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 801–850. Download as CSV
| Hospital | Cases | Average payment | vs national average | Medicare paid | Billed charge |
|---|---|---|---|---|---|
| Providence St Peter Hospital | 12 | $7,355 | About average | $5,809 | $44,982 |
| Integris Health Woodward Hospital | 16 | $7,364 | About average | $6,650 | $61,270 |
| Carle Foundation Hospital | 16 | $7,364 | About average | $6,151 | $35,643 |
| Alamance Regional Medical Center | 11 | $7,368 | About average | $5,927 | $20,402 |
| Chilton Medical Center | 64 | $7,368 | About average | $5,121 | $68,997 |
| Keralty Hospital | 25 | $7,371 | About average | $5,854 | $19,637 |
| North Memorial Health Hospital | 17 | $7,374 | About average | $5,124 | $22,281 |
| Monroe County Hospital | 12 | $7,382 | About average | $5,886 | $12,728 |
| Henry Ford Health Warren Hospital | 17 | $7,382 | About average | $5,804 | $19,074 |
| Winter Haven Hospital | 27 | $7,387 | About average | $5,218 | $36,177 |
| Memorial Mission Hospital And Asheville Surgery Ce | 21 | $7,389 | About average | $5,177 | $35,383 |
| Mercy Medical Center | 18 | $7,393 | About average | $5,945 | $13,050 |
| Geisinger Wyoming Valley Medical Center | 22 | $7,394 | About average | $5,770 | $71,043 |
| Saint Thomas River Park Hospital | 16 | $7,398 | About average | $6,174 | $25,644 |
| Alton Memorial Hospital | 18 | $7,398 | About average | $4,901 | $28,586 |
| Good Samaritan Hospital Of Suffern | 28 | $7,400 | About average | $6,059 | $77,595 |
| United Regional Health Care System | 79 | $7,401 | About average | $5,475 | $32,509 |
| UMass Memorial Health - Harrington Hospital | 34 | $7,408 | About average | $5,843 | $15,855 |
| Delta Health System - The Medical Center | 21 | $7,414 | About average | $5,671 | $32,388 |
| Gundersen Lutheran Medical Center | 15 | $7,414 | About average | $5,725 | $18,080 |
| Ochsner Medical Center-Kenner | 14 | $7,414 | About average | $5,620 | $24,348 |
| McLaren Flint | 12 | $7,417 | About average | $5,593 | $20,664 |
| Colquitt Regional Medical Center | 13 | $7,417 | About average | $5,698 | $18,138 |
| Buchanan General Hospital | 19 | $7,417 | About average | $6,044 | $31,309 |
| Uva Health Culpeper Medical Center | 25 | $7,419 | About average | $6,048 | $21,033 |
| Ahs Hospital Corp | 23 | $7,424 | About average | $4,712 | $80,004 |
| Upson Regional Medical Center | 12 | $7,431 | About average | $5,799 | $21,800 |
| Hunterdon Medical Center | 30 | $7,432 | About average | $5,440 | $34,422 |
| Witham Health Services | 19 | $7,433 | About average | $6,059 | $21,188 |
| Adena Regional Medical Center | 18 | $7,434 | About average | $4,943 | $26,526 |
| Lake Martin Community Hospital | 18 | $7,439 | About average | $6,532 | $8,056 |
| Covenant Medical Center | 24 | $7,439 | About average | $5,021 | $72,873 |
| Phelps County Regional Medical Center | 22 | $7,442 | About average | $5,958 | $44,634 |
| St Luke's Warren Hospital | 13 | $7,444 | About average | $5,689 | $64,341 |
| Norton-King's Daughters' Health | 17 | $7,447 | About average | $5,460 | $22,531 |
| Bon Secours Maryview Medical Center | 12 | $7,450 | About average | $5,912 | $22,691 |
| Dignity Health Arizona General Hospital | 26 | $7,450 | About average | $5,945 | $40,538 |
| Saint Anne's Hospital | 22 | $7,451 | About average | $4,985 | $14,016 |
| Cameron Regional Medical Center | 32 | $7,457 | About average | $5,950 | $27,189 |
| Mayo Clinic Health System-Franciscan Medical Center Inc | 17 | $7,459 | About average | $5,517 | $21,454 |
| Ascension Providence Hospital, Southfield And Novi | 34 | $7,461 | About average | $5,294 | $23,574 |
| Medical Center Of McKinney | 15 | $7,463 | About average | $5,434 | $56,245 |
| Bayhealth Hospital, Sussex Campus | 38 | $7,464 | About average | $5,578 | $28,248 |
| Newberry County Memorial Hospital | 15 | $7,466 | About average | $5,645 | $22,777 |
| Franklin Woods Community Hospital | 12 | $7,468 | About average | $3,822 | $36,177 |
| Texas Health Harris Methodist Fort Worth | 46 | $7,473 | About average | $5,960 | $34,276 |
| Pikeville Medical Center | 32 | $7,478 | About average | $5,895 | $32,390 |
| St Luke's Hospital - Upper Bucks Campus | 12 | $7,494 | About average | $4,799 | $84,067 |
| Carilion Franklin Memorial Hospital | 24 | $7,497 | About average | $6,001 | $24,615 |
| Glens Falls Hospital | 44 | $7,498 | About average | $5,624 | $22,470 |
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.