medical CenterConway, SC · CCN 420049	20	$11,814	About average	$9,372	$51,482
Newberry County Memorial HospitalNewberry, SC · CCN 420053	15	$11,852	About average	$10,764	$32,323
Novant Health Hilton Head Medical CenterHilton Head Island, SC · CCN 420080	63	$11,952	About average	$10,657	$58,759
Grand Strand Regional Medical CenterMyrtle Beach, SC · CCN 420085	112	$11,983	About average	$9,190	$83,264
Prisma Health Laurens County HospitalClinton, SC · CCN 420038	15	$12,180	About average	$9,699	$45,250
Spartanburg Medical CenterSpartanburg, SC · CCN 420007	158	$12,320	About average	$10,104	$48,215
Anmed HealthAnderson, SC · CCN 420027	125	$12,364	About average	$10,368	$54,062
Prisma Health Greer Memorial HospitalSpartanburg, SC · CCN 420033	35	$12,560	About average	$9,015	$32,428
Prisma Health Richland HospitalColumbia, SC · CCN 420018	31	$12,908	About average	$10,126	$45,758
Cherokee Medical CenterGaffney, SC · CCN 420043	12	$13,434	12% above the national average	$12,618	$55,288
MUSC Health Lancaster Medical CenterLancaster, SC · CCN 420036	18	$13,498	12% above the national average	$8,886	$96,580
McLeod Medical Center - DillonDillon, SC · CCN 420005	23	$13,729	14% above the national average	$10,468	$46,869
MUSC Health Chester Medical CenterChester, SC · CCN 420019	13	$13,878	15% above the national average	$12,468	$44,136
McLeod Health ClarendonManning, SC · CCN 420109	20	$13,979	16% above the national average	$12,251	$41,249
Self Regional HealthcareGreenwood, SC · CCN 420071	90	$14,224	18% above the national average	$11,362	$43,814
Prisma Health Greenville Memorial HospitalGreenville, SC · CCN 420078	56	$14,670	22% above the national average	$10,505	$55,806
MUSC Medical CenterCharleston, SC · CCN 420004	75	$17,277	44% above the national average	$11,307	$38,876

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.