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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 Ohio

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.

Location
Ohio
Specific hospitals up to 10
Average payment across these 71 hospitals
$6,879National $7,941 · Ohio $6,879
Median hospital
$6,683
Lowest to highest
$5,089–$10,861
Medicare stays
1,635

71 hospitals reported at least 11 Medicare stays for this in 2024; showing 51–71. Download as CSV

Medicare payments per case for Simple pneumonia and pleurisy with CC by hospital, 2024
HospitalCasesAverage paymentvs national averageMedicare paidBilled charge
Miami Valley HospitalDayton, OH · CCN 36005154$7,01312% below the national average$4,962$32,860
Riverside Methodist HospitalColumbus, OH · CCN 36000631$7,03611% below the national average$5,571$25,080
Bay Park Community HospitalOregon, OH · CCN 36025911$7,149About average$6,114$47,767
Akron General Medical CenterAkron, OH · CCN 36002737$7,181About average$5,316$24,741
The Jewish Hospital-Mercy HealthCincinnati, OH · CCN 36001612$7,235About average$5,632$24,666
ProMedica Toledo HospitalToledo, OH · CCN 36006843$7,242About average$5,301$51,533
Kettering Health Main CampusKettering, OH · CCN 36007917$7,267About average$4,791$32,952
Mercer County Joint Township Community HospitalColdwater, OH · CCN 36005811$7,304About average$5,968$15,013
Adena Regional Medical CenterChillicothe, OH · CCN 36015918$7,434About average$4,943$26,526
Summa Health SystemAkron, OH · CCN 36002032$7,811About average$5,362$46,604
Mercy Health St Ritas Medical CenterLima, OH · CCN 36006625$7,970About average$4,248$30,923
Fisher-Titus HospitalNorwalk, OH · CCN 36006511$8,006About average$6,819$19,208
Kettering Health DaytonDayton, OH · CCN 36013320$8,011About average$5,097$41,730
Mercy St Vincent Medical CenterToledo, OH · CCN 36011259$8,053About average$5,497$42,852
Ohio State University State Health SystemColumbus, OH · CCN 36008532$8,243About average$6,183$20,533
Cleveland ClinicCleveland, OH · CCN 36018032$9,14615% above the national average$5,950$35,589
Grant Medical CenterColumbus, OH · CCN 36001727$9,22616% above the national average$6,678$30,368
UH St John Medical CenterWestlake, OH · CCN 36012317$9,54420% above the national average$7,513$22,383
UH Cleveland Medical CenterCleveland, OH · CCN 36013724$9,97026% above the national average$6,716$49,940
University Of Cincinnati Medical Center, LLCCincinnati, OH · CCN 36000336$10,44532% above the national average$6,637$27,425
UH Regional HospitalsChardon, OH · CCN 36007516$10,86137% above the national average$8,174$24,740

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 careAverage paymentAverage 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
StateHospitalsCasesAverage paymentTypical range
Iowa15421$6,219$5,850–$6,526
Arkansas25528$6,317$6,055–$6,770
Kentucky27874$6,348$6,080–$6,741
Louisiana32806$6,404$5,671–$7,004
Idaho126$6,405$6,405–$6,405
Kansas14329$6,480$5,837–$6,982
West Virginia17453$6,551$5,887–$6,893
Mississippi25532$6,567$6,051–$7,207
Montana226$6,660$6,537–$6,828
Indiana491,212$6,815$6,356–$7,166
Alabama37891$6,857$6,460–$7,260
Ohio711,635$6,879$5,968–$7,165
Missouri371,148$6,943$6,223–$7,442
Nebraska7232$7,022$6,472–$7,500
Oklahoma30774$7,064$6,476–$7,534
Colorado9187$7,068$6,302–$6,924
South Dakota4110$7,084$6,637–$7,473
Wisconsin23444$7,255$6,642–$7,668
Vermont351$7,280$6,146–$8,183
Tennessee33732$7,299$6,052–$7,468
Pennsylvania802,190$7,325$6,223–$7,795
Virginia42949$7,362$6,366–$7,485
New Hampshire9191$7,380$6,533–$7,747
Utah248$7,411$7,180–$8,287
Florida1214,048$7,459$6,510–$8,232
North Dakota4113$7,473$7,169–$7,695
South Carolina33826$7,497$6,329–$7,792
Michigan421,066$7,597$7,037–$7,861
Maine8153$7,620$7,086–$8,364
Illinois671,960$7,659$6,693–$8,142
New Mexico488$7,729$6,247–$7,494
Arizona26733$7,732$6,596–$7,599
Delaware5358$7,762$7,209–$8,251
Rhode Island7183$7,836$6,640–$8,395
Minnesota26524$7,938$6,569–$7,912
North Carolina481,786$7,967$6,719–$7,908
Texas942,194$8,089$6,791–$8,438
Washington14289$8,121$7,517–$8,229
Massachusetts461,792$8,160$7,029–$9,198
Georgia45989$8,231$6,997–$8,513
New Jersey491,869$8,236$7,228–$9,474
District of Columbia239$8,388$8,246–$10,453
Nevada11204$8,520$7,799–$9,017
Oregon8148$8,637$8,301–$9,213
Connecticut18510$9,165$8,386–$9,473
Wyoming589$9,410$7,987–$10,828
California1092,664$9,767$8,618–$9,815
New York932,821$10,004$7,811–$10,170
Maryland371,592$11,047$9,653–$12,614
Hawaii381$12,743$9,438–$12,523
Alaska340$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.