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 Pennsylvania

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 80 hospitals: $7,325National $7,941 · Pennsylvania $7,325
Median hospital: $6,929
Lowest to highest: $5,401–$15,688
Medicare stays: 2,190

80 hospitals reported at least 11 Medicare stays for this in 2024; showing 1–50. 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
St Clair HospitalPittsburgh, PA · CCN 390228	16	$5,401	32% below the national average	$3,875	$14,878
UPMC PassavantPittsburgh, PA · CCN 390107	21	$5,475	31% below the national average	$3,593	$37,977
Jefferson Lansdale HospitalLansdale, PA · CCN 390012	31	$5,491	31% below the national average	$4,228	$24,951
Jefferson HospitalJefferson Hills, PA · CCN 390265	20	$5,590	30% below the national average	$4,124	$31,876
Wilkes-Barre General HospitalWilkes-Barre, PA · CCN 390137	20	$5,605	29% below the national average	$3,989	$54,114
Excela Health - Frick HospitalMount Pleasant, PA · CCN 390217	11	$5,669	29% below the national average	$4,631	$21,474
Wellspan Evangelical Community HospitalLewisburg, PA · CCN 390013	21	$5,670	29% below the national average	$4,194	$45,483
UPMC EastMonroeville, PA · CCN 390328	11	$5,798	27% below the national average	$3,661	$44,890
UPMC CarlisleCarlisle, PA · CCN 390058	13	$5,817	27% below the national average	$4,311	$38,407
Paoli HospitalPaoli, PA · CCN 390153	63	$5,839	26% below the national average	$4,460	$52,323
Pottstown HospitalPottstown, PA · CCN 390123	19	$5,897	26% below the national average	$4,696	$52,875
St Luke's Hospital - Grand View CampusSellersville, PA · CCN 390057	41	$5,919	25% below the national average	$4,454	$29,117
Heritage Valley SewickleySewickley, PA · CCN 390037	18	$5,933	25% below the national average	$4,088	$13,808
Forbes HospitalMonroeville, PA · CCN 390267	18	$5,951	25% below the national average	$4,382	$31,869
UPMC NorthwestSeneca, PA · CCN 390091	25	$5,986	25% below the national average	$4,494	$25,050
Chester County HospitalWest Chester, PA · CCN 390179	76	$6,072	24% below the national average	$4,631	$36,283
Excela Health Westmoreland Regional HospitalGreensburg, PA · CCN 390145	16	$6,079	23% below the national average	$4,255	$18,657
Riddle Memorial HospitalMedia, PA · CCN 390222	38	$6,091	23% below the national average	$4,359	$56,105
Independence Health System Butler Memorial HospitaButler, PA · CCN 390168	16	$6,116	23% below the national average	$4,894	$21,991
Penn Highlands DuboisDubois, PA · CCN 390086	28	$6,194	22% below the national average	$4,693	$14,828
Holy Redeemer Hospital And Medical CenterMeadowbrook, PA · CCN 390097	32	$6,233	22% below the national average	$4,948	$21,037
Regional Hospital Of ScrantonScranton, PA · CCN 390237	14	$6,239	21% below the national average	$4,501	$49,413
The Washington HospitalWashington, PA · CCN 390042	17	$6,250	21% below the national average	$4,637	$12,144
Gettysburg HospitalGettysburg, PA · CCN 390065	11	$6,314	20% below the national average	$4,978	$25,389
St Luke's Hospital - Monroe CampusStroudsburg, PA · CCN 390330	16	$6,324	20% below the national average	$4,847	$63,527
UPMC HorizonGreenville, PA · CCN 390178	19	$6,393	19% below the national average	$5,087	$33,675
Meadville Medical CenterMeadville, PA · CCN 390113	22	$6,419	19% below the national average	$4,364	$22,860
Uniontown HospitalUniontown, PA · CCN 390041	20	$6,447	19% below the national average	$4,668	$26,172
Bryn Mawr HospitalBryn Mawr, PA · CCN 390139	56	$6,473	18% below the national average	$4,720	$47,301
UPMC AltoonaAltoona, PA · CCN 390073	19	$6,487	18% below the national average	$5,135	$31,129
Heritage Valley BeaverBeaver, PA · CCN 390036	17	$6,545	18% below the national average	$4,895	$12,395
Excela Health Latrobe HospitalLatrobe, PA · CCN 390219	12	$6,683	16% below the national average	$4,762	$22,288
UPMC MemorialYork, PA · CCN 390101	16	$6,694	16% below the national average	$4,176	$37,446
UPMC WilliamsportWilliamsport, PA · CCN 390045	24	$6,727	15% below the national average	$4,661	$31,110
Phoenixville HospitalPhoenixville, PA · CCN 390127	27	$6,772	15% below the national average	$5,454	$41,908
Geisinger-Community Medical CenterScranton, PA · CCN 390001	29	$6,787	15% below the national average	$5,057	$60,502
Lehigh Valley Hospital - PoconoEast Stroudsburg, PA · CCN 390201	30	$6,791	14% below the national average	$5,101	$41,579
UPMC HanoverHanover, PA · CCN 390233	30	$6,842	14% below the national average	$4,916	$34,092
Doylestown HospitalDoylestown, PA · CCN 390203	33	$6,927	13% below the national average	$3,986	$21,395
St Mary Medical CenterLanghorne, PA · CCN 390258	64	$6,928	13% below the national average	$5,213	$22,767
Lancaster General HospitalLancaster, PA · CCN 390100	45	$6,931	13% below the national average	$5,185	$26,280
Jefferson Abington HospitalAbington, PA · CCN 390231	73	$7,034	11% below the national average	$5,381	$26,258
Penn State Health St. JosephReading, PA · CCN 390096	25	$7,034	11% below the national average	$5,122	$31,824
Schuylkill Medical Center - South Jackson StreetPottsville, PA · CCN 390030	16	$7,055	11% below the national average	$4,850	$38,599
Wayne Memorial HospitalHonesdale, PA · CCN 390125	37	$7,060	11% below the national average	$5,914	$33,211
UPMC Bedford MemorialEverett, PA · CCN 390117	13	$7,080	11% below the national average	$5,699	$20,855
Penn State Health Holy Spirit Medical CenterCamp Hill, PA · CCN 390004	23	$7,133	10% below the national average	$4,015	$30,861
Conemaugh Memorial Medical CenterJohnstown, PA · CCN 390110	13	$7,210	About average	$6,231	$23,980
Saint Vincent HospitalErie, PA · CCN 390009	18	$7,269	About average	$5,859	$34,209
UPMC St MargaretPittsburgh, PA · CCN 390102	20	$7,316	About average	$4,522	$51,143

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.