Skip to main content
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

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.

Location
Specific hospitals up to 10

1,522 hospitals reported at least 11 Medicare stays for this in 2024; showing 1,501–1,522. Download as CSV

Medicare payments per case for Simple pneumonia and pleurisy with CC by hospital, 2024
HospitalCasesAverage paymentvs national averageMedicare paidBilled charge
Larkin Community Hospital Palm Springs CampusHialeah, FL · CCN 10005017$14,79486% above the national average$8,828$59,710
Santa Clara Valley Medical CenterSan Jose, CA · CCN 05003824$14,90388% above the national average$12,789$80,564
St John's Episcopal Hospital At South ShoreFar Rockaway, NY · CCN 33039521$15,05190% above the national average$9,780$40,829
The Johns Hopkins HospitalBaltimore, MD · CCN 21000947$15,16791% above the national average$12,308$16,957
University Of Illinois Hospital And ClinicsChicago, IL · CCN 14015014$15,24592% above the national average$7,558$39,178
Wellstar McG Health, Affiliated With Medical ColAugusta, GA · CCN 11003418$15,28492% above the national average$10,196$54,589
South Brooklyn HealthBrooklyn, NY · CCN 33019620$15,45295% above the national average$12,979$42,409
Hospital Of University Of PennsylvaniaPhiladelphia, PA · CCN 39011140$15,68898% above the national average$10,204$123,613
Jackson Health SystemMiami, FL · CCN 10002277$15,79799% above the national average$13,341$42,137
Sinai Hospital Of BaltimoreBaltimore, MD · CCN 21001231$15,929101% above the national average$14,257$18,036
Stanford Health CareStanford, CA · CCN 05044152$16,396106% above the national average$10,650$140,880
University Of Maryland Charles Regional Medical CenterLa Plata, MD · CCN 21003528$16,591109% above the national average$15,047$15,991
Boston Medical CenterBoston, MA · CCN 22003113$16,846112% above the national average$13,927$23,402
Yukon Kuskokwim Delta Regional HospitalBethel, AK · CCN 02001815$17,409119% above the national average$15,995$27,819
Zuckerberg San Francisco General Hospital & Trauma CenterSan Francisco, CA · CCN 05022817$17,892125% above the national average$15,130$71,174
Jacobi Medical CenterBronx, NY · CCN 33012712$19,608147% above the national average$14,624$34,455
Contra Costa Regional Medical CenterMartinez, CA · CCN 05027616$22,612185% above the national average$14,605$39,476
University Of Maryland Shore Medical Center At ChestertownChestertown, MD · CCN 21003014$25,002215% above the national average$23,606$27,206
Elmhurst Hospital CenterElmhurst, NY · CCN 33012815$28,070253% above the national average$25,922$32,287
JPS Health NetworkFort Worth, TX · CCN 45003914$39,937403% above the national average$38,416$34,560
Bellevue Hospital CenterNew York, NY · CCN 33020418$40,893415% above the national average$27,311$57,283
Parkland Health & Hospital SystemDallas, TX · CCN 45001515$44,834465% above the national average$42,590$39,442

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 careAverage paymentAverage 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
StateHospitalsCasesAverage paymentTypical range
Iowa15421$6,219$5,850–$6,526
Arkansas25528$6,317$6,055–$6,770
Kentucky27874$6,348$6,080–$6,741
Louisiana32806$6,404$5,671–$7,004
Idaho126$6,405$6,405–$6,405
Kansas14329$6,480$5,837–$6,982
West Virginia17453$6,551$5,887–$6,893
Mississippi25532$6,567$6,051–$7,207
Montana226$6,660$6,537–$6,828
Indiana491,212$6,815$6,356–$7,166
Alabama37891$6,857$6,460–$7,260
Ohio711,635$6,879$5,968–$7,165
Missouri371,148$6,943$6,223–$7,442
Nebraska7232$7,022$6,472–$7,500
Oklahoma30774$7,064$6,476–$7,534
Colorado9187$7,068$6,302–$6,924
South Dakota4110$7,084$6,637–$7,473
Wisconsin23444$7,255$6,642–$7,668
Vermont351$7,280$6,146–$8,183
Tennessee33732$7,299$6,052–$7,468
Pennsylvania802,190$7,325$6,223–$7,795
Virginia42949$7,362$6,366–$7,485
New Hampshire9191$7,380$6,533–$7,747
Utah248$7,411$7,180–$8,287
Florida1214,048$7,459$6,510–$8,232
North Dakota4113$7,473$7,169–$7,695
South Carolina33826$7,497$6,329–$7,792
Michigan421,066$7,597$7,037–$7,861
Maine8153$7,620$7,086–$8,364
Illinois671,960$7,659$6,693–$8,142
New Mexico488$7,729$6,247–$7,494
Arizona26733$7,732$6,596–$7,599
Delaware5358$7,762$7,209–$8,251
Rhode Island7183$7,836$6,640–$8,395
Minnesota26524$7,938$6,569–$7,912
North Carolina481,786$7,967$6,719–$7,908
Texas942,194$8,089$6,791–$8,438
Washington14289$8,121$7,517–$8,229
Massachusetts461,792$8,160$7,029–$9,198
Georgia45989$8,231$6,997–$8,513
New Jersey491,869$8,236$7,228–$9,474
District of Columbia239$8,388$8,246–$10,453
Nevada11204$8,520$7,799–$9,017
Oregon8148$8,637$8,301–$9,213
Connecticut18510$9,165$8,386–$9,473
Wyoming589$9,410$7,987–$10,828
California1092,664$9,767$8,618–$9,815
New York932,821$10,004$7,811–$10,170
Maryland371,592$11,047$9,653–$12,614
Hawaii381$12,743$9,438–$12,523
Alaska340$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.