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 1,001–1,050. Download as CSV
| Hospital | Cases | Average payment | vs national average | Medicare paid | Billed charge |
|---|---|---|---|---|---|
| Hamilton Medical Center | 21 | $7,984 | About average | $6,199 | $32,671 |
| Mayo Clinic Health System In Red Wing | 13 | $7,987 | About average | $5,707 | $13,729 |
| Sagewest Health Care | 13 | $7,987 | About average | $6,607 | $35,856 |
| Community Hospital East | 27 | $7,999 | About average | $5,439 | $32,419 |
| Enloe Health | 60 | $8,004 | About average | $6,672 | $68,302 |
| Fisher-Titus Hospital | 11 | $8,006 | About average | $6,819 | $19,208 |
| Nyack Hospital | 25 | $8,009 | About average | $5,818 | $60,674 |
| Salem Hospital | 27 | $8,011 | About average | $6,182 | $22,525 |
| Kettering Health Dayton | 20 | $8,011 | About average | $5,097 | $41,730 |
| Crouse Hospital | 52 | $8,013 | About average | $5,823 | $20,584 |
| Neshoba County General Hospital | 12 | $8,025 | About average | $6,529 | $9,897 |
| Merrimack Health Lawrence Hospital | 21 | $8,032 | About average | $6,725 | $19,741 |
| Texas Health Presbyterian Hospital Plano | 28 | $8,033 | About average | $5,183 | $40,132 |
| Ochsner Medical Center Acute | 40 | $8,036 | About average | $5,188 | $31,848 |
| Providence Regional Medical Center Everett | 34 | $8,042 | About average | $5,704 | $34,017 |
| Skagit Valley Hospital | 11 | $8,045 | About average | $6,368 | $41,630 |
| Uva Health Prince William Medical Center | 16 | $8,047 | About average | $5,580 | $30,844 |
| Methodist Hospital | 75 | $8,052 | About average | $4,974 | $66,780 |
| Duke Regional Hospital | 36 | $8,052 | About average | $6,325 | $21,550 |
| Mercy St Vincent Medical Center | 59 | $8,053 | About average | $5,497 | $42,852 |
| Ascension Se Wisconsin Hospital | 24 | $8,068 | About average | $5,219 | $21,128 |
| Main Line Hospital Lankenau | 34 | $8,069 | About average | $5,600 | $51,252 |
| Mount Nittany Medical Center | 18 | $8,076 | About average | $5,511 | $28,559 |
| Multicare Good Samaritan Hospital | 24 | $8,078 | About average | $5,119 | $26,802 |
| Jefferson Health- Northeast | 26 | $8,080 | About average | $5,230 | $25,070 |
| St Charles Hospital | 24 | $8,081 | About average | $6,156 | $38,239 |
| Cabell Huntington Hospital, Inc | 36 | $8,087 | About average | $5,314 | $32,764 |
| Texas Health Harris Methodist Hospital Southwest F | 24 | $8,087 | About average | $4,951 | $51,026 |
| Claxton-Hepburn Medical Center | 14 | $8,090 | About average | $6,691 | $18,630 |
| Advocate Condell Medical Center | 37 | $8,096 | About average | $4,617 | $43,406 |
| Northeast Georgia Medical Center Habersham | 29 | $8,096 | About average | $6,270 | $38,797 |
| Integris Southwest Medical Center | 35 | $8,101 | About average | $6,258 | $41,587 |
| Christus Southeast Texas- St Elizabeth | 28 | $8,105 | About average | $6,347 | $39,921 |
| Regions Hospital | 19 | $8,108 | About average | $5,871 | $25,483 |
| Johnston Memorial Hospital | 14 | $8,110 | About average | $5,298 | $31,674 |
| Adventist Health Lodi Memorial | 15 | $8,113 | About average | $6,689 | $85,751 |
| Hackensack Meridian Mountainside Medical | 29 | $8,113 | About average | $6,252 | $40,192 |
| 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 |
| Bertrand Chaffee Hospital | 16 | $8,120 | About average | $6,692 | $9,008 |
| AdventHealth Tampa | 25 | $8,121 | About average | $5,753 | $55,916 |
| Blue Ridge Healthcare Hospitals, Inc | 15 | $8,123 | About average | $6,139 | $38,418 |
| Winn Parish Medical Center | 19 | $8,129 | About average | $6,791 | $33,392 |
| 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 |
| AdventHealth Lake Wales | 12 | $8,145 | About average | $5,296 | $62,021 |
| East Jefferson General Hospital | 38 | $8,154 | About average | $5,010 | $57,641 |
| Wynn Hospital | 82 | $8,155 | About average | $6,069 | $33,869 |
| Centracare - St. Cloud Hospital | 21 | $8,159 | About average | $6,131 | $19,932 |
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.