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 1,451–1,500. 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
Medical College Of Virginia HospitalsRichmond, VA · CCN 490032	21	$12,007	51% above the national average	$7,301	$40,431
Brigham And Women's HospitalBoston, MA · CCN 220110	44	$12,037	52% above the national average	$7,188	$52,425
New York-Presbyterian HospitalNew York, NY · CCN 330101	172	$12,038	52% above the national average	$8,319	$74,386
Jersey City Medical CenterJersey City, NJ · CCN 310074	12	$12,105	52% above the national average	$10,197	$57,292
Adventist Healthcare Shady Grove Medical CenterRockville, MD · CCN 210057	39	$12,123	53% above the national average	$10,397	$13,728
St Johns Medical CenterJackson, WY · CCN 530015	14	$12,140	53% above the national average	$8,853	$26,823
Greater Baltimore Medical CenterBaltimore, MD · CCN 210044	93	$12,155	53% above the national average	$10,604	$14,061
Swedish HospitalChicago, IL · CCN 140114	13	$12,159	53% above the national average	$5,353	$25,890
Capital Health Medical Center - HopewellPennington, NJ · CCN 310044	22	$12,200	54% above the national average	$6,158	$239,335
HCA Florida Blake HospitalBradenton, FL · CCN 100213	25	$12,206	54% above the national average	$5,375	$87,753
Luminis Health Doctors Community Medical Center, IncLanham, MD · CCN 210051	37	$12,250	54% above the national average	$10,515	$12,794
Massachusetts General HospitalBoston, MA · CCN 220071	89	$12,361	56% above the national average	$7,502	$43,603
Nyu Langone HospitalsNew York, NY · CCN 330214	143	$12,450	57% above the national average	$8,976	$86,943
Tristar Summit Medical CenterHermitage, TN · CCN 440150	17	$12,511	58% above the national average	$3,616	$65,048
Western Maryland Regional Medical CenterCumberland, MD · CCN 210027	37	$12,563	58% above the national average	$10,999	$14,073
Hackensack University Medical CenterHackensack, NJ · CCN 310001	32	$12,604	59% above the national average	$6,979	$52,404
Strong Memorial HospitalRochester, NY · CCN 330285	20	$12,604	59% above the national average	$8,098	$23,374
MedStar Saint Mary's HospitalLeonardtown, MD · CCN 210028	19	$12,614	59% above the national average	$11,240	$14,454
UNC HospitalsChapel Hill, NC · CCN 340061	45	$12,661	59% above the national average	$8,491	$24,187
Cedars-Sinai Medical CenterLos Angeles, CA · CCN 050625	89	$12,662	59% above the national average	$8,527	$146,002
Homestead HospitalHomestead, FL · CCN 100125	21	$12,753	61% above the national average	$11,429	$50,184
Carolinas Medical Center/Behavioral HealthCharlotte, NC · CCN 340113	65	$12,976	63% above the national average	$6,932	$43,645
Palisades Medical CenterNorth Bergen, NJ · CCN 310003	20	$12,997	64% above the national average	$8,983	$66,349
Fairbanks Memorial HospitalFairbanks, AK · CCN 020012	11	$13,013	64% above the national average	$11,532	$35,655
Mount Sinai HospitalNew York, NY · CCN 330024	48	$13,019	64% above the national average	$8,340	$49,025
Copley Memorial HospitalAurora, IL · CCN 140029	33	$13,042	64% above the national average	$4,854	$42,051
Mayo Clinic HospitalPhoenix, AZ · CCN 030103	67	$13,127	65% above the national average	$5,638	$32,794
MedStar Union Memorial HospitalBaltimore, MD · CCN 210024	13	$13,272	67% above the national average	$11,174	$15,917
Mayo Clinic Hospital RochesterRochester, MN · CCN 240010	63	$13,285	67% above the national average	$6,807	$27,981
John Dempsey Hospital Of The University Of ConnectFarmington, CT · CCN 070036	14	$13,418	69% above the national average	$8,771	$34,879
Loyola University Medical CenterMaywood, IL · CCN 140276	26	$13,463	70% above the national average	$7,340	$47,693
California Pacific Medical Center- Van Ness CampusSan Francisco, CA · CCN 050047	19	$13,560	71% above the national average	$9,926	$56,204
University Of California Davis Medical CenterSacramento, CA · CCN 050599	25	$13,594	71% above the national average	$8,809	$62,908
Johns Hopkins Bayview Medical CenterBaltimore, MD · CCN 210029	29	$13,620	72% above the national average	$12,103	$15,622
The University Of Chicago Medical CenterChicago, IL · CCN 140088	40	$13,693	72% above the national average	$8,428	$53,768
MedStar Harbor HospitalBaltimore, MD · CCN 210034	14	$13,926	75% above the national average	$12,995	$15,287
University Of Virginia Medical CenterCharlottesville, VA · CCN 490009	39	$13,977	76% above the national average	$7,867	$42,891
Saint Agnes HospitalBaltimore, MD · CCN 210011	49	$13,986	76% above the national average	$12,755	$16,086
Central Peninsula General HospitalSoldotna, AK · CCN 020024	14	$13,997	76% above the national average	$10,765	$44,313
Brookdale Hospital Medical CenterBrooklyn, NY · CCN 330233	12	$14,061	77% above the national average	$10,436	$29,097
Uci Health-OrangeOrange, CA · CCN 050348	22	$14,116	78% above the national average	$11,057	$60,511
Nassau University Medical CenterEast Meadow, NY · CCN 330027	13	$14,127	78% above the national average	$10,811	$45,900
Northside HospitalAtlanta, GA · CCN 110161	25	$14,200	79% above the national average	$12,830	$76,853
Northwest Hospital CenterRandallstown, MD · CCN 210040	36	$14,299	80% above the national average	$12,943	$16,157
North Carolina Baptist HospitalWinston-Salem, NC · CCN 340047	53	$14,360	81% above the national average	$7,472	$32,278
Brooklyn Hospital Center - Downtown CampusBrooklyn, NY · CCN 330056	19	$14,389	81% above the national average	$9,475	$88,237
UCSF Medical CenterSan Francisco, CA · CCN 050454	18	$14,515	83% above the national average	$11,287	$69,508
UCSan Diego Health Hillcrest - Hillcrest Medical CenterSan Diego, CA · CCN 050025	29	$14,584	84% above the national average	$9,482	$49,118
Montefiore Medical CenterBronx, NY · CCN 330059	75	$14,669	85% above the national average	$8,639	$87,266
The Queens Medical CenterHonolulu, HI · CCN 120001	51	$14,723	85% above the national average	$6,516	$51,553

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.