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 1,151–1,200. Download as CSV
| Hospital | Cases | Average payment | vs national average | Medicare paid | Billed charge |
|---|---|---|---|---|---|
| Alhambra Hospital Medical Center | 12 | $8,618 | About average | $7,258 | $66,778 |
| Providence Mission Hospital | 19 | $8,618 | About average | $6,194 | $50,128 |
| Uci Health-Lakewood | 20 | $8,619 | About average | $7,223 | $108,619 |
| University Of Arkansas Medical Sciences | 12 | $8,620 | About average | $6,189 | $27,699 |
| Moses H. Cone The Memorial Hospital | 53 | $8,631 | About average | $6,337 | $20,539 |
| Saint Clare's Hospital/ Denville Campus | 19 | $8,639 | About average | $5,541 | $24,378 |
| Southern NH Medical Center | 21 | $8,655 | About average | $4,590 | $23,996 |
| Southern Maine Health Care | 11 | $8,662 | About average | $4,910 | $26,288 |
| Overlook Medical Center | 67 | $8,669 | About average | $6,468 | $52,714 |
| Northern Dutchess Hospital | 23 | $8,670 | About average | $6,824 | $26,441 |
| Huntington Hospital | 30 | $8,680 | About average | $7,004 | $76,732 |
| The University Of Vermont Health Network - Champl | 23 | $8,681 | About average | $7,192 | $36,863 |
| UCLA West Valley Medical Center | 15 | $8,683 | About average | $6,405 | $140,853 |
| Danbury Hospital | 29 | $8,685 | About average | $7,126 | $26,602 |
| Mainehealth Maine Medical Center | 22 | $8,693 | About average | $5,917 | $28,201 |
| St David's Medical Center | 19 | $8,701 | About average | $4,636 | $56,959 |
| Garden Grove Hospital & Medical Center | 11 | $8,705 | About average | $7,370 | $43,508 |
| Unity Hospital | 20 | $8,707 | About average | $6,048 | $14,236 |
| Grossmont Hospital | 54 | $8,714 | About average | $7,476 | $65,144 |
| Henry Mayo Newhall Hospital | 22 | $8,715 | About average | $5,929 | $82,377 |
| Mercy Hospital | 13 | $8,717 | About average | $7,588 | $64,012 |
| Sutter Roseville Medical Center | 46 | $8,719 | About average | $6,944 | $54,086 |
| Mount Sinai South Nassau | 26 | $8,722 | About average | $6,733 | $73,748 |
| Emanuel Medical Center | 16 | $8,726 | About average | $7,502 | $114,869 |
| Beaumont Hospital - Farmington Hills | 23 | $8,728 | About average | $5,928 | $30,407 |
| Clara Maass Medical Center | 27 | $8,735 | About average | $6,662 | $77,063 |
| University Of Missouri Health Care | 76 | $8,749 | 10% above the national average | $6,609 | $31,324 |
| Mayo Clinic Health System - Fairmont | 20 | $8,753 | 10% above the national average | $7,447 | $17,021 |
| Valley Hospital Medical Center | 11 | $8,763 | 10% above the national average | $6,960 | $138,382 |
| Tift Regional Medical Center | 16 | $8,778 | 11% above the national average | $6,159 | $27,425 |
| Plainview Hospital | 22 | $8,778 | 11% above the national average | $5,923 | $55,105 |
| HCA Florida Orange Park Hospital | 12 | $8,799 | 11% above the national average | $6,820 | $127,354 |
| Doctors Medical Center | 12 | $8,800 | 11% above the national average | $7,632 | $154,982 |
| PeaceHealth St Joseph Medical Center | 43 | $8,801 | 11% above the national average | $6,082 | $37,424 |
| Los Angeles Community Hospital | 12 | $8,818 | 11% above the national average | $7,594 | $39,746 |
| Aurora Medical Center Kenosha | 17 | $8,831 | 11% above the national average | $4,503 | $27,933 |
| Intermountain Medical Center | 17 | $8,841 | 11% above the national average | $5,450 | $27,133 |
| San Ramon Regional Medical Center | 19 | $8,841 | 11% above the national average | $7,553 | $157,041 |
| Huntington Hospital | 23 | $8,843 | 11% above the national average | $5,310 | $47,424 |
| Morton Plant North Bay Hospital | 11 | $8,846 | 11% above the national average | $5,957 | $32,731 |
| Garfield Medical Center | 12 | $8,849 | 11% above the national average | $7,491 | $85,833 |
| Virtua Our Lady Of Lourdes Hospital | 16 | $8,851 | 11% above the national average | $6,308 | $72,131 |
| Adventist Health And Rideout | 23 | $8,854 | 11% above the national average | $7,577 | $67,782 |
| University Of Iowa Hospital & Clinics | 18 | $8,855 | 12% above the national average | $5,802 | $39,825 |
| Marian Regional Medical Center | 16 | $8,855 | 12% above the national average | $7,439 | $54,508 |
| MedStar Franklin Square Medical Center | 34 | $8,859 | 12% above the national average | $6,661 | $9,715 |
| Garnet Health Medical Center | 87 | $8,862 | 12% above the national average | $6,960 | $46,374 |
| HCA Florida Aventura Hospital | 32 | $8,869 | 12% above the national average | $6,234 | $86,561 |
| UPMC Mercy | 14 | $8,872 | 12% above the national average | $6,260 | $44,911 |
| Santa Barbara Cottage Hospital | 41 | $8,885 | 12% above the national average | $7,333 | $59,982 |
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.