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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

Hospitals in Arizona

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
Arizona
Specific hospitals up to 10
Average payment across these 26 hospitals
$7,732National $7,941 · Arizona $7,732
Median hospital
$6,956
Lowest to highest
$5,995–$13,127
Medicare stays
733

26 hospitals reported at least 11 Medicare stays for this in 2024. Download as CSV

Medicare payments per case for Simple pneumonia and pleurisy with CC by hospital, 2024
HospitalCasesAverage paymentvs national averageMedicare paidBilled charge
Banner Boswell Medical CenterSun City, AZ · CCN 03006145$5,99525% below the national average$4,783$29,165
Banner Del E. Webb Medical CenterSun City West, AZ · CCN 03009331$6,17922% below the national average$4,913$26,136
Northwest Medical CenterTucson, AZ · CCN 03008518$6,19622% below the national average$4,989$44,123
Banner Baywood Medical CenterMesa, AZ · CCN 03008816$6,20622% below the national average$4,950$29,840
Chandler Regional Medical CenterChandler, AZ · CCN 03003632$6,44319% below the national average$5,107$61,800
St. Mary's HospitalTucson, AZ · CCN 03001012$6,47818% below the national average$5,118$58,790
HonorHealth Scottsdale Shea Medical CenterScottsdale, AZ · CCN 03008756$6,57317% below the national average$4,540$47,215
Northwest Medical Center SahuaritaSahuarita, AZ · CCN 03014812$6,66516% below the national average$5,441$46,500
Valley View Medical CenterFort Mohave, AZ · CCN 03011712$6,71815% below the national average$5,222$66,562
Mercy Gilbert Medical CenterGilbert, AZ · CCN 03011930$6,75215% below the national average$5,062$56,265
Honor Health John C. Lincoln Medical CenterPhoenix, AZ · CCN 03001430$6,83014% below the national average$5,511$55,380
Tucson Medical CenterTucson, AZ · CCN 03000657$6,90413% below the national average$5,352$29,096
HonorHealth Deer Valley Medical CenterPhoenix, AZ · CCN 03009220$6,90513% below the national average$5,131$49,617
HonorHealth Sonoran Crossing Medical CenterPhoenix, AZ · CCN 03014611$7,00612% below the national average$4,536$41,471
Banner Desert Medical CenterMesa, AZ · CCN 03006517$7,07811% below the national average$6,011$32,052
HonorHealth Scottsdale Osborn Medical CenterScottsdale, AZ · CCN 03003829$7,08611% below the national average$5,268$49,972
HonorHealth Scottsdale Thompson Peak Medical CenterScottsdale, AZ · CCN 03012344$7,169About average$5,358$43,224
Yuma Regional Medical CenterYuma, AZ · CCN 03001335$7,204About average$6,002$39,401
Dignity Health Arizona General HospitalMesa, AZ · CCN 03013926$7,450About average$5,945$40,538
Yavapai Regional Medical CenterPrescott, AZ · CCN 03001251$7,649About average$5,651$31,086
Banner Thunderbird Medical CenterGlendale, AZ · CCN 03008919$7,741About average$5,562$36,227
Banner - University Medical Center PhoenixPhoenix, AZ · CCN 03000211$9,51620% above the national average$6,824$30,618
Fort Defiance Indian HospitalFt. Defiance, AZ · CCN 03007123$10,50332% above the national average$9,368$17,886
Chinle Comprehensive Health Care FacilityChinle, AZ · CCN 03008414$10,85837% above the national average$9,809$14,618
Whiteriver PHS Indian HospitalWhiteriver, AZ · CCN 03011315$10,98438% above the national average$9,570$10,791
Mayo Clinic HospitalPhoenix, AZ · CCN 03010367$13,12765% above the national average$5,638$32,794

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.