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 1,101–1,150. Download as CSV
| Hospital | Cases | Average payment | vs national average | Medicare paid | Billed charge |
|---|---|---|---|---|---|
| Self Regional Healthcare | 26 | $8,382 | About average | $6,492 | $28,594 |
| Memorial Medical Center | 36 | $8,391 | About average | $6,557 | $57,822 |
| Asante Rogue Regional Medical Center | 25 | $8,398 | About average | $7,010 | $28,655 |
| Our Lady Of Lourdes Memorial Hospital, Inc | 32 | $8,400 | About average | $6,545 | $27,009 |
| Henry Ford Health St John Hospital | 11 | $8,405 | About average | $5,491 | $15,625 |
| Pennsylvania Hospital | 22 | $8,409 | About average | $6,283 | $60,536 |
| Sharp Coronado Hospital And Healthcare Center | 12 | $8,411 | About average | $7,187 | $70,286 |
| Orlando Health | 38 | $8,412 | About average | $6,618 | $50,675 |
| Broward Health North | 13 | $8,416 | About average | $7,082 | $37,931 |
| St Johns Regional Medical Center | 25 | $8,417 | About average | $6,965 | $47,643 |
| St Mary Medical Center | 15 | $8,421 | About average | $7,224 | $32,989 |
| North Texas Medical Center | 14 | $8,423 | About average | $7,024 | $23,940 |
| Piedmont Newnan Hospital, Inc | 11 | $8,428 | About average | $4,856 | $33,555 |
| Carilion Medical Center | 32 | $8,439 | About average | $5,411 | $28,806 |
| Uci Health - Placentia Linda | 12 | $8,439 | About average | $6,705 | $132,828 |
| Spectrum Health | 30 | $8,442 | About average | $5,734 | $22,649 |
| Baylor Scott & White Medical Center At Irving | 11 | $8,443 | About average | $7,257 | $31,905 |
| Mercy Hospital Of Folsom | 17 | $8,446 | About average | $7,006 | $61,401 |
| Emanate Health Foothill Presbyterian Hospital | 12 | $8,450 | About average | $6,948 | $50,661 |
| St Francis Hospital & Medical Center | 12 | $8,455 | About average | $6,629 | $38,769 |
| The Miriam Hospital | 43 | $8,460 | About average | $5,888 | $21,688 |
| Archbold Memorial Hospital | 12 | $8,478 | About average | $5,531 | $27,290 |
| Texas Health Arlington Memorial Hospital | 20 | $8,480 | About average | $6,410 | $36,558 |
| Phelps Hospital | 15 | $8,485 | About average | $6,497 | $60,569 |
| Garnet Health Medical Center Catskills | 25 | $8,492 | About average | $7,496 | $55,141 |
| Suburban Hospital | 40 | $8,494 | About average | $7,026 | $9,487 |
| Englewood Hospital And Medical Center | 35 | $8,496 | About average | $6,664 | $47,100 |
| Winston Medical Center | 15 | $8,499 | About average | $7,302 | $11,630 |
| Marshall Medical Center | 19 | $8,503 | About average | $7,472 | $50,624 |
| Brooks-TLC Hospital System, Inc | 16 | $8,510 | About average | $7,286 | $14,622 |
| Atrium Health Floyd Medical Center | 27 | $8,513 | About average | $6,433 | $35,364 |
| Cape Cod Hospital | 50 | $8,514 | About average | $7,096 | $20,402 |
| Houston Methodist Hospital | 30 | $8,522 | About average | $5,494 | $52,011 |
| El Centro Regional Medical Center | 12 | $8,531 | About average | $6,899 | $38,403 |
| Providence Saint Joseph Medical Center | 33 | $8,546 | About average | $6,940 | $70,554 |
| Pali Momi Medical Center | 16 | $8,552 | About average | $7,057 | $35,578 |
| Memorial Hospital | 12 | $8,562 | About average | $7,204 | $25,343 |
| Midland Memorial Hospital | 20 | $8,569 | About average | $7,218 | $55,127 |
| West Virginia University Hospitals, Inc | 22 | $8,575 | About average | $5,467 | $28,655 |
| West Kendall Baptist Hospital | 23 | $8,582 | About average | $7,064 | $50,041 |
| Jersey Shore University Medical Center | 51 | $8,582 | About average | $5,742 | $68,344 |
| Los Robles Hospital & Medical Center | 27 | $8,584 | About average | $7,066 | $114,462 |
| Middlesex Hospital | 54 | $8,587 | About average | $6,305 | $33,007 |
| Griffin Hospital | 24 | $8,588 | About average | $6,710 | $36,727 |
| Good Samaritan Hospital Medical Center | 56 | $8,592 | About average | $6,187 | $47,101 |
| Renown Regional Medical Center | 29 | $8,595 | About average | $5,820 | $32,513 |
| UT Of Texas Southwestern University Hospital - William P. Clements Jr. | 36 | $8,596 | About average | $5,080 | $29,076 |
| Morristown Medical Center | 118 | $8,597 | About average | $6,093 | $63,304 |
| 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 |
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.