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: $5,88074% of the payment
Average billed charge: $38,636
Hospitals reporting: 1,52241,948 stays

Hospitals in California

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.

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Year of care

Average payment across these 109 hospitals: $9,767National $7,941 · California $9,767
Median hospital: $9,047
Lowest to highest: $6,330–$22,612
Medicare stays: 2,664

109 hospitals reported at least 11 Medicare stays for this in 2024; showing 51–100. Download as CSV

Medicare payments per case for Simple pneumonia and pleurisy with CC by hospital, 2024
Hospital	Cases	Average payment	vs national average	Medicare paid	Billed charge
St Bernardine Medical CenterSan Bernardino, CA · CCN 050129	11	$8,980	13% above the national average	$7,792	$66,680
Providence Little Company Of Mary Medical Center TorranceTorrance, CA · CCN 050353	14	$9,010	13% above the national average	$6,516	$51,946
Lompoc Valley Medical CenterLompoc, CA · CCN 050110	13	$9,012	13% above the national average	$7,631	$36,002
Mercy General HospitalSacramento, CA · CCN 050017	12	$9,019	14% above the national average	$7,753	$59,859
Hollywood Presbyterian Medical CenterLos Angeles, CA · CCN 050063	12	$9,047	14% above the national average	$7,562	$52,272
Valley Presbyterian HospitalVan Nuys, CA · CCN 050126	14	$9,048	14% above the national average	$7,329	$34,543
Loma Linda University Medical Center-MurrietaMurrieta, CA · CCN 050770	17	$9,067	14% above the national average	$7,763	$53,594
MemorialCare Orange Coast Medical CenterFountain Valley, CA · CCN 050678	22	$9,124	15% above the national average	$5,660	$79,655
Scripps Memorial Hospital La JollaLa Jolla, CA · CCN 050324	30	$9,143	15% above the national average	$6,105	$48,814
West Anaheim Medical CenterAnaheim, CA · CCN 050426	25	$9,145	15% above the national average	$7,811	$36,454
Uci Health - Los AlamitosLos Alamitos, CA · CCN 050551	21	$9,222	16% above the national average	$6,170	$144,509
Eisenhower Medical CenterRancho Mirage, CA · CCN 050573	45	$9,252	17% above the national average	$7,365	$67,734
Glendale Adventist Medical CenterGlendale, CA · CCN 050239	56	$9,289	17% above the national average	$7,675	$83,652
Community Regional Medical CenterFresno, CA · CCN 050060	30	$9,292	17% above the national average	$7,323	$62,244
Pomona Valley Hospital Medical CenterPomona, CA · CCN 050231	11	$9,335	18% above the national average	$7,182	$76,815
Scripps Mercy HospitalSan Diego, CA · CCN 050077	22	$9,341	18% above the national average	$7,846	$52,786
Community Hospital Of The Monterey PeninsulaMonterey, CA · CCN 050145	37	$9,351	18% above the national average	$7,941	$74,668
Mercy Medical CenterMerced, CA · CCN 050444	22	$9,366	18% above the national average	$7,504	$77,747
MemorialCare Long Beach Medical CenterLong Beach, CA · CCN 050485	21	$9,381	18% above the national average	$7,869	$79,509
Sharp Chula Vista Medical CenterChula Vista, CA · CCN 050222	35	$9,431	19% above the national average	$7,353	$76,253
El Camino HealthMountain View, CA · CCN 050308	60	$9,446	19% above the national average	$8,184	$89,050
Emanate Health Inter-Community HospitalCovina, CA · CCN 050382	23	$9,451	19% above the national average	$7,116	$46,490
John Muir Medical Center - Concord CampusConcord, CA · CCN 050496	22	$9,566	20% above the national average	$7,884	$83,923
Saint Agnes Medical CenterFresno, CA · CCN 050093	53	$9,578	21% above the national average	$7,750	$39,201
Washington HospitalFremont, CA · CCN 050195	39	$9,583	21% above the national average	$8,170	$72,924
Southwest Healthcare Rancho Springs HospitalMurrieta, CA · CCN 050701	15	$9,587	21% above the national average	$7,922	$68,746
Kaweah Health Medical CenterVisalia, CA · CCN 050057	76	$9,589	21% above the national average	$7,946	$34,730
Salinas Valley Health Medical CenterSalinas, CA · CCN 050334	28	$9,591	21% above the national average	$8,310	$82,859
Community Memorial Hospital - VenturaVentura, CA · CCN 050394	28	$9,598	21% above the national average	$7,591	$31,094
Eden Medical CenterCastro Valley, CA · CCN 050488	14	$9,668	22% above the national average	$8,498	$42,953
Providence St. Jude Medical CenterFullerton, CA · CCN 050168	12	$9,731	23% above the national average	$6,261	$36,269
Desert Regional Medical CenterPalm Springs, CA · CCN 050243	21	$9,815	24% above the national average	$8,187	$101,658
Good Samaritan HospitalSan Jose, CA · CCN 050380	31	$9,849	24% above the national average	$7,323	$152,200
Providence Queen Of The Valley Medical CenterNapa, CA · CCN 050009	17	$9,966	25% above the national average	$7,570	$81,284
Bakersfield Memorial HospitalBakersfield, CA · CCN 050036	12	$10,062	27% above the national average	$6,678	$59,449
NorthBay Medical CenterFairfield, CA · CCN 050367	19	$10,065	27% above the national average	$9,108	$123,119
MarinHealth Medical CenterGreenbrae, CA · CCN 050360	16	$10,217	29% above the national average	$7,617	$86,303
John Muir Medical Center - Walnut Creek CampusWalnut Creek, CA · CCN 050180	24	$10,235	29% above the national average	$7,213	$92,822
Riverside Community HospitalRiverside, CA · CCN 050022	12	$10,300	30% above the national average	$8,334	$128,286
Sutter Santa Rosa Regional HospitalSanta Rosa, CA · CCN 050291	15	$10,513	32% above the national average	$8,755	$45,599
Regional Medical Center Of San JoseSan Jose, CA · CCN 050125	13	$10,565	33% above the national average	$9,155	$161,184
Mercy San Juan Medical CenterCarmichael, CA · CCN 050516	22	$10,882	37% above the national average	$7,681	$65,533
Scripps Green HospitalLa Jolla, CA · CCN 050424	19	$10,890	37% above the national average	$7,653	$34,304
Dominican HospitalSanta Cruz, CA · CCN 050242	22	$10,898	37% above the national average	$6,821	$116,013
Barton Memorial HospitalSouth Lake Tahoe, CA · CCN 050352	17	$11,273	42% above the national average	$9,929	$73,847
Sutter Medical Center, SacramentoSacramento, CA · CCN 050108	20	$11,484	45% above the national average	$7,761	$51,525
Natividad Medical CenterSalinas, CA · CCN 050248	12	$11,496	45% above the national average	$10,042	$60,057
Temecula Valley HospitalTemecula, CA · CCN 050775	12	$11,593	46% above the national average	$9,365	$73,198
Sharp Memorial HospitalSan Diego, CA · CCN 050100	45	$11,743	48% above the national average	$6,948	$61,707
Cedars-Sinai Medical CenterLos Angeles, CA · CCN 050625	89	$12,662	59% above the national average	$8,527	$146,002

National trend

Average payment and billed charge per stay, and how many Medicare stays were reported each year.

Average payment
Average billed charge

2020: 61,919 stays at 1,961 hospitals · 2021: 31,531 stays at 1,321 hospitals · 2022: 37,400 stays at 1,444 hospitals · 2023: 37,586 stays at 1,421 hospitals · 2024: 41,948 stays at 1,522 hospitals

View data as a table

National average payment and billed charge for Simple pneumonia and pleurisy with CC
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

Average payment by state for Simple pneumonia and pleurisy with CC, 2024
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.