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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Year of care

1,522 hospitals reported at least 11 Medicare stays for this in 2024; showing 1,401–1,450. 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
UH Regional HospitalsChardon, OH · CCN 360075	16	$10,861	37% above the national average	$8,174	$24,740
University Of Maryland St Joseph Medical CenterTowson, MD · CCN 210063	53	$10,880	37% above the national average	$9,389	$12,172
Mercy San Juan Medical CenterCarmichael, CA · CCN 050516	22	$10,882	37% above the national average	$7,681	$65,533
Scripps Green HospitalLa Jolla, CA · CCN 050424	19	$10,890	37% above the national average	$7,653	$34,304
O U Medical CenterOklahoma City, OK · CCN 370093	26	$10,896	37% above the national average	$8,708	$58,200
Nantucket Cottage HospitalNantucket, MA · CCN 220177	12	$10,897	37% above the national average	$9,265	$18,251
Dominican HospitalSanta Cruz, CA · CCN 050242	22	$10,898	37% above the national average	$6,821	$116,013
Rush University Medical CenterChicago, IL · CCN 140119	24	$10,902	37% above the national average	$8,225	$22,665
Temple University HospitalPhiladelphia, PA · CCN 390027	57	$10,982	38% above the national average	$7,892	$94,754
Calverthealth Medical CenterPrince Frederick, MD · CCN 210039	28	$10,984	38% above the national average	$9,530	$12,212
Whiteriver PHS Indian HospitalWhiteriver, AZ · CCN 030113	15	$10,984	38% above the national average	$9,570	$10,791
OHSU Hospital And ClinicsPortland, OR · CCN 380009	11	$11,045	39% above the national average	$8,651	$30,795
UMass Memorial Medical Center/University CampusWorcester, MA · CCN 220163	57	$11,073	39% above the national average	$8,470	$32,804
Mount Sinai WestNew York, NY · CCN 330046	19	$11,100	40% above the national average	$8,647	$61,629
Vanderbilt University Medical CenterNashville, TN · CCN 440039	45	$11,141	40% above the national average	$5,824	$33,792
University Of Michigan Health SystemAnn Arbor, MI · CCN 230046	50	$11,176	41% above the national average	$7,133	$38,268
Henry Ford Health HospitalDetroit, MI · CCN 230053	37	$11,226	41% above the national average	$7,065	$23,129
University Of Alabama HospitalBirmingham, AL · CCN 010033	24	$11,272	42% above the national average	$6,294	$41,234
Barton Memorial HospitalSouth Lake Tahoe, CA · CCN 050352	17	$11,273	42% above the national average	$9,929	$73,847
Baylor University Medical CenterDallas, TX · CCN 450021	29	$11,305	42% above the national average	$5,400	$30,569
UF Health Shands HospitalGainesville, FL · CCN 100113	37	$11,342	43% above the national average	$6,832	$33,498
University Of Maryland Baltimore Washington Medical CenterGlen Burnie, MD · CCN 210043	59	$11,389	43% above the national average	$9,765	$12,243
MUSC Medical CenterCharleston, SC · CCN 420004	40	$11,400	44% above the national average	$6,674	$28,793
Adventist Healthcare White Oak Medical CenterSilver Spring, MD · CCN 210016	52	$11,407	44% above the national average	$9,824	$12,677
Beth Israel Deaconess Medical CenterBoston, MA · CCN 220086	27	$11,435	44% above the national average	$8,644	$26,365
Memorial Regional HospitalHollywood, FL · CCN 100038	36	$11,436	44% above the national average	$9,507	$99,404
Sutter Medical Center, SacramentoSacramento, CA · CCN 050108	20	$11,484	45% above the national average	$7,761	$51,525
Natividad Medical CenterSalinas, CA · CCN 050248	12	$11,496	45% above the national average	$10,042	$60,057
University Of Texas Medical Branch GalvestonGalveston, TX · CCN 450018	25	$11,518	45% above the national average	$7,771	$30,975
MedStar Georgetown University HospitalWashington, DC · CCN 090004	11	$11,556	46% above the national average	$5,901	$33,792
Temecula Valley HospitalTemecula, CA · CCN 050775	12	$11,593	46% above the national average	$9,365	$73,198
Adventist Healthcare Fort Washington Medical CenterFort Washington, MD · CCN 210060	15	$11,607	46% above the national average	$8,328	$12,819
John T Mather Memorial Hospital Of Port JeffersonPort Jefferson, NY · CCN 330185	24	$11,613	46% above the national average	$5,319	$48,235
Mercy Medical Center IncBaltimore, MD · CCN 210008	19	$11,630	46% above the national average	$10,428	$13,461
Cooperman Barnabas Medical CenterLivingston, NJ · CCN 310076	29	$11,631	46% above the national average	$6,415	$74,096
University Medical CenterLas Vegas, NV · CCN 290007	11	$11,642	47% above the national average	$8,886	$54,470
Flushing Hospital Medical CenterFlushing, NY · CCN 330193	13	$11,649	47% above the national average	$8,520	$17,430
Duke University HospitalDurham, NC · CCN 340030	59	$11,659	47% above the national average	$7,489	$34,829
SUNY/Stony Brook University HospitalStony Brook, NY · CCN 330393	111	$11,710	47% above the national average	$8,681	$72,715
University Medical CenterLubbock, TX · CCN 450686	17	$11,724	48% above the national average	$10,265	$45,034
Sharp Memorial HospitalSan Diego, CA · CCN 050100	45	$11,743	48% above the national average	$6,948	$61,707
St Joseph's University Medical Center IncPaterson, NJ · CCN 310019	18	$11,780	48% above the national average	$9,287	$95,884
Mount Sinai Beth IsraelNew York, NY · CCN 330169	31	$11,782	48% above the national average	$7,811	$68,843
Garrett Regional Medical CenterOakland, MD · CCN 210017	19	$11,809	49% above the national average	$10,693	$13,293
Maimonides Medical CenterBrooklyn, NY · CCN 330194	31	$11,877	50% above the national average	$8,835	$51,834
Shands JacksonvilleJacksonville, FL · CCN 100001	19	$11,896	50% above the national average	$9,974	$38,412
MedStar Good Samaritan HospitalBaltimore, MD · CCN 210056	17	$11,944	50% above the national average	$10,602	$13,425
Memorial Hermann - Texas Medical CenterHouston, TX · CCN 450068	14	$11,946	50% above the national average	$9,750	$48,178
Emory University HospitalAtlanta, GA · CCN 110010	18	$11,957	51% above the national average	$6,507	$32,939
Yale-New Haven HospitalNew Haven, CT · CCN 070022	54	$11,998	51% above the national average	$7,846	$33,754

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.