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 Michigan

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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Michigan

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Year of care

Average payment across these 42 hospitals: $7,597National $7,941 · Michigan $7,597
Median hospital: $7,317
Lowest to highest: $5,244–$11,226
Medicare stays: 1,066

42 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
McLaren Bay RegionBay City, MI · CCN 230041	12	$5,244	34% below the national average	$4,119	$21,277
Beaumont Hospital, TroyTroy, MI · CCN 230269	73	$5,896	26% below the national average	$4,130	$23,188
Holland HospitalHolland, MI · CCN 230072	27	$6,187	22% below the national average	$4,676	$21,953
Bronson Battle Creek HospitalBattle Creek, MI · CCN 230075	31	$6,302	21% below the national average	$4,934	$24,236
Covenant Medical CenterSaginaw, MI · CCN 230070	25	$6,410	19% below the national average	$4,507	$21,645
Chelsea HospitalChelsea, MI · CCN 230259	16	$6,521	18% below the national average	$4,487	$21,247
Beaumont Hospital - Grosse PointeGrosse Pointe, MI · CCN 230089	18	$6,590	17% below the national average	$4,145	$26,307
Henry Ford Health West Bloomfield HospitalW Bloomfield, MI · CCN 230302	35	$6,606	17% below the national average	$4,158	$23,362
Mymichigan Medical Center ClareClare, MI · CCN 230180	12	$6,617	17% below the national average	$5,529	$14,805
Insight Hospital And Medical Center ColdwaterColdwater, MI · CCN 230022	13	$6,840	14% below the national average	$5,143	$18,041
Mymichigan Medical Center West BranchWest Branch, MI · CCN 230095	13	$7,009	12% below the national average	$5,377	$12,983
Trinity Health Muskegon HospitalMuskegon, MI · CCN 230066	12	$7,121	10% below the national average	$5,621	$19,016
Mymichigan Medical Center AlmaAlma, MI · CCN 230030	14	$7,147	About average	$5,626	$15,636
Munson Medical CenterTraverse City, MI · CCN 230097	23	$7,155	About average	$5,765	$17,807
Beaumont Hospital - TaylorTaylor, MI · CCN 230270	14	$7,159	About average	$4,231	$23,296
Lakeland Hospital, St JosephSt Joseph, MI · CCN 230021	20	$7,168	About average	$5,140	$21,242
Trinity Health Ann Arbor HospitalAnn Arbor, MI · CCN 230156	59	$7,180	About average	$5,248	$24,427
Corewell Health Trenton HospitalTrenton, MI · CCN 230176	20	$7,181	About average	$5,063	$30,385
Beaumont Hospital - DearbornDearborn, MI · CCN 230020	31	$7,254	About average	$5,489	$28,140
Henry Ford Macomb HospitalClinton Township, MI · CCN 230047	52	$7,261	About average	$4,966	$22,291
Mymichigan Medical Center MidlandMidland, MI · CCN 230222	15	$7,316	About average	$5,294	$16,074
Corewell Health Big Rapids HospitalBig Rapids, MI · CCN 230093	14	$7,318	About average	$5,473	$18,073
McLaren MacombMount Clemens, MI · CCN 230227	17	$7,330	About average	$5,474	$20,249
Henry Ford Health Warren HospitalWarren, MI · CCN 230195	17	$7,382	About average	$5,804	$19,074
McLaren FlintFlint, MI · CCN 230141	12	$7,417	About average	$5,593	$20,664
Ascension Providence Hospital, Southfield And NoviSouthfield, MI · CCN 230019	34	$7,461	About average	$5,294	$23,574
Ascension Providence Rochester HospitalRochester, MI · CCN 230254	11	$7,518	About average	$4,700	$22,315
Bronson Methodist HospitalKalamazoo, MI · CCN 230017	55	$7,583	About average	$5,041	$25,153
Borgess Medical CenterKalamazoo, MI · CCN 230117	11	$7,782	About average	$5,075	$24,558
Wyandotte Hospital And Medical CenterWyandotte, MI · CCN 230146	14	$7,788	About average	$4,203	$24,757
Hillsdale HospitalHillsdale, MI · CCN 230037	16	$7,789	About average	$6,454	$15,205
Edward W Sparrow HospitalLansing, MI · CCN 230230	21	$7,885	About average	$5,397	$30,294
Beaumont Hospital Royal OakRoyal Oak, MI · CCN 230130	50	$7,949	About average	$5,730	$25,812
Henry Ford Allegiance HealthJackson, MI · CCN 230092	26	$7,968	About average	$5,584	$31,170
Trinity Health Oakland HospitalPontiac, MI · CCN 230029	19	$8,191	About average	$5,603	$26,309
St Joe Mercy Hospital System LivoniaLivonia, MI · CCN 230002	48	$8,306	About average	$5,474	$27,235
Henry Ford Health St John HospitalDetroit, MI · CCN 230165	11	$8,405	About average	$5,491	$15,625
Spectrum HealthGrand Rapids, MI · CCN 230038	30	$8,442	About average	$5,734	$22,649
Beaumont Hospital - Farmington HillsFarmington Hills, MI · CCN 230151	23	$8,728	About average	$5,928	$30,407
Hurley Medical CenterFlint, MI · CCN 230132	15	$9,112	15% above the national average	$5,682	$33,762
University Of Michigan Health SystemAnn Arbor, MI · CCN 230046	50	$11,176	41% above the national average	$7,133	$38,268
Henry Ford Health HospitalDetroit, MI · CCN 230053	37	$11,226	41% above the national average	$7,065	$23,129

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.