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 Indiana

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.

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Indiana

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Average payment across these 49 hospitals: $6,815National $7,941 · Indiana $6,815
Median hospital: $6,849
Lowest to highest: $5,761–$10,150
Medicare stays: 1,212

49 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
Hospital	Cases	Average payment	vs national average	Medicare paid	Billed charge
Baptist Health FloydNew Albany, IN · CCN 150044	90	$5,761	27% below the national average	$4,318	$32,359
Northwest Health - PorterValparaiso, IN · CCN 150035	11	$5,789	27% below the national average	$4,309	$48,387
St Elizabeth Dearborn HospitalLawrenceburg, IN · CCN 150086	16	$5,806	27% below the national average	$4,865	$19,164
Indiana University Health North HospitalCarmel, IN · CCN 150161	14	$6,006	24% below the national average	$4,840	$33,464
Community HospitalMunster, IN · CCN 150125	47	$6,048	24% below the national average	$4,980	$27,581
Northwest Health-La PorteLa Porte, IN · CCN 150006	17	$6,094	23% below the national average	$4,846	$29,248
IU Health West HospitalAvon, IN · CCN 150158	21	$6,205	22% below the national average	$4,884	$31,388
St Mary Medical Center IncHobart, IN · CCN 150034	14	$6,225	22% below the national average	$4,392	$24,361
Community Howard Regional Health Inc.Kokomo, IN · CCN 150007	22	$6,294	21% below the national average	$5,181	$28,951
Norton Clark HospitalJeffersonville, IN · CCN 150009	20	$6,305	21% below the national average	$4,868	$42,523
Terre Haute Regional HospitalTerre Haute, IN · CCN 150046	11	$6,315	20% below the national average	$4,979	$49,306
Community Hospital Of Anderson And Madison CountyAnderson, IN · CCN 150113	21	$6,315	20% below the national average	$4,913	$21,793
Lutheran Hospital Of IndianaFort Wayne, IN · CCN 150017	26	$6,356	20% below the national average	$4,790	$51,615
Elkhart General HospitalElkhart, IN · CCN 150018	48	$6,386	20% below the national average	$5,154	$28,174
Deaconess Hospital IncEvansville, IN · CCN 150082	39	$6,429	19% below the national average	$4,755	$23,296
Ascension St Vincent CarmelCarmel, IN · CCN 150157	11	$6,439	19% below the national average	$4,955	$29,126
Ascension St Vincent EvansvilleEvansville, IN · CCN 150100	23	$6,531	18% below the national average	$5,186	$25,239
Johnson Memorial HospitalFranklin, IN · CCN 150001	11	$6,582	17% below the national average	$5,098	$30,323
Union Hospital IncTerre Haute, IN · CCN 150023	44	$6,583	17% below the national average	$5,337	$22,025
Community Hospital South, Inc.Indianapolis, IN · CCN 150128	51	$6,592	17% below the national average	$5,009	$29,587
Memorial Hospital Of South BendSouth Bend, IN · CCN 150058	34	$6,634	16% below the national average	$5,336	$33,649
Community Hospital NorthIndianapolis, IN · CCN 150169	43	$6,643	16% below the national average	$5,362	$29,291
Columbus Regional HospitalColumbus, IN · CCN 150112	27	$6,713	15% below the national average	$5,405	$20,500
Parkview Regional Medical CenterFort Wayne, IN · CCN 150021	42	$6,830	14% below the national average	$5,796	$23,159
Reid HealthRichmond, IN · CCN 150048	25	$6,849	14% below the national average	$5,237	$20,946
Indiana University Health Arnett HospitalLafayette, IN · CCN 150173	21	$6,866	14% below the national average	$4,858	$25,257
Kosciusko Community HospitalWarsaw, IN · CCN 150133	12	$6,872	13% below the national average	$4,695	$50,258
Methodist Hospitals IncGary, IN · CCN 150002	25	$6,879	13% below the national average	$5,818	$38,702
Franciscan Health Michigan CityMichigan City, IN · CCN 150015	24	$7,015	12% below the national average	$4,970	$35,919
Memorial Hospital And Health Care CenterJasper, IN · CCN 150115	39	$7,021	12% below the national average	$5,305	$25,211
Goshen HospitalGoshen, IN · CCN 150026	29	$7,053	11% below the national average	$5,794	$21,886
Good Samaritan HospitalVincennes, IN · CCN 150042	11	$7,063	11% below the national average	$5,222	$21,261
Riverview HealthNoblesville, IN · CCN 150059	15	$7,094	11% below the national average	$5,549	$24,576
Marion General HospitalMarion, IN · CCN 150011	18	$7,108	10% below the national average	$5,863	$17,414
Indiana University Health Ball Memorial HospitalMuncie, IN · CCN 150089	30	$7,145	10% below the national average	$5,389	$31,065
Indiana University Health Bloomington HospitalBloomington, IN · CCN 150051	21	$7,152	About average	$6,008	$55,428
Ascension St Vincent AndersonAnderson, IN · CCN 150088	11	$7,166	About average	$5,101	$31,157
Bluffton Regional Medical CenterBluffton, IN · CCN 150075	12	$7,212	About average	$5,716	$28,007
Witham Health ServicesLebanon, IN · CCN 150104	19	$7,433	About average	$6,059	$21,188
Norton-King's Daughters' HealthMadison, IN · CCN 150069	17	$7,447	About average	$5,460	$22,531
Franciscan Health IndianapolisIndianapolis, IN · CCN 150162	14	$7,576	About average	$4,819	$55,760
Henry County Memorial HospitalNew Castle, IN · CCN 150030	28	$7,632	About average	$6,467	$28,077
Daviess Community HospitalWashington, IN · CCN 150061	16	$7,767	About average	$6,135	$27,414
Saint Joseph Regional Medical CenterMishawaka, IN · CCN 150012	17	$7,789	About average	$5,246	$30,133
Saint Joseph Regional Medical Center - PlymouthPlymouth, IN · CCN 150076	14	$7,897	About average	$6,498	$24,013
Community Hospital EastIndianapolis, IN · CCN 150074	27	$7,999	About average	$5,439	$32,419
Ascension St Vincent HospitalIndianapolis, IN · CCN 150084	28	$8,285	About average	$5,636	$33,961
Memorial HospitalLogansport, IN · CCN 150072	12	$8,562	About average	$7,204	$25,343
Indiana University HealthIndianapolis, IN · CCN 150056	24	$10,150	28% above the national average	$7,019	$38,562

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.