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 Washington

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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Washington

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Year of care

Average payment across these 42 hospitals: $12,459National $12,020 · Washington $12,459
Median hospital: $12,145
Lowest to highest: $10,659–$17,761
Medicare stays: 2,122

42 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
Overlake Hospital Medical Center & ClinicsBellevue, WA · CCN 500051	59	$10,659	11% below the national average	$9,290	$51,484
Multicare Valley HospitalSpokane Valley, WA · CCN 500119	46	$10,668	11% below the national average	$9,178	$37,855
Capital Medical CenterOlympia, WA · CCN 500139	43	$10,983	About average	$9,148	$47,064
Swedish Edmonds HospitalEdmonds, WA · CCN 500026	24	$11,276	About average	$9,916	$68,503
Yakima Valley MemorialYakima, WA · CCN 500036	102	$11,335	About average	$9,584	$38,938
Providence Holy Family HospitalSpokane, WA · CCN 500077	45	$11,427	About average	$9,273	$66,211
Confluence Health HospitalWenatchee, WA · CCN 500016	48	$11,437	About average	$9,110	$34,019
Olympic Medical CenterPort Angeles, WA · CCN 500072	37	$11,452	About average	$9,527	$27,442
Samaritan HospitalMoses Lake, WA · CCN 500033	12	$11,523	About average	$10,030	$62,036
Swedish IssaquahIssaquah, WA · CCN 500152	26	$11,566	About average	$9,130	$55,338
Grays Harbor Community HospitalAberdeen, WA · CCN 500031	42	$11,579	About average	$10,297	$55,803
St Clare HospitalLakewood, WA · CCN 500021	33	$11,609	About average	$10,127	$81,917
Deaconess Medical CenterSpokane, WA · CCN 500044	63	$11,630	About average	$9,299	$39,171
Island HospitalAnacortes, WA · CCN 500007	21	$11,649	About average	$10,050	$23,006
Multicare Good Samaritan HospitalPuyallup, WA · CCN 500079	139	$11,658	About average	$9,592	$49,138
Evergreenhealth Medical CenterKirkland, WA · CCN 500124	79	$11,783	About average	$9,923	$63,690
PeaceHealth St John Medical CenterLongview, WA · CCN 500041	38	$11,818	About average	$10,069	$52,690
MultiCare Covington Medical CenterCovington, WA · CCN 500154	29	$11,843	About average	$10,059	$26,488
Providence Centralia HospitalCentralia, WA · CCN 500019	14	$11,939	About average	$10,468	$59,612
Multicare Auburn Medical CenterAuburn, WA · CCN 500015	39	$12,022	About average	$9,819	$43,540
Providence St Mary Medical CenterWalla Walla, WA · CCN 500002	42	$12,105	About average	$8,780	$40,327
Trios HealthKennewick, WA · CCN 500053	38	$12,186	About average	$10,319	$47,173
St Francis Community HospitalFederal Way, WA · CCN 500141	26	$12,318	About average	$9,847	$58,707
St Anthony HospitalGig Harbor, WA · CCN 500151	55	$12,344	About average	$9,190	$82,567
Valley Medical CenterRenton, WA · CCN 500088	61	$12,407	About average	$9,663	$47,020
Kadlec Regional Medical CenterRichland, WA · CCN 500058	96	$12,487	About average	$9,079	$51,932
Highline Medical CenterBurien, WA · CCN 500011	24	$12,638	About average	$10,034	$69,848
PeaceHealth Southwest Medical CenteVancouver, WA · CCN 500050	86	$12,641	About average	$9,453	$58,568
Legacy Salmon Creek Medical CenterVancouver, WA · CCN 500150	49	$12,693	About average	$10,540	$35,283
Tacoma General Allenmore HospitalTacoma, WA · CCN 500129	99	$12,738	About average	$10,416	$43,369
St Michael Medical CenterSilverdale, WA · CCN 500039	79	$12,821	About average	$10,375	$75,404
PeaceHealth St Joseph Medical CenterBellingham, WA · CCN 500030	140	$12,887	About average	$10,773	$65,463
Providence Sacred Heart Medical Center & Childrens HospitalSpokane, WA · CCN 500054	51	$13,273	10% above the national average	$10,132	$68,920
Providence St Peter HospitalOlympia, WA · CCN 500024	52	$13,437	12% above the national average	$9,449	$75,118
Cascade Valley HospitalArlington, WA · CCN 500060	19	$13,768	15% above the national average	$10,153	$46,922
St Joseph Medical CenterTacoma, WA · CCN 500108	29	$13,862	15% above the national average	$10,649	$90,334
Skagit Valley HospitalMount Vernon, WA · CCN 500003	52	$14,002	16% above the national average	$10,883	$54,758
Providence Regional Medical Center EverettEverett, WA · CCN 500014	57	$14,620	22% above the national average	$10,767	$67,263
Virginia Mason Medical CenterSeattle, WA · CCN 500005	17	$15,061	25% above the national average	$11,933	$53,898
Harborview Medical CenterSeattle, WA · CCN 500064	22	$15,794	31% above the national average	$13,640	$62,757
University Of Washington Medical CenterSeattle, WA · CCN 500008	71	$15,865	32% above the national average	$11,462	$49,574
Swedish Medical CenterSeattle, WA · CCN 500027	18	$17,761	48% above the national average	$12,168	$76,974

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.