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 Massachusetts

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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Average payment across these 46 hospitals: $8,160National $7,941 · Massachusetts $8,160
Median hospital: $7,478
Lowest to highest: $6,374–$16,846
Medicare stays: 1,792

46 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
The Cooley Dickinson Hospital IncNorthampton, MA · CCN 220015	22	$6,374	20% below the national average	$5,039	$18,169
Winchester HospitalWinchester, MA · CCN 220105	68	$6,587	17% below the national average	$4,986	$12,674
Baystate Noble HospitalWestfield, MA · CCN 220065	18	$6,601	17% below the national average	$5,150	$9,738
Marlborough HospitalMarlborough, MA · CCN 220049	13	$6,607	17% below the national average	$5,226	$13,101
Beth Israel Deaconess Hospital - MiltonMilton, MA · CCN 220108	12	$6,610	17% below the national average	$5,522	$14,560
Beth Israel Deaconess Hospital - NeedhamNeedham, MA · CCN 220083	29	$6,625	17% below the national average	$5,275	$16,236
Beth Israel Deaconess Hospital PlymouthPlymouth, MA · CCN 220060	50	$6,647	16% below the national average	$5,308	$14,684
Sturdy Memorial HospitalAttleboro, MA · CCN 220008	65	$6,848	14% below the national average	$5,396	$11,789
Brown University Health Morton HospitalTaunton, MA · CCN 220073	29	$6,923	13% below the national average	$5,741	$12,522
Northeast Hospital CorporationBeverly, MA · CCN 220033	46	$6,959	12% below the national average	$5,576	$17,233
South Shore HospitalSouth Weymouth, MA · CCN 220100	129	$6,966	12% below the national average	$5,263	$13,445
Falmouth HospitalFalmouth, MA · CCN 220135	37	$7,025	12% below the national average	$5,230	$18,762
Baystate Wing HospitalPalmer, MA · CCN 220030	20	$7,038	11% below the national average	$5,816	$14,170
Good Samaritan Medical CenterBrockton, MA · CCN 220111	50	$7,051	11% below the national average	$5,551	$11,955
Heywood Hospital -Gardner, MA · CCN 220095	21	$7,061	11% below the national average	$5,897	$15,382
Milford Regional Medical CenterMilford, MA · CCN 220090	36	$7,105	11% below the national average	$5,692	$11,860
Emerson Hospital -W Concord, MA · CCN 220084	21	$7,133	10% below the national average	$4,616	$15,920
Southcoast Hospitals GroupFall River, MA · CCN 220074	147	$7,197	About average	$5,585	$19,761
Anna Jaques HospitalNewburyport, MA · CCN 220029	31	$7,218	About average	$5,118	$15,707
UMass Memorial HealthAlliance HospitalsLeominster, MA · CCN 220001	42	$7,311	About average	$5,931	$23,497
Mercy Medical CenterSpringfield, MA · CCN 220066	18	$7,393	About average	$5,945	$13,050
UMass Memorial Health - Harrington HospitalSouthbridge, MA · CCN 220019	34	$7,408	About average	$5,843	$15,855
Saint Anne's HospitalFall River, MA · CCN 220020	22	$7,451	About average	$4,985	$14,016
Baystate Franklin Medical CenterGreenfield, MA · CCN 220016	23	$7,505	About average	$5,427	$13,291
Lowell General HospitalLowell, MA · CCN 220063	75	$7,510	About average	$5,629	$15,351
Newton-Wellesley HospitalNewton, MA · CCN 220101	68	$7,662	About average	$5,507	$21,808
MelroseWakefield HealthcareMelrose, MA · CCN 220070	62	$7,709	About average	$5,322	$13,754
Merrimack Health Lawrence HospitalLawrence, MA · CCN 220010	21	$8,032	About average	$6,725	$19,741
North Shore Medical Center -Salem, MA · CCN 220035	44	$8,279	About average	$6,024	$20,277
Holy Family HospitalMethuen, MA · CCN 220080	22	$8,371	About average	$5,283	$13,282
Cape Cod HospitalHyannis, MA · CCN 220012	50	$8,514	About average	$7,096	$20,402
Brigham And Women Faulkner HospitalJamaica Plain, MA · CCN 220119	17	$9,023	14% above the national average	$6,408	$24,830
Berkshire Medical CenterPittsfield, MA · CCN 220046	33	$9,098	15% above the national average	$7,297	$19,411
Baystate Medical CenterSpringfield, MA · CCN 220077	50	$9,194	16% above the national average	$7,187	$13,352
Mount Auburn HospitalCambridge, MA · CCN 220002	17	$9,199	16% above the national average	$7,098	$20,693
St Vincent HospitalWorcester, MA · CCN 220176	18	$9,215	16% above the national average	$7,040	$40,731
Lahey Hospital & Medical Center, BurlingtonBurlington, MA · CCN 220171	38	$9,238	16% above the national average	$6,569	$16,831
Signature Healthcare Brockton HospitalBrockton, MA · CCN 220052	15	$9,709	22% above the national average	$6,085	$17,995
Boston Medical Center-BrightonBrighton, MA · CCN 220036	11	$9,713	22% above the national average	$8,010	$11,846
Tufts Medical CenterBoston, MA · CCN 220116	26	$10,779	36% above the national average	$8,104	$21,082
Nantucket Cottage HospitalNantucket, MA · CCN 220177	12	$10,897	37% above the national average	$9,265	$18,251
UMass Memorial Medical Center/University CampusWorcester, MA · CCN 220163	57	$11,073	39% above the national average	$8,470	$32,804
Beth Israel Deaconess Medical CenterBoston, MA · CCN 220086	27	$11,435	44% above the national average	$8,644	$26,365
Brigham And Women's HospitalBoston, MA · CCN 220110	44	$12,037	52% above the national average	$7,188	$52,425
Massachusetts General HospitalBoston, MA · CCN 220071	89	$12,361	56% above the national average	$7,502	$43,603
Boston Medical CenterBoston, MA · CCN 220031	13	$16,846	112% above the national average	$13,927	$23,402

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.