Inpatient stay · MS-DRG 194

Simple pneumonia and pleurisy with CC

In 2024, Medicare and patients paid an average of $7,941 per stay at 1,522 hospitals. Half of hospitals averaged between $6,534 and $8,584.

Also known as: Pneumonia

National figures, 2024

Average payment per case: $7,941
Typical range (middle half of hospitals): $6,534–$8,584
Medicare’s share: $5,88074% of the payment
Average billed charge: $38,636
Hospitals reporting: 1,52241,948 stays

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1,522 hospitals reported at least 11 Medicare stays for this in 2024; showing 651–700. Download as CSV

Medicare payments per case for Simple pneumonia and pleurisy with CC by hospital, 2024
Hospital	Cases	Average payment	vs national average	Medicare paid	Billed charge
Kenmore Mercy HospitalKenmore, NY · CCN 330102	12	$7,046	11% below the national average	$6,094	$21,473
UNC Health Care WayneGoldsboro, NC · CCN 340010	46	$7,048	11% below the national average	$5,512	$21,587
St Josephs HospitalTampa, FL · CCN 100075	89	$7,051	11% below the national average	$5,915	$39,241
Good Samaritan Medical CenterBrockton, MA · CCN 220111	50	$7,051	11% below the national average	$5,551	$11,955
Goshen HospitalGoshen, IN · CCN 150026	29	$7,053	11% below the national average	$5,794	$21,886
Schuylkill Medical Center - South Jackson StreetPottsville, PA · CCN 390030	16	$7,055	11% below the national average	$4,850	$38,599
Wayne Memorial HospitalHonesdale, PA · CCN 390125	37	$7,060	11% below the national average	$5,914	$33,211
Heywood Hospital -Gardner, MA · CCN 220095	21	$7,061	11% below the national average	$5,897	$15,382
F F Thompson HospitalCanandaigua, NY · CCN 330074	22	$7,061	11% below the national average	$5,726	$13,213
Good Samaritan HospitalVincennes, IN · CCN 150042	11	$7,063	11% below the national average	$5,222	$21,261
Johnson City Medical CenterJohnson City, TN · CCN 440063	17	$7,065	11% below the national average	$5,340	$34,410
UPMC ChautauquaJamestown, NY · CCN 330239	13	$7,070	11% below the national average	$5,780	$11,798
Baptist Medical Center EastMontgomery, AL · CCN 010149	12	$7,074	11% below the national average	$4,419	$22,177
Herrin HospitalHerrin, IL · CCN 140011	23	$7,074	11% below the national average	$4,638	$30,050
The Monroe ClinicMonroe, WI · CCN 520028	15	$7,076	11% below the national average	$5,341	$30,012
Coosa Valley Medical CenterSylacauga, AL · CCN 010164	18	$7,078	11% below the national average	$5,627	$31,228
Banner Desert Medical CenterMesa, AZ · CCN 030065	17	$7,078	11% below the national average	$6,011	$32,052
Ascension Seton WilliamsonRound Rock, TX · CCN 670041	16	$7,080	11% below the national average	$5,856	$58,418
UPMC Bedford MemorialEverett, PA · CCN 390117	13	$7,080	11% below the national average	$5,699	$20,855
Mcalester Regional Health CenterMcalester, OK · CCN 370034	11	$7,085	11% below the national average	$5,753	$16,410
Elmhurst Memorial HospitalElmhurst, IL · CCN 140200	31	$7,086	11% below the national average	$4,739	$33,181
HonorHealth Scottsdale Osborn Medical CenterScottsdale, AZ · CCN 030038	29	$7,086	11% below the national average	$5,268	$49,972
Sovah Health DanvilleDanville, VA · CCN 490075	18	$7,087	11% below the national average	$5,177	$46,158
Riverview HealthNoblesville, IN · CCN 150059	15	$7,094	11% below the national average	$5,549	$24,576
UT Health East Texas Athens HospitalAthens, TX · CCN 450389	28	$7,097	11% below the national average	$5,816	$47,263
CentraState Medical CenterFreehold, NJ · CCN 310111	77	$7,098	11% below the national average	$5,673	$52,379
St Peter's HospitalAlbany, NY · CCN 330057	35	$7,102	11% below the national average	$5,573	$25,703
St Johns HospitalSpringfield, IL · CCN 140053	20	$7,104	11% below the national average	$5,182	$32,299
Carolina East Medical CenterNew Bern, NC · CCN 340131	28	$7,105	11% below the national average	$5,476	$21,810
Milford Regional Medical CenterMilford, MA · CCN 220090	36	$7,105	11% below the national average	$5,692	$11,860
Sentara RMH Medical CenterHarrisonburg, VA · CCN 490004	14	$7,106	11% below the national average	$5,143	$16,810
Prisma Health Oconee Memorial HospitalSeneca, SC · CCN 420009	19	$7,106	11% below the national average	$5,489	$25,992
Marion General HospitalMarion, IN · CCN 150011	18	$7,108	10% below the national average	$5,863	$17,414
Ouachita County Medical CenterCamden, AR · CCN 040050	15	$7,115	10% below the national average	$5,354	$21,966
Miami County Medical CenterPaola, KS · CCN 170109	14	$7,117	10% below the national average	$5,485	$18,640
St Luke's The Woodlands HospitalThe Woodlands, TX · CCN 450862	12	$7,118	10% below the national average	$5,761	$49,865
Saratoga HospitalSaratoga Springs, NY · CCN 330222	17	$7,119	10% below the national average	$5,934	$25,125
Trinity Health Muskegon HospitalMuskegon, MI · CCN 230066	12	$7,121	10% below the national average	$5,621	$19,016
Amita Health Resurrection Medical CenterChicago, IL · CCN 140117	14	$7,124	10% below the national average	$5,222	$48,386
Piedmont Cartersville Medical CenterCartersville, GA · CCN 110030	12	$7,126	10% below the national average	$5,485	$48,482
Essentia Health St Joseph's Medical CenterBrainerd, MN · CCN 240075	14	$7,132	10% below the national average	$4,968	$20,229
Penn State Health Holy Spirit Medical CenterCamp Hill, PA · CCN 390004	23	$7,133	10% below the national average	$4,015	$30,861
Emerson Hospital -W Concord, MA · CCN 220084	21	$7,133	10% below the national average	$4,616	$15,920
Methodist Richardson Medical CenterRichardson, TX · CCN 450537	19	$7,136	10% below the national average	$5,366	$48,658
Holy Cross Germantown HospitalGermantown, MD · CCN 210065	13	$7,137	10% below the national average	$5,077	$7,783
Houston Methodist West HospitalHouston, TX · CCN 670077	12	$7,138	10% below the national average	$5,778	$44,346
Inova Alexandria HospitalAlexandria, VA · CCN 490040	18	$7,139	10% below the national average	$5,851	$22,814
Sibley Memorial HospitalWashington, DC · CCN 090005	28	$7,143	10% below the national average	$5,561	$35,371
Evergreenhealth Medical CenterKirkland, WA · CCN 500124	34	$7,143	10% below the national average	$5,774	$43,814
Indiana University Health Ball Memorial HospitalMuncie, IN · CCN 150089	30	$7,145	10% below the national average	$5,389	$31,065

National trend

Average payment and billed charge per stay, and how many Medicare stays were reported each year.

Average payment
Average billed charge

2020: 61,919 stays at 1,961 hospitals · 2021: 31,531 stays at 1,321 hospitals · 2022: 37,400 stays at 1,444 hospitals · 2023: 37,586 stays at 1,421 hospitals · 2024: 41,948 stays at 1,522 hospitals

View data as a table

National average payment and billed charge for Simple pneumonia and pleurisy with CC
Year of care	Average payment	Average billed charge
2020	$7,450	$33K
2021	$7,414	$33K
2022	$7,523	$35K
2023	$7,672	$37K
2024	$7,941	$39K

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 CC, 2024
State	Hospitals	Cases	Average payment	Typical range
Iowa	15	421	$6,219	$5,850–$6,526
Arkansas	25	528	$6,317	$6,055–$6,770
Kentucky	27	874	$6,348	$6,080–$6,741
Louisiana	32	806	$6,404	$5,671–$7,004
Idaho	1	26	$6,405	$6,405–$6,405
Kansas	14	329	$6,480	$5,837–$6,982
West Virginia	17	453	$6,551	$5,887–$6,893
Mississippi	25	532	$6,567	$6,051–$7,207
Montana	2	26	$6,660	$6,537–$6,828
Indiana	49	1,212	$6,815	$6,356–$7,166
Alabama	37	891	$6,857	$6,460–$7,260
Ohio	71	1,635	$6,879	$5,968–$7,165
Missouri	37	1,148	$6,943	$6,223–$7,442
Nebraska	7	232	$7,022	$6,472–$7,500
Oklahoma	30	774	$7,064	$6,476–$7,534
Colorado	9	187	$7,068	$6,302–$6,924
South Dakota	4	110	$7,084	$6,637–$7,473
Wisconsin	23	444	$7,255	$6,642–$7,668
Vermont	3	51	$7,280	$6,146–$8,183
Tennessee	33	732	$7,299	$6,052–$7,468
Pennsylvania	80	2,190	$7,325	$6,223–$7,795
Virginia	42	949	$7,362	$6,366–$7,485
New Hampshire	9	191	$7,380	$6,533–$7,747
Utah	2	48	$7,411	$7,180–$8,287
Florida	121	4,048	$7,459	$6,510–$8,232
North Dakota	4	113	$7,473	$7,169–$7,695
South Carolina	33	826	$7,497	$6,329–$7,792
Michigan	42	1,066	$7,597	$7,037–$7,861
Maine	8	153	$7,620	$7,086–$8,364
Illinois	67	1,960	$7,659	$6,693–$8,142
New Mexico	4	88	$7,729	$6,247–$7,494
Arizona	26	733	$7,732	$6,596–$7,599
Delaware	5	358	$7,762	$7,209–$8,251
Rhode Island	7	183	$7,836	$6,640–$8,395
Minnesota	26	524	$7,938	$6,569–$7,912
North Carolina	48	1,786	$7,967	$6,719–$7,908
Texas	94	2,194	$8,089	$6,791–$8,438
Washington	14	289	$8,121	$7,517–$8,229
Massachusetts	46	1,792	$8,160	$7,029–$9,198
Georgia	45	989	$8,231	$6,997–$8,513
New Jersey	49	1,869	$8,236	$7,228–$9,474
District of Columbia	2	39	$8,388	$8,246–$10,453
Nevada	11	204	$8,520	$7,799–$9,017
Oregon	8	148	$8,637	$8,301–$9,213
Connecticut	18	510	$9,165	$8,386–$9,473
Wyoming	5	89	$9,410	$7,987–$10,828
California	109	2,664	$9,767	$8,618–$9,815
New York	93	2,821	$10,004	$7,811–$10,170
Maryland	37	1,592	$11,047	$9,653–$12,614
Hawaii	3	81	$12,743	$9,438–$12,523
Alaska	3	40	$15,006	$13,505–$15,703

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.