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 Virginia
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 66 hospitals
- $11,067
- Median hospital
- $10,618
- Lowest to highest
- $8,256–$19,951
- Medicare stays
- 3,796
66 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 |
|---|---|---|---|---|---|
| Riverside Doctors' Hospital Of Williamsburg | 19 | $8,256 | 31% below the national average | $7,055 | $23,587 |
| Sentara Martha Jefferson Hospital | 58 | $8,440 | 30% below the national average | $7,000 | $23,923 |
| Riverside Walter Reed Hospital | 13 | $8,693 | 28% below the national average | $7,312 | $20,669 |
| Sentara Williamsburg Regional Medical Center | 40 | $9,094 | 24% below the national average | $7,327 | $42,080 |
| Fauquier Hospital | 35 | $9,207 | 23% below the national average | $7,998 | $49,872 |
| Sentara Virginia Beach General Hospital | 97 | $9,316 | 22% below the national average | $7,798 | $40,320 |
| Chesapeake General Hospital | 101 | $9,385 | 22% below the national average | $7,989 | $28,336 |
| Sentara Princess Anne Hospital | 68 | $9,424 | 22% below the national average | $7,627 | $35,206 |
| Centra Health - Lynchburg Gen Hospital | 56 | $9,597 | 20% below the national average | $8,065 | $37,812 |
| John Randolph Medical Center | 58 | $9,638 | 20% below the national average | $8,372 | $82,858 |
| Sentara Obici Hospital | 73 | $9,680 | 19% below the national average | $7,737 | $38,385 |
| Sentara Leigh Hospital | 102 | $9,722 | 19% below the national average | $7,895 | $39,093 |
| Riverside Shore Memorial Hospital | 16 | $9,773 | 19% below the national average | $8,345 | $23,876 |
| Bon Secours Southside Medical Center | 51 | $9,803 | 18% below the national average | $8,126 | $101,501 |
| Henrico Doctors' Hospital | 142 | $9,888 | 18% below the national average | $7,826 | $93,279 |
| Uva Health Haymarket Medical Center | 36 | $9,902 | 18% below the national average | $6,836 | $36,714 |
| Riverside Regional Medical Center | 61 | $10,098 | 16% below the national average | $7,513 | $26,421 |
| CJW Medical Center | 137 | $10,129 | 16% below the national average | $7,533 | $124,701 |
| Stonesprings Hospital Center | 14 | $10,138 | 16% below the national average | $8,975 | $63,029 |
| Community Memorial Hospital | 34 | $10,155 | 16% below the national average | $8,308 | $35,757 |
| Spotsylvania Regional Medical Center | 49 | $10,165 | 15% below the national average | $9,066 | $56,103 |
| Augusta Health | 40 | $10,194 | 15% below the national average | $8,765 | $27,422 |
| Reston Hospital Center | 66 | $10,196 | 15% below the national average | $8,251 | $69,977 |
| Bon Secours St Marys Hospital | 67 | $10,223 | 15% below the national average | $8,442 | $41,159 |
| Stafford Hospital, LLC | 37 | $10,299 | 14% below the national average | $8,352 | $26,658 |
| Mary Washington Hospital | 208 | $10,329 | 14% below the national average | $8,291 | $21,906 |
| Sentara Halifax Regional Hospital | 14 | $10,342 | 14% below the national average | $9,295 | $26,334 |
| Bon Secours Memorial Regional Medical Center | 73 | $10,384 | 14% below the national average | $7,287 | $42,798 |
| Bon Secours St Francis Medical Center | 42 | $10,433 | 13% below the national average | $8,204 | $38,607 |
| Virginia Hospital Center | 60 | $10,505 | 13% below the national average | $8,746 | $30,672 |
| Inova Loudoun Hospital | 133 | $10,519 | 12% below the national average | $8,020 | $35,151 |
| Inova Fair Oaks Hospital | 45 | $10,535 | 12% below the national average | $8,613 | $30,981 |
| Clinch Valley Medical Center | 52 | $10,604 | 12% below the national average | $7,401 | $64,945 |
| Carilion New River Valley Medical Center | 24 | $10,631 | 12% below the national average | $9,317 | $39,361 |
| Centra Bedford Memorial Hospital | 13 | $10,664 | 11% below the national average | $9,158 | $26,216 |
| Southside Community Hospital, Inc | 25 | $10,686 | 11% below the national average | $8,443 | $44,399 |
| Sentara Careplex Hospital | 35 | $10,698 | 11% below the national average | $8,776 | $38,100 |
| Twin County Regional Hospital | 22 | $10,929 | About average | $9,297 | $53,316 |
| Carilion Franklin Memorial Hospital | 22 | $10,957 | About average | $9,696 | $30,155 |
| Sovah Health Danville | 98 | $10,977 | About average | $8,686 | $52,788 |
| Carilion Tazewell Community Hospital | 12 | $11,015 | About average | $9,232 | $26,896 |
| Lewisgale Hospital Alleghany | 19 | $11,085 | About average | $9,964 | $60,088 |
| Russell County Hospital | 18 | $11,094 | About average | $10,008 | $30,119 |
| Inova Alexandria Hospital | 83 | $11,168 | About average | $8,914 | $35,639 |
| Winchester Medical Center | 215 | $11,174 | About average | $9,176 | $24,550 |
| Smyth County Community Hospital | 16 | $11,195 | About average | $10,073 | $26,374 |
| Sentara Northern Virginia Medical Center | 75 | $11,242 | About average | $9,289 | $39,255 |
| Bon Secours Maryview Medical Center | 26 | $11,296 | About average | $8,847 | $28,125 |
| Uva Health Culpeper Medical Center | 87 | $11,383 | About average | $10,164 | $30,665 |
| Carilion Medical Center | 79 | $11,402 | About average | $7,979 | $42,836 |
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.