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 1,051–1,100. Download as CSV
| Hospital | Cases | Average payment | vs national average | Medicare paid | Billed charge |
|---|---|---|---|---|---|
| Southside Hospital | 15 | $8,164 | About average | $6,553 | $55,288 |
| Robert Wood Johnson University Hospital - Somerset | 34 | $8,168 | About average | $4,927 | $68,585 |
| USC Verdugo Hills Hospital | 21 | $8,168 | About average | $6,088 | $49,820 |
| Dodge County Hospital | 20 | $8,177 | About average | $5,512 | $19,410 |
| HCA Houston Healthcare Tomball | 11 | $8,178 | About average | $6,843 | $70,302 |
| Temple Health - Chestnut Hill Hospital | 25 | $8,179 | About average | $6,248 | $96,099 |
| Dch Regional Medical Center | 42 | $8,179 | About average | $6,161 | $23,875 |
| Advocate Lutheran General Hospital | 38 | $8,189 | About average | $6,068 | $36,233 |
| Trinity Health Oakland Hospital | 19 | $8,191 | About average | $5,603 | $26,309 |
| Northeast Georgia Medical Center Lumpkin | 11 | $8,193 | About average | $6,857 | $36,208 |
| Hill Country Memorial Hospital | 14 | $8,211 | About average | $6,812 | $57,474 |
| Saint John's Health Center | 19 | $8,214 | About average | $6,534 | $45,611 |
| Mount Sinai Medical Center Of Florida, Inc | 37 | $8,232 | About average | $6,511 | $39,302 |
| Spartanburg Medical Center | 96 | $8,235 | About average | $5,834 | $31,334 |
| Clovis Community Medical Center | 45 | $8,236 | About average | $6,979 | $51,586 |
| Palomar Health Downtown Campus | 31 | $8,238 | About average | $5,900 | $83,706 |
| Ascension Seton Medical Center Austin | 15 | $8,242 | About average | $6,584 | $47,377 |
| Ohio State University State Health System | 32 | $8,243 | About average | $6,183 | $20,533 |
| Long Island Community Hospital | 17 | $8,244 | About average | $5,871 | $86,369 |
| Tidalhealth Nanticoke, Inc. | 14 | $8,251 | About average | $6,969 | $15,608 |
| Northern Westchester Hospital | 17 | $8,253 | About average | $5,355 | $35,136 |
| St Mary's Hospital | 23 | $8,254 | About average | $5,672 | $21,978 |
| Baptist Hospital Of Miami | 72 | $8,260 | About average | $6,217 | $60,060 |
| Inspira Medical Center Mullica Hill | 43 | $8,261 | About average | $5,942 | $45,204 |
| Maine General Medical Center | 30 | $8,265 | About average | $6,643 | $27,457 |
| Baptist Beaumont Hospital | 26 | $8,272 | About average | $6,773 | $47,323 |
| North Shore Medical Center - | 44 | $8,279 | About average | $6,024 | $20,277 |
| Valley Medical Center | 11 | $8,280 | About average | $5,415 | $35,346 |
| Union Hospital Of Cecil County | 51 | $8,281 | About average | $6,793 | $9,220 |
| Ascension St Vincent Hospital | 28 | $8,285 | About average | $5,636 | $33,961 |
| San Antonio Regional Hospital | 29 | $8,289 | About average | $6,854 | $63,859 |
| Methodist Hospitals Of Memphis | 29 | $8,298 | About average | $6,017 | $25,639 |
| St Joe Mercy Hospital System Livonia | 48 | $8,306 | About average | $5,474 | $27,235 |
| HCA Florida Capital Hospital | 23 | $8,309 | About average | $5,233 | $113,370 |
| Saint Francis Medical Center | 38 | $8,313 | About average | $5,524 | $26,883 |
| Adventist Health Bakersfield | 11 | $8,315 | About average | $6,828 | $52,643 |
| Sky Ridge Medical Center | 11 | $8,324 | About average | $6,282 | $152,151 |
| Kent County Memorial Hospital | 41 | $8,330 | About average | $6,230 | $21,950 |
| WakeMed, Raleigh Campus | 100 | $8,336 | About average | $6,411 | $27,611 |
| Uci Health - Fountain Valley | 25 | $8,355 | About average | $7,022 | $121,566 |
| Providence Cedars Sinai Tarzana Medical Center | 13 | $8,360 | About average | $6,767 | $65,875 |
| Independence Health System Clarion Hospital | 14 | $8,361 | About average | $6,071 | $13,859 |
| Lawrence & Memorial Hospital | 20 | $8,362 | About average | $5,791 | $36,823 |
| Texas Health Huguley Hospital Fort Worth South | 12 | $8,363 | About average | $5,261 | $51,172 |
| Hoag Memorial Hospital Presbyterian | 94 | $8,370 | About average | $6,534 | $45,357 |
| Holy Family Hospital | 22 | $8,371 | About average | $5,283 | $13,282 |
| Advocate Christ Hospital & Medical Center | 27 | $8,371 | About average | $5,871 | $30,600 |
| Peconic Bay Medical Center | 33 | $8,375 | About average | $6,668 | $57,750 |
| Christiana Hospital | 173 | $8,379 | About average | $5,942 | $28,387 |
| Henderson Hospital | 20 | $8,380 | About average | $5,446 | $101,715 |
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.