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 851–900. Download as CSV
| Hospital | Cases | Average payment | vs national average | Medicare paid | Billed charge |
|---|---|---|---|---|---|
| Sisters Of Charity Hospital | 14 | $7,500 | About average | $6,175 | $16,600 |
| Baystate Franklin Medical Center | 23 | $7,505 | About average | $5,427 | $13,291 |
| Richardson Medical Center | 12 | $7,506 | About average | $6,554 | $19,010 |
| Mercy Hospital St Louis | 39 | $7,506 | About average | $5,019 | $25,345 |
| Lowell General Hospital | 75 | $7,510 | About average | $5,629 | $15,351 |
| Kadlec Regional Medical Center | 24 | $7,510 | About average | $5,457 | $34,242 |
| Ascension Providence Rochester Hospital | 11 | $7,518 | About average | $4,700 | $22,315 |
| Piedmont Newton Hospital | 11 | $7,526 | About average | $6,190 | $34,329 |
| Wellstar North Fulton Medical Center | 17 | $7,528 | About average | $6,399 | $50,705 |
| Onslow Memorial Hospital | 33 | $7,529 | About average | $6,145 | $23,792 |
| PeaceHealth Southwest Medical Cente | 13 | $7,535 | About average | $5,219 | $35,352 |
| MidState Medical Center | 18 | $7,539 | About average | $6,179 | $29,098 |
| Cannon Memorial Hospital | 11 | $7,540 | About average | $6,211 | $37,686 |
| Novant Health Presbyterian Medical Center | 24 | $7,541 | About average | $5,686 | $35,055 |
| UPMC Pinnacle Hospitals | 57 | $7,544 | About average | $4,941 | $32,680 |
| Samaritan Hospital Of Troy, New York | 19 | $7,545 | About average | $6,282 | $22,193 |
| Baptist Health Medical Center North Little Rock | 25 | $7,546 | About average | $5,231 | $30,932 |
| Sweetwater Hospital Association | 31 | $7,548 | About average | $6,601 | $23,337 |
| Centennial Hills Hospital Medical Center | 20 | $7,548 | About average | $5,416 | $120,576 |
| Charleston Area Medical Center | 57 | $7,549 | About average | $5,060 | $37,935 |
| St Anthonys Memorial Hospital | 15 | $7,553 | About average | $6,573 | $34,746 |
| Johnson Regional Medical Center | 13 | $7,553 | About average | $6,298 | $11,733 |
| Piedmont Henry Hospital | 15 | $7,555 | About average | $6,140 | $38,620 |
| Grand Strand Regional Medical Center | 31 | $7,568 | About average | $5,093 | $55,087 |
| Tallahassee Memorial Healthcare | 21 | $7,572 | About average | $6,053 | $40,544 |
| Coffee Regional Medical Center, Inc | 32 | $7,573 | About average | $5,418 | $23,427 |
| Elmore Community Hospital | 11 | $7,574 | About average | $6,387 | $28,132 |
| Novant Health Hilton Head Medical Center | 18 | $7,574 | About average | $5,658 | $41,631 |
| PeaceHealth St John Medical Center | 13 | $7,574 | About average | $6,194 | $35,077 |
| Cary Medical Center | 18 | $7,575 | About average | $6,216 | $14,128 |
| Franciscan Health Indianapolis | 14 | $7,576 | About average | $4,819 | $55,760 |
| Valley Hospital | 81 | $7,579 | About average | $5,574 | $43,272 |
| Buffalo Hospital | 12 | $7,581 | About average | $6,223 | $14,987 |
| Bon Secours Community Hospital | 11 | $7,581 | About average | $6,097 | $62,906 |
| Bronson Methodist Hospital | 55 | $7,583 | About average | $5,041 | $25,153 |
| Owatonna Hospital | 15 | $7,583 | About average | $6,169 | $22,669 |
| Tanner Medical Center - Carrollton | 19 | $7,585 | About average | $6,297 | $47,792 |
| Southeast Georgia Health System- Brunswick Campus | 14 | $7,590 | About average | $6,191 | $22,188 |
| Integris Baptist Medical Center, Inc | 76 | $7,591 | About average | $5,339 | $46,324 |
| Lewisgale Medical Center | 14 | $7,592 | About average | $5,334 | $46,325 |
| Community Medical Center | 81 | $7,596 | About average | $5,412 | $67,136 |
| Greenwich Hospital Association - | 31 | $7,599 | About average | $6,095 | $22,992 |
| George Regional Health System | 11 | $7,600 | About average | $6,292 | $24,304 |
| Nathan Littauer Hospital | 12 | $7,605 | About average | $6,381 | $23,080 |
| Broward Health Coral Springs | 15 | $7,606 | About average | $6,161 | $37,207 |
| Memorial Hermann Katy Hospital | 12 | $7,609 | About average | $6,385 | $34,286 |
| Grady Memorial Hospital | 24 | $7,617 | About average | $6,121 | $16,644 |
| HCA Florida Lake City Hospital | 28 | $7,620 | About average | $6,455 | $60,277 |
| Allina Health Faribault Medical Center | 13 | $7,620 | About average | $6,116 | $16,446 |
| Altru Hospital | 15 | $7,624 | About average | $4,526 | $20,668 |
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.