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 New Jersey
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 49 hospitals
- $8,236
- Median hospital
- $8,168
- Lowest to highest
- $6,201–$12,997
- Medicare stays
- 1,869
49 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 |
|---|---|---|---|---|---|
| Southern Ocean Medical Center | 38 | $6,201 | 22% below the national average | $4,870 | $49,196 |
| Riverview Medical Center | 28 | $6,407 | 19% below the national average | $5,081 | $55,936 |
| Bayshore Medical Center | 18 | $6,444 | 19% below the national average | $4,993 | $53,993 |
| Cape Regional Medical Center Inc | 53 | $6,643 | 16% below the national average | $5,249 | $48,019 |
| Newton Medical Center | 47 | $6,703 | 16% below the national average | $4,943 | $101,728 |
| West Jersey Hospital | 123 | $7,021 | 12% below the national average | $5,189 | $76,851 |
| Monmouth Medical Center-Southern Campus | 23 | $7,037 | 11% below the national average | $5,831 | $73,665 |
| CentraState Medical Center | 77 | $7,098 | 11% below the national average | $5,673 | $52,379 |
| Virtua Willingboro Hospital | 19 | $7,149 | About average | $5,676 | $69,304 |
| Virtua Mount Holly Hospital | 51 | $7,157 | About average | $5,572 | $68,265 |
| Robert Wood Johnson University Hospital At Hamilton | 24 | $7,172 | About average | $4,112 | $74,274 |
| Shore Medical Center | 38 | $7,226 | About average | $5,148 | $44,372 |
| University Medical Center Of Princeton At Plainsboro | 59 | $7,228 | About average | $5,624 | $51,778 |
| Chilton Medical Center | 64 | $7,368 | About average | $5,121 | $68,997 |
| Ahs Hospital Corp | 23 | $7,424 | About average | $4,712 | $80,004 |
| Hunterdon Medical Center | 30 | $7,432 | About average | $5,440 | $34,422 |
| St Luke's Warren Hospital | 13 | $7,444 | About average | $5,689 | $64,341 |
| Valley Hospital | 81 | $7,579 | About average | $5,574 | $43,272 |
| Community Medical Center | 81 | $7,596 | About average | $5,412 | $67,136 |
| Ocean Medical Center | 56 | $7,693 | About average | $5,882 | $54,937 |
| JFK University Medical Center | 29 | $7,782 | About average | $6,195 | $66,519 |
| AtlantiCare Regional Medical Center - City Campus | 17 | $7,824 | About average | $6,392 | $40,130 |
| Holy Name Medical Center | 54 | $7,878 | About average | $5,923 | $39,315 |
| Hackensack Meridian Mountainside Medical | 29 | $8,113 | About average | $6,252 | $40,192 |
| Robert Wood Johnson University Hospital - Somerset | 34 | $8,168 | About average | $4,927 | $68,585 |
| Inspira Medical Center Mullica Hill | 43 | $8,261 | About average | $5,942 | $45,204 |
| Englewood Hospital And Medical Center | 35 | $8,496 | About average | $6,664 | $47,100 |
| Jersey Shore University Medical Center | 51 | $8,582 | About average | $5,742 | $68,344 |
| Morristown Medical Center | 118 | $8,597 | About average | $6,093 | $63,304 |
| Saint Clare's Hospital/ Denville Campus | 19 | $8,639 | About average | $5,541 | $24,378 |
| Overlook Medical Center | 67 | $8,669 | About average | $6,468 | $52,714 |
| Clara Maass Medical Center | 27 | $8,735 | About average | $6,662 | $77,063 |
| Virtua Our Lady Of Lourdes Hospital | 16 | $8,851 | 11% above the national average | $6,308 | $72,131 |
| Cooper University Hospital | 14 | $9,123 | 15% above the national average | $7,120 | $35,723 |
| Hackensack Meridian Health Pascack Valley Medical | 22 | $9,252 | 17% above the national average | $5,407 | $47,953 |
| Jefferson Stratford Hospital | 38 | $9,300 | 17% above the national average | $5,946 | $47,834 |
| Capital Health Regional Medical Center | 14 | $9,474 | 19% above the national average | $7,288 | $231,751 |
| Inspira Medical Center Vineland | 25 | $9,506 | 20% above the national average | $7,384 | $53,201 |
| Raritan Bay Medical Center | 25 | $9,595 | 21% above the national average | $5,798 | $51,485 |
| Carepoint Health - Bayonne Medical Center | 26 | $10,162 | 28% above the national average | $7,584 | $204,470 |
| Saint Peter's University Hospital | 21 | $10,256 | 29% above the national average | $7,575 | $113,821 |
| Monmouth Medical Center | 22 | $10,285 | 30% above the national average | $7,496 | $63,600 |
| Robert Wood Johnson University Hospital | 44 | $10,825 | 36% above the national average | $6,917 | $84,700 |
| Cooperman Barnabas Medical Center | 29 | $11,631 | 46% above the national average | $6,415 | $74,096 |
| St Joseph's University Medical Center Inc | 18 | $11,780 | 48% above the national average | $9,287 | $95,884 |
| Jersey City Medical Center | 12 | $12,105 | 52% above the national average | $10,197 | $57,292 |
| Capital Health Medical Center - Hopewell | 22 | $12,200 | 54% above the national average | $6,158 | $239,335 |
| Hackensack University Medical Center | 32 | $12,604 | 59% above the national average | $6,979 | $52,404 |
| Palisades Medical Center | 20 | $12,997 | 64% above the national average | $8,983 | $66,349 |
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.