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 Tennessee
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 63 hospitals
- $10,291
- Median hospital
- $9,956
- Lowest to highest
- $7,833–$17,340
- Medicare stays
- 3,473
63 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 |
|---|---|---|---|---|---|
| Tennova Healthcare-Jefferson Memorial Hospital | 31 | $7,833 | 35% below the national average | $6,571 | $43,711 |
| Williamson Medical Center | 64 | $8,288 | 31% below the national average | $7,008 | $29,738 |
| Saint Francis Bartlett Medical Center | 81 | $8,305 | 31% below the national average | $6,947 | $84,808 |
| Memorial Healthcare System, Inc | 201 | $8,652 | 28% below the national average | $6,811 | $40,020 |
| Morristown Hamblen Hospital Association | 35 | $8,694 | 28% below the national average | $7,576 | $20,549 |
| Parkwest Medical Center | 56 | $8,789 | 27% below the national average | $6,591 | $19,977 |
| Baptist Memorial Hospital Union City | 34 | $8,802 | 27% below the national average | $7,699 | $44,200 |
| Methodist Medical Center Of Oak Ridge | 43 | $8,847 | 26% below the national average | $7,089 | $23,161 |
| Greeneville Community Hospital | 30 | $8,939 | 26% below the national average | $7,742 | $42,150 |
| Sycamore Shoals Hospital | 21 | $8,993 | 25% below the national average | $7,406 | $34,704 |
| Claiborne Medical Center | 11 | $9,070 | 25% below the national average | $7,883 | $14,008 |
| Roane Medical Center | 34 | $9,076 | 24% below the national average | $7,780 | $19,469 |
| Vanderbilt Wilson County Hospital | 19 | $9,085 | 24% below the national average | $7,711 | $41,967 |
| Vanderbilt Clarksville Hospital | 76 | $9,104 | 24% below the national average | $7,967 | $66,746 |
| Physicians Regional Medical Center | 75 | $9,138 | 24% below the national average | $7,899 | $60,837 |
| Vanderbilt Tullahoma-Harton Hospital | 31 | $9,178 | 24% below the national average | $8,072 | $69,762 |
| Cookeville Regional Medical Center | 163 | $9,208 | 23% below the national average | $7,721 | $22,675 |
| Affiliate Of Vitruvian Health | 77 | $9,279 | 23% below the national average | $7,349 | $81,849 |
| Blount Memorial Hospital | 103 | $9,294 | 23% below the national average | $7,716 | $30,655 |
| Franklin Woods Community Hospital | 37 | $9,314 | 23% below the national average | $7,484 | $40,510 |
| Dyersburg Regional Medical Center | 20 | $9,404 | 22% below the national average | $8,261 | $34,722 |
| Fort Sanders Regional Medical Center | 35 | $9,439 | 21% below the national average | $7,924 | $22,040 |
| Cumberland Medical Center | 46 | $9,440 | 21% below the national average | $8,375 | $21,171 |
| Fort Loudoun Medical Center | 19 | $9,533 | 21% below the national average | $8,159 | $19,248 |
| Maury Regional Hospital | 51 | $9,581 | 20% below the national average | $8,133 | $56,097 |
| Baptist Memorial Hospital - Carroll County | 14 | $9,765 | 19% below the national average | $8,832 | $23,662 |
| Tristar Horizon Medical Center | 52 | $9,807 | 18% below the national average | $7,939 | $51,914 |
| Highpoint Health-Sumner With Ascension Saint Thoma | 45 | $9,822 | 18% below the national average | $7,847 | $67,557 |
| Leconte Medical Center | 15 | $9,920 | 17% below the national average | $7,945 | $20,365 |
| Baptist Memorial Hospital | 145 | $9,924 | 17% below the national average | $7,646 | $48,501 |
| Livingston Regional Hospital | 15 | $9,954 | 17% below the national average | $8,648 | $57,310 |
| Southern Tennessee Regional Health System Winchest | 18 | $9,956 | 17% below the national average | $7,987 | $64,236 |
| Tristar Stonecrest Medical Center | 28 | $10,056 | 16% below the national average | $8,907 | $79,008 |
| West Tennessee Healthcare Henry County Hospital | 18 | $10,073 | 16% below the national average | $8,422 | $29,389 |
| St Francis Hospital | 33 | $10,095 | 16% below the national average | $8,632 | $116,073 |
| Jackson-Madison County General Hospital | 158 | $10,119 | 16% below the national average | $8,184 | $42,696 |
| Wellmont Holston Valley Medical Center | 85 | $10,147 | 16% below the national average | $7,448 | $45,080 |
| Wellmont Bristol Regional Medical Center | 69 | $10,148 | 16% below the national average | $8,096 | $40,044 |
| Tristar Hendersonville Medical Center | 55 | $10,185 | 15% below the national average | $7,782 | $98,546 |
| Parkridge Medical Center | 80 | $10,243 | 15% below the national average | $8,532 | $79,704 |
| Tristar Centennial Medical Center | 42 | $10,465 | 13% below the national average | $8,626 | $82,742 |
| Southern Tennessee Regional Health System Lawrence | 35 | $10,549 | 12% below the national average | $8,624 | $77,340 |
| Sweetwater Hospital Association | 12 | $10,681 | 11% below the national average | $9,187 | $41,829 |
| Indian Path Community Hospital | 13 | $10,782 | 10% below the national average | $8,326 | $30,065 |
| Saint Thomas Rutherford Hospital | 179 | $10,806 | 10% below the national average | $8,619 | $35,198 |
| Starr Regional Medical Center Athens | 29 | $10,881 | About average | $9,205 | $56,675 |
| Tristar Summit Medical Center | 67 | $11,070 | About average | $7,863 | $98,365 |
| Saint Thomas River Park Hospital | 54 | $11,103 | About average | $9,804 | $37,985 |
| Johnson City Medical Center | 86 | $11,136 | About average | $8,306 | $52,171 |
| Hardin Medical Center | 21 | $11,256 | About average | $10,013 | $26,466 |
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.