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 Maryland

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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Maryland

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Year of care

Average payment across these 37 hospitals: $11,047National $7,941 · Maryland $11,047
Median hospital: $11,407
Lowest to highest: $7,137–$25,002
Medicare stays: 1,592

37 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
Holy Cross Germantown HospitalGermantown, MD · CCN 210065	13	$7,137	10% below the national average	$5,077	$7,783
Johns Hopkins Howard County Medical CenterColumbia, MD · CCN 210048	60	$7,312	About average	$5,533	$7,977
Union Hospital Of Cecil CountyElkton, MD · CCN 210032	51	$8,281	About average	$6,793	$9,220
Suburban HospitalBethesda, MD · CCN 210022	40	$8,494	About average	$7,026	$9,487
MedStar Franklin Square Medical CenterRosedale, MD · CCN 210015	34	$8,859	12% above the national average	$6,661	$9,715
Frederick Health HospitalFrederick, MD · CCN 210005	98	$9,111	15% above the national average	$7,674	$9,956
Meritus Medical CenterHagerstown, MD · CCN 210001	78	$9,207	16% above the national average	$7,265	$9,741
Luminis Health Anne Arundel Medical Center, IncAnnapolis, MD · CCN 210023	192	$9,416	19% above the national average	$7,981	$10,206
Carroll Hospital CenterWestminster, MD · CCN 210033	67	$9,484	19% above the national average	$8,217	$10,713
MedStar Montgomery Medical CenterOlney, MD · CCN 210018	15	$9,653	22% above the national average	$8,348	$10,879
Holy Cross HospitalSilver Spring, MD · CCN 210004	17	$9,954	25% above the national average	$7,760	$10,882
Atlantic General HospitalBerlin, MD · CCN 210061	24	$10,114	27% above the national average	$8,890	$11,022
Tidalhealth Peninsula Regional, IncSalisbury, MD · CCN 210019	41	$10,542	33% above the national average	$9,387	$11,761
University Of Maryland Shore Medical Center At EastonEaston, MD · CCN 210037	33	$10,701	35% above the national average	$9,317	$11,943
UMD Upper Chesapeake Medical CenterBel Air, MD · CCN 210049	81	$10,844	37% above the national average	$9,270	$12,043
University Of Maryland St Joseph Medical CenterTowson, MD · CCN 210063	53	$10,880	37% above the national average	$9,389	$12,172
Calverthealth Medical CenterPrince Frederick, MD · CCN 210039	28	$10,984	38% above the national average	$9,530	$12,212
University Of Maryland Baltimore Washington Medical CenterGlen Burnie, MD · CCN 210043	59	$11,389	43% above the national average	$9,765	$12,243
Adventist Healthcare White Oak Medical CenterSilver Spring, MD · CCN 210016	52	$11,407	44% above the national average	$9,824	$12,677
Adventist Healthcare Fort Washington Medical CenterFort Washington, MD · CCN 210060	15	$11,607	46% above the national average	$8,328	$12,819
Mercy Medical Center IncBaltimore, MD · CCN 210008	19	$11,630	46% above the national average	$10,428	$13,461
Garrett Regional Medical CenterOakland, MD · CCN 210017	19	$11,809	49% above the national average	$10,693	$13,293
MedStar Good Samaritan HospitalBaltimore, MD · CCN 210056	17	$11,944	50% above the national average	$10,602	$13,425
Adventist Healthcare Shady Grove Medical CenterRockville, MD · CCN 210057	39	$12,123	53% above the national average	$10,397	$13,728
Greater Baltimore Medical CenterBaltimore, MD · CCN 210044	93	$12,155	53% above the national average	$10,604	$14,061
Luminis Health Doctors Community Medical Center, IncLanham, MD · CCN 210051	37	$12,250	54% above the national average	$10,515	$12,794
Western Maryland Regional Medical CenterCumberland, MD · CCN 210027	37	$12,563	58% above the national average	$10,999	$14,073
MedStar Saint Mary's HospitalLeonardtown, MD · CCN 210028	19	$12,614	59% above the national average	$11,240	$14,454
MedStar Union Memorial HospitalBaltimore, MD · CCN 210024	13	$13,272	67% above the national average	$11,174	$15,917
Johns Hopkins Bayview Medical CenterBaltimore, MD · CCN 210029	29	$13,620	72% above the national average	$12,103	$15,622
MedStar Harbor HospitalBaltimore, MD · CCN 210034	14	$13,926	75% above the national average	$12,995	$15,287
Saint Agnes HospitalBaltimore, MD · CCN 210011	49	$13,986	76% above the national average	$12,755	$16,086
Northwest Hospital CenterRandallstown, MD · CCN 210040	36	$14,299	80% above the national average	$12,943	$16,157
The Johns Hopkins HospitalBaltimore, MD · CCN 210009	47	$15,167	91% above the national average	$12,308	$16,957
Sinai Hospital Of BaltimoreBaltimore, MD · CCN 210012	31	$15,929	101% above the national average	$14,257	$18,036
University Of Maryland Charles Regional Medical CenterLa Plata, MD · CCN 210035	28	$16,591	109% above the national average	$15,047	$15,991
University Of Maryland Shore Medical Center At ChestertownChestertown, MD · CCN 210030	14	$25,002	215% above the national average	$23,606	$27,206

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.