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
- $5,880
- Average billed charge
- $38,636
- Hospitals reporting
- 1,522
Hospitals in Georgia
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.
- Average payment across these 45 hospitals
- $8,231
- Median hospital
- $7,585
- Lowest to highest
- $5,696–$15,284
- Medicare stays
- 989
45 hospitals reported at least 11 Medicare stays for this in 2024. Download as CSV
| Hospital | Cases | Average payment | vs national average | Medicare paid | Billed charge |
|---|---|---|---|---|---|
| Saint Joseph's Hospital Of Atlanta, Inc | 18 | $5,696 | 28% below the national average | $4,708 | $24,015 |
| Piedmont Columbus Regional Northside | 12 | $5,857 | 26% below the national average | $3,401 | $23,547 |
| Piedmont Augusta Hospital | 40 | $6,235 | 21% below the national average | $4,508 | $30,346 |
| East Georgia Regional Medical Center | 12 | $6,317 | 20% below the national average | $5,501 | $41,962 |
| Wellstar Paulding Medical Center | 24 | $6,420 | 19% below the national average | $4,068 | $49,270 |
| Union General Hospital | 56 | $6,492 | 18% below the national average | $4,820 | $20,626 |
| Northside Hospital Forsyth | 34 | $6,623 | 17% below the national average | $5,232 | $47,349 |
| Piedmont Mountainside Hospital Inc | 15 | $6,748 | 15% below the national average | $5,442 | $33,407 |
| Piedmont Macon North Hospital | 12 | $6,808 | 14% below the national average | $5,451 | $33,030 |
| SGMC Health | 25 | $6,826 | 14% below the national average | $5,401 | $25,486 |
| Piedmont Walton Hospital | 14 | $6,944 | 13% below the national average | $5,778 | $31,732 |
| Emory Houston Hospital Warner Robins | 21 | $6,997 | 12% below the national average | $5,333 | $24,872 |
| Piedmont Fayette Hospital | 14 | $7,008 | 12% below the national average | $5,376 | $37,935 |
| Piedmont Cartersville Medical Center | 12 | $7,126 | 10% below the national average | $5,485 | $48,482 |
| Northside Hospital Cherokee | 17 | $7,172 | About average | $5,636 | $50,917 |
| Piedmont Eastside Medical Center | 11 | $7,283 | About average | $6,096 | $37,105 |
| Colquitt Regional Medical Center | 13 | $7,417 | About average | $5,698 | $18,138 |
| Upson Regional Medical Center | 12 | $7,431 | About average | $5,799 | $21,800 |
| Piedmont Newton Hospital | 11 | $7,526 | About average | $6,190 | $34,329 |
| Wellstar North Fulton Medical Center | 17 | $7,528 | About average | $6,399 | $50,705 |
| Piedmont Henry Hospital | 15 | $7,555 | About average | $6,140 | $38,620 |
| Coffee Regional Medical Center, Inc | 32 | $7,573 | About average | $5,418 | $23,427 |
| Tanner Medical Center - Carrollton | 19 | $7,585 | About average | $6,297 | $47,792 |
| Southeast Georgia Health System- Brunswick Campus | 14 | $7,590 | About average | $6,191 | $22,188 |
| Wayne Memorial Hospital | 21 | $7,790 | About average | $6,682 | $27,000 |
| Piedmont Athens Regional Medical Center | 22 | $7,822 | About average | $5,982 | $32,331 |
| Hamilton Medical Center | 21 | $7,984 | About average | $6,199 | $32,671 |
| Northeast Georgia Medical Center Habersham | 29 | $8,096 | About average | $6,270 | $38,797 |
| Dodge County Hospital | 20 | $8,177 | About average | $5,512 | $19,410 |
| Northeast Georgia Medical Center Lumpkin | 11 | $8,193 | About average | $6,857 | $36,208 |
| St Mary's Hospital | 23 | $8,254 | About average | $5,672 | $21,978 |
| Piedmont Newnan Hospital, Inc | 11 | $8,428 | About average | $4,856 | $33,555 |
| Archbold Memorial Hospital | 12 | $8,478 | About average | $5,531 | $27,290 |
| Atrium Health Floyd Medical Center | 27 | $8,513 | About average | $6,433 | $35,364 |
| Tift Regional Medical Center | 16 | $8,778 | 11% above the national average | $6,159 | $27,425 |
| Northeast Georgia Medical Center, Inc | 90 | $8,966 | 13% above the national average | $6,586 | $44,901 |
| Ngmc Barrow, LLC | 17 | $9,051 | 14% above the national average | $7,516 | $38,247 |
| Atrium Health Navicent The Medical Center | 30 | $9,214 | 16% above the national average | $6,668 | $40,641 |
| Piedmont Hospital, Inc | 20 | $9,238 | 16% above the national average | $4,286 | $30,934 |
| Northside Hospital Gwinnett | 26 | $9,756 | 23% above the national average | $7,691 | $50,280 |
| Emory University Hospital Midtown | 11 | $9,810 | 24% above the national average | $7,487 | $31,961 |
| Wellstar Kennestone Regional Medical Center | 51 | $10,562 | 33% above the national average | $7,848 | $46,601 |
| Emory University Hospital | 18 | $11,957 | 51% above the national average | $6,507 | $32,939 |
| Northside Hospital | 25 | $14,200 | 79% above the national average | $12,830 | $76,853 |
| Wellstar McG Health, Affiliated With Medical Col | 18 | $15,284 | 92% above the national average | $10,196 | $54,589 |
National trend
Average payment and billed charge per stay, and how many Medicare stays were reported each year.
- Average payment
- Average billed charge
View data as a table
| 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
| 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.