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 751–800. Download as CSV
| Hospital | Cases | Average payment | vs national average | Medicare paid | Billed charge |
|---|---|---|---|---|---|
| SSM Health St Anthony Hospital - Oklahoma City | 20 | $7,253 | About average | $6,101 | $36,272 |
| Beaumont Hospital - Dearborn | 31 | $7,254 | About average | $5,489 | $28,140 |
| Texas Health Harris Methodist Hospital Alliance | 13 | $7,254 | About average | $5,876 | $29,711 |
| McLeod Regional Medical Center-Pee Dee | 71 | $7,259 | About average | $5,453 | $36,713 |
| St. Vincent's East | 22 | $7,260 | About average | $5,252 | $23,303 |
| Lakeland Regional Medical Center | 65 | $7,261 | About average | $5,693 | $30,426 |
| Henry Ford Macomb Hospital | 52 | $7,261 | About average | $4,966 | $22,291 |
| Hudson Valley Hospital Center | 34 | $7,263 | About average | $5,919 | $38,753 |
| Saint Thomas Rutherford Hospital | 44 | $7,266 | About average | $5,683 | $24,924 |
| Kettering Health Main Campus | 17 | $7,267 | About average | $4,791 | $32,952 |
| Saint Vincent Hospital | 18 | $7,269 | About average | $5,859 | $34,209 |
| St Joseph Hospital | 19 | $7,269 | About average | $5,895 | $19,743 |
| Lasalle General Hospital | 16 | $7,270 | About average | $6,148 | $44,770 |
| CGH Medical Center | 28 | $7,270 | About average | $4,743 | $32,644 |
| Jackson Hospital | 27 | $7,271 | About average | $5,822 | $15,436 |
| Memorial Hospital Of Carbondale | 14 | $7,283 | About average | $4,957 | $25,652 |
| Piedmont Eastside Medical Center | 11 | $7,283 | About average | $6,096 | $37,105 |
| Texas Health Presbyterian Hospital Allen | 21 | $7,285 | About average | $5,889 | $31,120 |
| Owensboro Health Regional Hospital | 23 | $7,285 | About average | $5,630 | $24,946 |
| OSF Little Company Of Mary Medical Center | 16 | $7,292 | About average | $5,316 | $25,588 |
| Cox Medical Centers | 73 | $7,294 | About average | $5,762 | $27,688 |
| Corning Hospital | 19 | $7,298 | About average | $5,049 | $23,926 |
| Novant Health New Hanover Regional Medical Center | 60 | $7,301 | About average | $5,278 | $26,412 |
| Mercer County Joint Township Community Hospital | 11 | $7,304 | About average | $5,968 | $15,013 |
| AdventHealth Central Texas | 12 | $7,304 | About average | $6,216 | $24,114 |
| Northwestern Lake Forest Hospital | 15 | $7,305 | About average | $5,809 | $41,321 |
| Lake Region Healthcare Corporation | 16 | $7,307 | About average | $6,083 | $24,188 |
| UMass Memorial HealthAlliance Hospitals | 42 | $7,311 | About average | $5,931 | $23,497 |
| Johns Hopkins Howard County Medical Center | 60 | $7,312 | About average | $5,533 | $7,977 |
| Spring Valley Hospital Medical Center | 12 | $7,312 | About average | $5,973 | $95,158 |
| Sanford USDMedical Center | 50 | $7,313 | About average | $5,568 | $35,852 |
| Memorial Medical Center | 83 | $7,315 | About average | $5,124 | $39,726 |
| Mymichigan Medical Center Midland | 15 | $7,316 | About average | $5,294 | $16,074 |
| UPMC St Margaret | 20 | $7,316 | About average | $4,522 | $51,143 |
| Ascension Seton Hays | 16 | $7,318 | About average | $6,298 | $34,888 |
| Corewell Health Big Rapids Hospital | 14 | $7,318 | About average | $5,473 | $18,073 |
| Sanford Medical Center Fargo | 48 | $7,319 | About average | $5,505 | $19,615 |
| Penn State Health Lancaster Medical Center | 14 | $7,320 | About average | $3,951 | $31,334 |
| Greenwood Leflore Hospital | 17 | $7,320 | About average | $6,168 | $26,244 |
| Ascension All Saints Hospital | 20 | $7,321 | About average | $5,881 | $20,850 |
| Advocate Trinity Hospital | 15 | $7,324 | About average | $4,739 | $31,502 |
| Methodist Mansfield Medical Center | 19 | $7,328 | About average | $5,383 | $37,376 |
| High Point Regional Health System | 30 | $7,329 | About average | $5,641 | $27,199 |
| McLaren Macomb | 17 | $7,330 | About average | $5,474 | $20,249 |
| Bethesda Hospital East | 81 | $7,331 | About average | $5,747 | $59,503 |
| Riverside Regional Medical Center | 21 | $7,334 | About average | $5,373 | $28,297 |
| Reading Hospital | 45 | $7,335 | About average | $5,757 | $35,188 |
| Wellspan Chambersburg Hospital | 27 | $7,338 | About average | $5,055 | $19,293 |
| Regional West Medical Center | 11 | $7,340 | About average | $5,935 | $45,871 |
| Central Maine Medical Center | 13 | $7,341 | About average | $5,685 | $20,845 |
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.