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: $5,88074% of the payment
Average billed charge: $38,636
Hospitals reporting: 1,52241,948 stays

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1,522 hospitals reported at least 11 Medicare stays for this in 2024; showing 1,351–1,400. Download as CSV

Medicare payments per case for Simple pneumonia and pleurisy with CC by hospital, 2024
Hospital	Cases	Average payment	vs national average	Medicare paid	Billed charge
Bakersfield Memorial HospitalBakersfield, CA · CCN 050036	12	$10,062	27% above the national average	$6,678	$59,449
NorthBay Medical CenterFairfield, CA · CCN 050367	19	$10,065	27% above the national average	$9,108	$123,119
North Shore University HospitalManhasset, NY · CCN 330106	74	$10,101	27% above the national average	$7,342	$80,488
University Hospital S U N Y Health Science CenterSyracuse, NY · CCN 330241	34	$10,112	27% above the national average	$7,208	$63,151
Atlantic General HospitalBerlin, MD · CCN 210061	24	$10,114	27% above the national average	$8,890	$11,022
HCA Florida Bayonet Point HospitalHudson, FL · CCN 100256	16	$10,121	27% above the national average	$5,114	$110,087
Indiana University HealthIndianapolis, IN · CCN 150056	24	$10,150	28% above the national average	$7,019	$38,562
Carepoint Health - Bayonne Medical CenterBayonne, NJ · CCN 310025	26	$10,162	28% above the national average	$7,584	$204,470
University Of Washington Medical CenterSeattle, WA · CCN 500008	28	$10,169	28% above the national average	$6,690	$31,471
New York-Presbyterian/QueensFlushing, NY · CCN 330055	22	$10,170	28% above the national average	$7,886	$67,011
MarinHealth Medical CenterGreenbrae, CA · CCN 050360	16	$10,217	29% above the national average	$7,617	$86,303
St David's South Austin Medical CenterAustin, TX · CCN 450713	15	$10,224	29% above the national average	$4,845	$40,268
John Muir Medical Center - Walnut Creek CampusWalnut Creek, CA · CCN 050180	24	$10,235	29% above the national average	$7,213	$92,822
M Health Fairview University Of Mn Medical CenterMinneapolis, MN · CCN 240080	11	$10,253	29% above the national average	$5,242	$23,298
Saint Peter's University HospitalNew Brunswick, NJ · CCN 310070	21	$10,256	29% above the national average	$7,575	$113,821
Christus Spohn Hospital Corpus ChristiCorpus Christi, TX · CCN 450046	17	$10,257	29% above the national average	$8,765	$53,396
Broward Health Medical CenterFort Lauderdale, FL · CCN 100039	27	$10,266	29% above the national average	$8,974	$46,580
HCA Florida North Florida HospitalGainesville, FL · CCN 100204	53	$10,267	29% above the national average	$5,290	$94,745
Mary Hitchcock Memorial HospitalLebanon, NH · CCN 300003	24	$10,268	29% above the national average	$7,735	$33,172
Monmouth Medical CenterLong Branch, NJ · CCN 310075	22	$10,285	30% above the national average	$7,496	$63,600
White Plains Hospital CenterWhite Plains, NY · CCN 330304	47	$10,287	30% above the national average	$5,419	$49,728
University Of Wisconsin Hospitals & Clinics AuthorityMadison, WI · CCN 520098	19	$10,296	30% above the national average	$6,631	$40,026
Riverside Community HospitalRiverside, CA · CCN 050022	12	$10,300	30% above the national average	$8,334	$128,286
Hilo Benioff Medical CenterHilo, HI · CCN 120005	14	$10,323	30% above the national average	$8,769	$27,028
Lonesome Pine HospitalBig Stone Gap, VA · CCN 490114	11	$10,412	31% above the national average	$6,745	$21,399
Gallup Indian Medical CenterGallup, NM · CCN 320061	30	$10,425	31% above the national average	$9,338	$31,023
Thomas Jefferson University HospitalPhiladelphia, PA · CCN 390174	28	$10,427	31% above the national average	$6,776	$37,206
University Of Cincinnati Medical Center, LLCCincinnati, OH · CCN 360003	36	$10,445	32% above the national average	$6,637	$27,425
Bibb Medical CenterCentreville, AL · CCN 010058	13	$10,467	32% above the national average	$9,214	$8,926
Froedtert Memorial Lutheran HospitalMilwaukee, WI · CCN 520177	24	$10,485	32% above the national average	$5,611	$31,250
University Of Kentucky HospitalLexington, KY · CCN 180067	14	$10,493	32% above the national average	$2,349	$43,799
Fort Defiance Indian HospitalFt. Defiance, AZ · CCN 030071	23	$10,503	32% above the national average	$9,368	$17,886
Sutter Santa Rosa Regional HospitalSanta Rosa, CA · CCN 050291	15	$10,513	32% above the national average	$8,755	$45,599
Barnes Jewish HospitalSaint Louis, MO · CCN 260032	29	$10,531	33% above the national average	$6,369	$44,740
Tidalhealth Peninsula Regional, IncSalisbury, MD · CCN 210019	41	$10,542	33% above the national average	$9,387	$11,761
Southeastern Regional Medical CenterLumberton, NC · CCN 340050	21	$10,555	33% above the national average	$6,351	$21,510
Wellstar Kennestone Regional Medical CenterMarietta, GA · CCN 110035	51	$10,562	33% above the national average	$7,848	$46,601
Desoto Memorial HospitalArcadia, FL · CCN 100175	11	$10,563	33% above the national average	$9,230	$26,925
Regional Medical Center Of San JoseSan Jose, CA · CCN 050125	13	$10,565	33% above the national average	$9,155	$161,184
Albany Medical Center HospitalAlbany, NY · CCN 330013	14	$10,598	33% above the national average	$6,918	$30,466
Texas Health Presbyterian Hospital KaufmanKaufman, TX · CCN 450292	14	$10,646	34% above the national average	$7,690	$29,798
University Of Maryland Shore Medical Center At EastonEaston, MD · CCN 210037	33	$10,701	35% above the national average	$9,317	$11,943
Long Island Jewish Medical CenterNew Hyde Park, NY · CCN 330195	49	$10,750	35% above the national average	$7,698	$79,605
Tufts Medical CenterBoston, MA · CCN 220116	26	$10,779	36% above the national average	$8,104	$21,082
Montefiore New Rochelle HospitalNew Rochelle, NY · CCN 330184	18	$10,796	36% above the national average	$7,723	$49,057
University Of Mississippi Medical CenterJackson, MS · CCN 250001	12	$10,802	36% above the national average	$7,705	$44,741
Robert Wood Johnson University HospitalNew Brunswick, NJ · CCN 310038	44	$10,825	36% above the national average	$6,917	$84,700
Ivinson Memorial HospitalLaramie, WY · CCN 530025	22	$10,828	36% above the national average	$8,553	$19,120
UMD Upper Chesapeake Medical CenterBel Air, MD · CCN 210049	81	$10,844	37% above the national average	$9,270	$12,043
Chinle Comprehensive Health Care FacilityChinle, AZ · CCN 030084	14	$10,858	37% above the national average	$9,809	$14,618

National trend

Average payment and billed charge per stay, and how many Medicare stays were reported each year.

Average payment
Average billed charge

2020: 61,919 stays at 1,961 hospitals · 2021: 31,531 stays at 1,321 hospitals · 2022: 37,400 stays at 1,444 hospitals · 2023: 37,586 stays at 1,421 hospitals · 2024: 41,948 stays at 1,522 hospitals

View data as a table

National average payment and billed charge for Simple pneumonia and pleurisy with CC
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

Average payment by state for Simple pneumonia and pleurisy with CC, 2024
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.