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 901–950. Download as CSV
| Hospital | Cases | Average payment | vs national average | Medicare paid | Billed charge |
|---|---|---|---|---|---|
| HCA Florida Oak Hill Hospital | 39 | $7,624 | About average | $5,540 | $98,380 |
| Exeter Hospital Inc | 11 | $7,629 | About average | $6,293 | $31,224 |
| Ascension Via Christi Hospitals Wichita, Inc. | 18 | $7,629 | About average | $5,887 | $26,865 |
| Henry County Memorial Hospital | 28 | $7,632 | About average | $6,467 | $28,077 |
| UPMC Hamot | 28 | $7,636 | About average | $5,929 | $51,844 |
| Banner Wyoming Medical Center | 25 | $7,637 | About average | $6,489 | $18,801 |
| Ascension Columbia St Marys Hospital Milwaukee | 18 | $7,638 | About average | $5,816 | $32,854 |
| United Memorial Medical Center | 14 | $7,639 | About average | $6,285 | $23,092 |
| Ascension St John Medical Center | 14 | $7,641 | About average | $5,450 | $22,511 |
| Ascension Saint Thomas Hospital | 62 | $7,642 | About average | $5,252 | $28,016 |
| Lehigh Valley Hospital - Dickson City | 13 | $7,643 | About average | $3,611 | $36,149 |
| Parkridge Medical Center | 12 | $7,643 | About average | $4,873 | $50,915 |
| Integris Grove Hospital | 14 | $7,644 | About average | $6,248 | $29,912 |
| Lehigh Valley Hospital | 118 | $7,645 | About average | $5,722 | $47,429 |
| Medical West, An Affiliate Of UAB Health System | 14 | $7,649 | About average | $4,421 | $16,384 |
| Yavapai Regional Medical Center | 51 | $7,649 | About average | $5,651 | $31,086 |
| Methodist Fremont Health | 24 | $7,661 | About average | $6,131 | $29,800 |
| Newton-Wellesley Hospital | 68 | $7,662 | About average | $5,507 | $21,808 |
| Texas Health Presbyterian Hospital Denton | 25 | $7,672 | About average | $5,687 | $32,771 |
| Texas County Memorial Hospital | 28 | $7,673 | About average | $6,275 | $16,218 |
| St Marys Healthcare | 17 | $7,680 | About average | $6,434 | $27,496 |
| Mayo Clinic Health System - Albert Lea And Austin | 21 | $7,687 | About average | $6,291 | $16,046 |
| Columbia Memorial Hospital | 16 | $7,687 | About average | $6,234 | $25,695 |
| Memorial Hospital West | 38 | $7,690 | About average | $6,265 | $85,393 |
| Ocean Medical Center | 56 | $7,693 | About average | $5,882 | $54,937 |
| Legacy Salmon Creek Medical Center | 11 | $7,697 | About average | $6,299 | $26,421 |
| Aurora St Lukes Medical Center | 16 | $7,698 | About average | $5,862 | $47,219 |
| Mercy Hospital Of Buffalo | 20 | $7,700 | About average | $5,501 | $18,418 |
| Carson Tahoe Regional Medical Center | 22 | $7,702 | About average | $6,441 | $34,345 |
| MelroseWakefield Healthcare | 62 | $7,709 | About average | $5,322 | $13,754 |
| Ellis Hospital | 11 | $7,728 | About average | $6,207 | $25,631 |
| Atrium Health Lincoln | 35 | $7,731 | About average | $6,565 | $34,841 |
| Banner Thunderbird Medical Center | 19 | $7,741 | About average | $5,562 | $36,227 |
| St Lucie Medical Center | 40 | $7,741 | About average | $4,962 | $87,436 |
| NorthShore University HealthSystem - Evanston Hospital | 149 | $7,744 | About average | $5,664 | $28,151 |
| Northwestern Medicine MCHenry | 68 | $7,744 | About average | $4,974 | $36,395 |
| Cheshire Medical Center | 13 | $7,747 | About average | $6,243 | $25,333 |
| Cape Fear Valley Medical Center | 17 | $7,758 | About average | $6,149 | $22,810 |
| Baptist Medical Center South | 20 | $7,764 | About average | $6,014 | $23,075 |
| Daviess Community Hospital | 16 | $7,767 | About average | $6,135 | $27,414 |
| Borgess Medical Center | 11 | $7,782 | About average | $5,075 | $24,558 |
| JFK University Medical Center | 29 | $7,782 | About average | $6,195 | $66,519 |
| HCA Houston Healthcare Kingwood | 26 | $7,786 | About average | $6,310 | $88,852 |
| Wyandotte Hospital And Medical Center | 14 | $7,788 | About average | $4,203 | $24,757 |
| Saint Joseph Regional Medical Center | 17 | $7,789 | About average | $5,246 | $30,133 |
| Hillsdale Hospital | 16 | $7,789 | About average | $6,454 | $15,205 |
| Wellspan York Hospital | 37 | $7,790 | About average | $5,461 | $27,445 |
| Wayne Memorial Hospital | 21 | $7,790 | About average | $6,682 | $27,000 |
| Conway Medical Center | 46 | $7,792 | About average | $5,405 | $28,392 |
| Huntsville Memorial Hospital | 19 | $7,795 | About average | $6,350 | $34,617 |
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.