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
Hospitals in Texas
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.
- Average payment across these 94 hospitals
- $8,089
- Median hospital
- $7,420
- Lowest to highest
- $5,437–$44,834
- Medicare stays
- 2,194
94 hospitals reported at least 11 Medicare stays for this in 2024; showing 51–94. Download as CSV
| Hospital | Cases | Average payment | vs national average | Medicare paid | Billed charge |
|---|---|---|---|---|---|
| Memorial Hermann Katy Hospital | 12 | $7,609 | About average | $6,385 | $34,286 |
| Texas Health Presbyterian Hospital Denton | 25 | $7,672 | About average | $5,687 | $32,771 |
| HCA Houston Healthcare Kingwood | 26 | $7,786 | About average | $6,310 | $88,852 |
| Huntsville Memorial Hospital | 19 | $7,795 | About average | $6,350 | $34,617 |
| Medical City Dallas Hospital | 19 | $7,919 | About average | $5,904 | $106,159 |
| Texas Health Presbyterian Hospital Plano | 28 | $8,033 | About average | $5,183 | $40,132 |
| Methodist Hospital | 75 | $8,052 | About average | $4,974 | $66,780 |
| Texas Health Harris Methodist Hospital Southwest F | 24 | $8,087 | About average | $4,951 | $51,026 |
| Christus Southeast Texas- St Elizabeth | 28 | $8,105 | About average | $6,347 | $39,921 |
| Texas Health Harris Methodist Hospital Cleburne | 11 | $8,116 | About average | $6,781 | $28,663 |
| Baylor Scott And White All Saints Medical Center | 21 | $8,120 | About average | $4,990 | $36,635 |
| Methodist Charlton Medical Center | 13 | $8,120 | About average | $6,375 | $35,462 |
| Texas Health Presbyterian Hospital Dallas | 44 | $8,141 | About average | $5,461 | $34,548 |
| Christus Good Shepherd Medical Center | 48 | $8,141 | About average | $6,513 | $38,781 |
| HCA Houston Healthcare Tomball | 11 | $8,178 | About average | $6,843 | $70,302 |
| Hill Country Memorial Hospital | 14 | $8,211 | About average | $6,812 | $57,474 |
| Ascension Seton Medical Center Austin | 15 | $8,242 | About average | $6,584 | $47,377 |
| Baptist Beaumont Hospital | 26 | $8,272 | About average | $6,773 | $47,323 |
| Texas Health Huguley Hospital Fort Worth South | 12 | $8,363 | About average | $5,261 | $51,172 |
| North Texas Medical Center | 14 | $8,423 | About average | $7,024 | $23,940 |
| Baylor Scott & White Medical Center At Irving | 11 | $8,443 | About average | $7,257 | $31,905 |
| Texas Health Arlington Memorial Hospital | 20 | $8,480 | About average | $6,410 | $36,558 |
| Houston Methodist Hospital | 30 | $8,522 | About average | $5,494 | $52,011 |
| Midland Memorial Hospital | 20 | $8,569 | About average | $7,218 | $55,127 |
| UT Of Texas Southwestern University Hospital - William P. Clements Jr. | 36 | $8,596 | About average | $5,080 | $29,076 |
| HCA Houston Healthcare Conroe | 20 | $8,599 | About average | $7,111 | $93,331 |
| Medical City Denton | 21 | $8,609 | About average | $5,792 | $83,405 |
| St David's Medical Center | 19 | $8,701 | About average | $4,636 | $56,959 |
| Memorial Hermann Memorial City Hospital | 12 | $8,886 | 12% above the national average | $6,501 | $35,223 |
| HCA Houston Healthcare Clear Lake | 22 | $8,997 | 13% above the national average | $5,204 | $82,743 |
| Memorial Hermann Hospital System | 45 | $9,006 | 13% above the national average | $7,673 | $37,690 |
| Baylor Scott & White Medical Center - Temple | 35 | $9,147 | 15% above the national average | $6,585 | $32,266 |
| Laredo Medical Center | 16 | $9,222 | 16% above the national average | $5,968 | $61,341 |
| Memorial Hermann Northeast Hospital | 12 | $9,273 | 17% above the national average | $6,132 | $47,415 |
| Corpus Christi Medical Center,The | 15 | $9,594 | 21% above the national average | $5,250 | $78,943 |
| St David's South Austin Medical Center | 15 | $10,224 | 29% above the national average | $4,845 | $40,268 |
| Christus Spohn Hospital Corpus Christi | 17 | $10,257 | 29% above the national average | $8,765 | $53,396 |
| Texas Health Presbyterian Hospital Kaufman | 14 | $10,646 | 34% above the national average | $7,690 | $29,798 |
| Baylor University Medical Center | 29 | $11,305 | 42% above the national average | $5,400 | $30,569 |
| University Of Texas Medical Branch Galveston | 25 | $11,518 | 45% above the national average | $7,771 | $30,975 |
| University Medical Center | 17 | $11,724 | 48% above the national average | $10,265 | $45,034 |
| Memorial Hermann - Texas Medical Center | 14 | $11,946 | 50% above the national average | $9,750 | $48,178 |
| JPS Health Network | 14 | $39,937 | 403% above the national average | $38,416 | $34,560 |
| Parkland Health & Hospital System | 15 | $44,834 | 465% above the national average | $42,590 | $39,442 |
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.