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
- $5,880
- Average billed charge
- $38,636
- Hospitals reporting
- 1,522
Compare hospitals
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.
1,522 hospitals reported at least 11 Medicare stays for this in 2024; showing 701–750. Download as CSV
| Hospital | Cases | Average payment | vs national average | Medicare paid | Billed charge |
|---|---|---|---|---|---|
| Mymichigan Medical Center Alma | 14 | $7,147 | About average | $5,626 | $15,636 |
| Virtua Willingboro Hospital | 19 | $7,149 | About average | $5,676 | $69,304 |
| Bay Park Community Hospital | 11 | $7,149 | About average | $6,114 | $47,767 |
| Wilkes Regional Medical Center | 23 | $7,151 | About average | $5,874 | $29,354 |
| Cleveland Clinic Hospital | 22 | $7,151 | About average | $4,536 | $28,899 |
| Indiana University Health Bloomington Hospital | 21 | $7,152 | About average | $6,008 | $55,428 |
| Munson Medical Center | 23 | $7,155 | About average | $5,765 | $17,807 |
| Christus Santa Rosa Medical Center | 30 | $7,155 | About average | $5,986 | $34,428 |
| Virtua Mount Holly Hospital | 51 | $7,157 | About average | $5,572 | $68,265 |
| Beaumont Hospital - Taylor | 14 | $7,159 | About average | $4,231 | $23,296 |
| Ascension Providence | 18 | $7,163 | About average | $5,687 | $23,807 |
| Auburn Community Hospital | 22 | $7,165 | About average | $5,830 | $13,662 |
| Ascension St Vincent Anderson | 11 | $7,166 | About average | $5,101 | $31,157 |
| Lakeland Hospital, St Joseph | 20 | $7,168 | About average | $5,140 | $21,242 |
| HonorHealth Scottsdale Thompson Peak Medical Center | 44 | $7,169 | About average | $5,358 | $43,224 |
| Tristar Centennial Medical Center | 14 | $7,170 | About average | $5,700 | $54,502 |
| Grand Itasca Clinic And Hospital | 16 | $7,170 | About average | $5,946 | $27,293 |
| Robert Wood Johnson University Hospital At Hamilton | 24 | $7,172 | About average | $4,112 | $74,274 |
| Northside Hospital Cherokee | 17 | $7,172 | About average | $5,636 | $50,917 |
| Novant Health Forsyth Medical Center | 53 | $7,174 | About average | $5,590 | $26,896 |
| Trinity Health Ann Arbor Hospital | 59 | $7,180 | About average | $5,248 | $24,427 |
| Akron General Medical Center | 37 | $7,181 | About average | $5,316 | $24,741 |
| Corewell Health Trenton Hospital | 20 | $7,181 | About average | $5,063 | $30,385 |
| UT Health East Texas Tyler Regional Hospital | 35 | $7,184 | About average | $5,856 | $53,661 |
| West Allis Memorial Hospital | 15 | $7,189 | About average | $4,611 | $33,509 |
| HCA Florida Lawnwood Hospital | 12 | $7,191 | About average | $5,779 | $94,455 |
| Southcoast Hospitals Group | 147 | $7,197 | About average | $5,585 | $19,761 |
| AdventHealth Heart Of Florida | 16 | $7,198 | About average | $4,630 | $52,503 |
| Ascension St Vincent's Clay County | 14 | $7,200 | About average | $4,629 | $26,297 |
| Yuma Regional Medical Center | 35 | $7,204 | About average | $6,002 | $39,401 |
| Webster General Hospital/ Swing Bed | 24 | $7,207 | About average | $5,917 | $17,798 |
| Bayhealth Medical Center, Kent Campus | 59 | $7,209 | About average | $5,646 | $28,197 |
| Conemaugh Memorial Medical Center | 13 | $7,210 | About average | $6,231 | $23,980 |
| Bluffton Regional Medical Center | 12 | $7,212 | About average | $5,716 | $28,007 |
| Sentara Northern Virginia Medical Center | 18 | $7,215 | About average | $5,690 | $24,293 |
| Choctaw Memorial Hospital | 19 | $7,218 | About average | $5,876 | $12,919 |
| Anna Jaques Hospital | 31 | $7,218 | About average | $5,118 | $15,707 |
| Magnolia Hospital | 12 | $7,222 | About average | $5,882 | $26,423 |
| Baptist Health Medical Center - Jacksonville | 106 | $7,226 | About average | $5,603 | $49,225 |
| Shore Medical Center | 38 | $7,226 | About average | $5,148 | $44,372 |
| University Medical Center Of Princeton At Plainsboro | 59 | $7,228 | About average | $5,624 | $51,778 |
| Hays Medical Center | 11 | $7,229 | About average | $6,042 | $25,164 |
| The Jewish Hospital-Mercy Health | 12 | $7,235 | About average | $5,632 | $24,666 |
| McLeod Health Cheraw | 14 | $7,239 | About average | $6,423 | $31,203 |
| Sacred Heart Hospital | 32 | $7,239 | About average | $5,702 | $25,374 |
| Lee Memorial Hospital | 52 | $7,240 | About average | $5,830 | $34,479 |
| ProMedica Toledo Hospital | 43 | $7,242 | About average | $5,301 | $51,533 |
| HCA Florida Northside Hospital | 18 | $7,244 | About average | $5,951 | $87,491 |
| SSM Health St Mary's Hospital - Madison | 18 | $7,245 | About average | $4,566 | $35,829 |
| De Tar Hospital Navarro | 13 | $7,252 | About average | $5,043 | $96,572 |
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 | $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
| 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.