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 951–1,000. Download as CSV
| Hospital | Cases | Average payment | vs national average | Medicare paid | Billed charge |
|---|---|---|---|---|---|
| Watauga Medical Center | 19 | $7,797 | About average | $5,851 | $17,257 |
| Guthrie Cortland Regional Medical Center | 36 | $7,799 | About average | $6,323 | $17,923 |
| New York Community Hospital Of Brooklyn, Inc. | 41 | $7,811 | About average | $6,338 | $40,256 |
| Summa Health System | 32 | $7,811 | About average | $5,362 | $46,604 |
| Geisinger-Lewistown Hospital | 18 | $7,812 | About average | $5,193 | $39,651 |
| Warren Memorial Hospital | 11 | $7,820 | About average | $5,720 | $14,583 |
| Piedmont Athens Regional Medical Center | 22 | $7,822 | About average | $5,982 | $32,331 |
| Robert Packer Hospital | 40 | $7,823 | About average | $5,675 | $31,798 |
| AtlantiCare Regional Medical Center - City Campus | 17 | $7,824 | About average | $6,392 | $40,130 |
| Carolinas Medical Center-Northeast | 71 | $7,826 | About average | $5,278 | $36,047 |
| Catawba Valley Medical Center | 11 | $7,828 | About average | $5,428 | $24,746 |
| Jefferson Einstein Montgomery Hospital | 26 | $7,847 | About average | $5,531 | $26,481 |
| Torrance Memorial Medical Center | 44 | $7,851 | About average | $6,361 | $80,194 |
| Aurelia Osborn Fox Memorial Hospital | 16 | $7,851 | About average | $6,729 | $19,885 |
| St Joseph Hospital | 27 | $7,854 | About average | $5,301 | $42,435 |
| Adventist Health Simi Valley | 12 | $7,859 | About average | $6,499 | $93,096 |
| Carilion New River Valley Medical Center | 24 | $7,862 | About average | $5,152 | $25,632 |
| Mercy Hospital Stoddard | 20 | $7,864 | About average | $6,722 | $19,177 |
| Fitzgibbon Hospital | 13 | $7,870 | About average | $7,234 | $29,366 |
| North Shore Medical Center | 15 | $7,874 | About average | $6,895 | $75,804 |
| Oneida Health Hospital | 12 | $7,874 | About average | $6,650 | $19,078 |
| Holy Name Medical Center | 54 | $7,878 | About average | $5,923 | $39,315 |
| Halifax Health Medical Center | 23 | $7,880 | About average | $6,348 | $34,327 |
| Edward W Sparrow Hospital | 21 | $7,885 | About average | $5,397 | $30,294 |
| Vidant Roanoke Chowan Hospital | 16 | $7,891 | About average | $5,867 | $18,851 |
| Fayette Medical Center | 11 | $7,895 | About average | $6,560 | $14,131 |
| Summerlin Hospital Medical Center | 24 | $7,896 | About average | $5,747 | $117,002 |
| Saint Joseph Regional Medical Center - Plymouth | 14 | $7,897 | About average | $6,498 | $24,013 |
| Sanford Medical Center Bismarck | 36 | $7,908 | About average | $4,300 | $21,821 |
| Franklin Medical Center | 14 | $7,909 | About average | $6,660 | $21,141 |
| Manatee Memorial Hospital | 13 | $7,911 | About average | $5,222 | $65,553 |
| French Hospital Medical Center | 11 | $7,914 | About average | $6,430 | $47,905 |
| Medical City Dallas Hospital | 19 | $7,919 | About average | $5,904 | $106,159 |
| Bristol Hospital | 12 | $7,927 | About average | $5,826 | $31,925 |
| Mercy Medical Center | 20 | $7,929 | About average | $6,461 | $53,336 |
| St Francis Hospital - The Heart Center | 117 | $7,932 | About average | $5,367 | $49,887 |
| Montefiore St Luke's Cornwall | 23 | $7,934 | About average | $6,432 | $57,037 |
| Our Lady Of The Lake Regional Medical Center | 35 | $7,938 | About average | $4,828 | $21,418 |
| MemorialCare Saddleback Medical Center | 14 | $7,944 | About average | $6,778 | $75,052 |
| Beaumont Hospital Royal Oak | 50 | $7,949 | About average | $5,730 | $25,812 |
| Monument Health Rapid City Hospital | 14 | $7,952 | About average | $6,311 | $29,637 |
| HealthAlliance Hospital Marys Avenue Campus | 29 | $7,954 | About average | $6,138 | $73,430 |
| Mosaic Life Care At St Joseph | 65 | $7,955 | About average | $6,026 | $25,644 |
| SSM Health St Clare Hospital - Baraboo | 11 | $7,958 | About average | $5,783 | $22,867 |
| Renown South Meadows Medical Center | 16 | $7,959 | About average | $5,001 | $32,967 |
| Randolph Hospital | 11 | $7,959 | About average | $6,773 | $55,574 |
| St Joseph's Hospital Health Center | 28 | $7,963 | About average | $5,887 | $25,209 |
| Henry Ford Allegiance Health | 26 | $7,968 | About average | $5,584 | $31,170 |
| Mercy Health St Ritas Medical Center | 25 | $7,970 | About average | $4,248 | $30,923 |
| AdventHealth Orlando | 140 | $7,975 | About average | $5,112 | $53,788 |
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.