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 Pennsylvania

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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Average payment across these 80 hospitals: $7,325National $7,941 · Pennsylvania $7,325
Median hospital: $6,929
Lowest to highest: $5,401–$15,688
Medicare stays: 2,190

80 hospitals reported at least 11 Medicare stays for this in 2024; showing 51–80. 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
Penn State Health Lancaster Medical CenterLancaster, PA · CCN 390339	14	$7,320	About average	$3,951	$31,334
Reading HospitalWest Reading, PA · CCN 390044	45	$7,335	About average	$5,757	$35,188
Wellspan Chambersburg HospitalChambersburg, PA · CCN 390151	27	$7,338	About average	$5,055	$19,293
Geisinger Wyoming Valley Medical CenterWilkes Barre, PA · CCN 390270	22	$7,394	About average	$5,770	$71,043
St Luke's Hospital - Upper Bucks CampusQuakertown, PA · CCN 390035	12	$7,494	About average	$4,799	$84,067
UPMC Pinnacle HospitalsHarrisburg, PA · CCN 390067	57	$7,544	About average	$4,941	$32,680
UPMC HamotErie, PA · CCN 390063	28	$7,636	About average	$5,929	$51,844
Lehigh Valley Hospital - Dickson CityDickson City, PA · CCN 390338	13	$7,643	About average	$3,611	$36,149
Lehigh Valley HospitalAllentown, PA · CCN 390133	118	$7,645	About average	$5,722	$47,429
Wellspan York HospitalYork, PA · CCN 390046	37	$7,790	About average	$5,461	$27,445
Geisinger-Lewistown HospitalLewistown, PA · CCN 390048	18	$7,812	About average	$5,193	$39,651
Robert Packer HospitalSayre, PA · CCN 390079	40	$7,823	About average	$5,675	$31,798
Jefferson Einstein Montgomery HospitalEast Norriton, PA · CCN 390329	26	$7,847	About average	$5,531	$26,481
Main Line Hospital LankenauWynnewood, PA · CCN 390195	34	$8,069	About average	$5,600	$51,252
Mount Nittany Medical CenterState College, PA · CCN 390268	18	$8,076	About average	$5,511	$28,559
Jefferson Health- NortheastPhiladelphia, PA · CCN 390115	26	$8,080	About average	$5,230	$25,070
Temple Health - Chestnut Hill HospitalPhiladelphia, PA · CCN 390026	25	$8,179	About average	$6,248	$96,099
Independence Health System Clarion HospitalClarion, PA · CCN 390093	14	$8,361	About average	$6,071	$13,859
Pennsylvania HospitalPhiladelphia, PA · CCN 390226	22	$8,409	About average	$6,283	$60,536
UPMC MercyPittsburgh, PA · CCN 390028	14	$8,872	12% above the national average	$6,260	$44,911
Geisinger Medical CenterDanville, PA · CCN 390006	17	$9,003	13% above the national average	$6,867	$54,228
St Lukes HospitalBethlehem, PA · CCN 390049	29	$9,016	14% above the national average	$5,793	$62,402
Penn Presbyterian Medical CenterPhiladelphia, PA · CCN 390223	11	$9,089	14% above the national average	$7,157	$50,774
Penn State Health Hampden Medical CenterEnola, PA · CCN 390336	13	$9,341	18% above the national average	$3,760	$26,774
St Luke's Hospital - Anderson CampusEaston, PA · CCN 390326	18	$9,361	18% above the national average	$6,448	$59,998
UPMC Presbyterian ShadysidePittsburgh, PA · CCN 390164	24	$9,785	23% above the national average	$5,894	$93,971
Milton S Hershey Medical CenterHershey, PA · CCN 390256	30	$9,788	23% above the national average	$6,938	$37,877
Thomas Jefferson University HospitalPhiladelphia, PA · CCN 390174	28	$10,427	31% above the national average	$6,776	$37,206
Temple University HospitalPhiladelphia, PA · CCN 390027	57	$10,982	38% above the national average	$7,892	$94,754
Hospital Of University Of PennsylvaniaPhiladelphia, PA · CCN 390111	40	$15,688	98% above the national average	$10,204	$123,613

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.