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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 South Carolina

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.

Location
South Carolina
Specific hospitals up to 10
Average payment across these 33 hospitals
$7,497National $7,941 · South Carolina $7,497
Median hospital
$6,950
Lowest to highest
$4,973–$11,400
Medicare stays
826

33 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
HospitalCasesAverage paymentvs national averageMedicare paidBilled charge
Pelham Medical CenterGreer, SC · CCN 42010329$4,97337% below the national average$3,623$31,623
Roper HospitalCharleston, SC · CCN 42008721$5,28034% below the national average$3,638$32,656
Prisma Health Baptist Easley HospitalEasley, SC · CCN 42001512$5,81627% below the national average$4,837$37,259
MUSC Health Florence Medical CenterFlorence, SC · CCN 42009130$5,84026% below the national average$4,365$41,477
McLeod Loris HospitalLoris, SC · CCN 42010520$5,86626% below the national average$4,645$28,387
Lexington Medical CenterWest Columbia, SC · CCN 42007328$6,17622% below the national average$4,551$33,287
St Francis-DowntownGreenville, SC · CCN 42002336$6,22922% below the national average$4,390$28,928
Piedmont Medical CenterRock Hill, SC · CCN 42000218$6,29321% below the national average$5,205$68,159
Carolina Pines Regional Medical CenterHartsville, SC · CCN 42001011$6,32920% below the national average$4,993$48,190
Tidelands Waccamaw Community HospitalMurrells Inlet, SC · CCN 42009822$6,45419% below the national average$4,543$21,664
Roper St Francis Hospital-Berkeley IncSummerville, SC · CCN 42011011$6,53818% below the national average$4,615$28,040
Beaufort County Memorial HospitalBeaufort, SC · CCN 42006719$6,64116% below the national average$5,009$17,666
Aiken Regional Medical CenterAiken, SC · CCN 42008218$6,73615% below the national average$5,245$46,354
Prisma Health Baptist ParkridgeColumbia, SC · CCN 42010611$6,81614% below the national average$4,491$32,337
Bon Secours-St Francis Xavier HospitalCharleston, SC · CCN 42006517$6,84414% below the national average$4,891$29,269
Prisma Health Tuomey HospitalSumter, SC · CCN 42007011$6,86414% below the national average$4,841$36,155
Trident Medical CenterCharleston, SC · CCN 42007914$6,95012% below the national average$5,290$70,630
Prisma Health Oconee Memorial HospitalSeneca, SC · CCN 42000919$7,10611% below the national average$5,489$25,992
McLeod Health CherawCheraw, SC · CCN 42010714$7,239About average$6,423$31,203
McLeod Regional Medical Center-Pee DeeFlorence, SC · CCN 42005171$7,259About average$5,453$36,713
Newberry County Memorial HospitalNewberry, SC · CCN 42005315$7,466About average$5,645$22,777
Cannon Memorial HospitalPickens, SC · CCN 42001111$7,540About average$6,211$37,686
Grand Strand Regional Medical CenterMyrtle Beach, SC · CCN 42008531$7,568About average$5,093$55,087
Novant Health Hilton Head Medical CenterHilton Head Island, SC · CCN 42008018$7,574About average$5,658$41,631
Conway Medical CenterConway, SC · CCN 42004946$7,792About average$5,405$28,392
Spartanburg Medical CenterSpartanburg, SC · CCN 42000796$8,235About average$5,834$31,334
Self Regional HealthcareGreenwood, SC · CCN 42007126$8,382About average$6,492$28,594
Anmed HealthAnderson, SC · CCN 42002756$9,07014% above the national average$5,935$37,999
Prisma Health Greer Memorial HospitalSpartanburg, SC · CCN 42003318$9,09615% above the national average$5,918$25,120
Cherokee Medical CenterGaffney, SC · CCN 42004313$9,54120% above the national average$8,411$24,551
McLeod Medical Center - DillonDillon, SC · CCN 42000511$9,54620% above the national average$5,314$31,210
Prisma Health Greenville Memorial HospitalGreenville, SC · CCN 42007813$9,84724% above the national average$5,313$34,730
MUSC Medical CenterCharleston, SC · CCN 42000440$11,40044% above the national average$6,674$28,793

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 careAverage paymentAverage 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
StateHospitalsCasesAverage paymentTypical range
Iowa15421$6,219$5,850–$6,526
Arkansas25528$6,317$6,055–$6,770
Kentucky27874$6,348$6,080–$6,741
Louisiana32806$6,404$5,671–$7,004
Idaho126$6,405$6,405–$6,405
Kansas14329$6,480$5,837–$6,982
West Virginia17453$6,551$5,887–$6,893
Mississippi25532$6,567$6,051–$7,207
Montana226$6,660$6,537–$6,828
Indiana491,212$6,815$6,356–$7,166
Alabama37891$6,857$6,460–$7,260
Ohio711,635$6,879$5,968–$7,165
Missouri371,148$6,943$6,223–$7,442
Nebraska7232$7,022$6,472–$7,500
Oklahoma30774$7,064$6,476–$7,534
Colorado9187$7,068$6,302–$6,924
South Dakota4110$7,084$6,637–$7,473
Wisconsin23444$7,255$6,642–$7,668
Vermont351$7,280$6,146–$8,183
Tennessee33732$7,299$6,052–$7,468
Pennsylvania802,190$7,325$6,223–$7,795
Virginia42949$7,362$6,366–$7,485
New Hampshire9191$7,380$6,533–$7,747
Utah248$7,411$7,180–$8,287
Florida1214,048$7,459$6,510–$8,232
North Dakota4113$7,473$7,169–$7,695
South Carolina33826$7,497$6,329–$7,792
Michigan421,066$7,597$7,037–$7,861
Maine8153$7,620$7,086–$8,364
Illinois671,960$7,659$6,693–$8,142
New Mexico488$7,729$6,247–$7,494
Arizona26733$7,732$6,596–$7,599
Delaware5358$7,762$7,209–$8,251
Rhode Island7183$7,836$6,640–$8,395
Minnesota26524$7,938$6,569–$7,912
North Carolina481,786$7,967$6,719–$7,908
Texas942,194$8,089$6,791–$8,438
Washington14289$8,121$7,517–$8,229
Massachusetts461,792$8,160$7,029–$9,198
Georgia45989$8,231$6,997–$8,513
New Jersey491,869$8,236$7,228–$9,474
District of Columbia239$8,388$8,246–$10,453
Nevada11204$8,520$7,799–$9,017
Oregon8148$8,637$8,301–$9,213
Connecticut18510$9,165$8,386–$9,473
Wyoming589$9,410$7,987–$10,828
California1092,664$9,767$8,618–$9,815
New York932,821$10,004$7,811–$10,170
Maryland371,592$11,047$9,653–$12,614
Hawaii381$12,743$9,438–$12,523
Alaska340$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.