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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 Washington

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
Washington
Specific hospitals up to 10
Average payment across these 14 hospitals
$8,121National $7,941 · Washington $8,121
Median hospital
$7,870
Lowest to highest
$6,882–$10,169
Medicare stays
289

14 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
Overlake Hospital Medical Center & ClinicsBellevue, WA · CCN 50005118$6,88213% below the national average$5,522$36,798
Evergreenhealth Medical CenterKirkland, WA · CCN 50012434$7,14310% below the national average$5,774$43,814
Providence St Peter HospitalOlympia, WA · CCN 50002412$7,355About average$5,809$44,982
Kadlec Regional Medical CenterRichland, WA · CCN 50005824$7,510About average$5,457$34,242
PeaceHealth Southwest Medical CenteVancouver, WA · CCN 50005013$7,535About average$5,219$35,352
PeaceHealth St John Medical CenterLongview, WA · CCN 50004113$7,574About average$6,194$35,077
Legacy Salmon Creek Medical CenterVancouver, WA · CCN 50015011$7,697About average$6,299$26,421
Providence Regional Medical Center EverettEverett, WA · CCN 50001434$8,042About average$5,704$34,017
Skagit Valley HospitalMount Vernon, WA · CCN 50000311$8,045About average$6,368$41,630
Multicare Good Samaritan HospitalPuyallup, WA · CCN 50007924$8,078About average$5,119$26,802
Valley Medical CenterRenton, WA · CCN 50008811$8,280About average$5,415$35,346
PeaceHealth St Joseph Medical CenterBellingham, WA · CCN 50003043$8,80111% above the national average$6,082$37,424
Virginia Mason Medical CenterSeattle, WA · CCN 50000513$9,26717% above the national average$6,720$29,882
University Of Washington Medical CenterSeattle, WA · CCN 50000828$10,16928% above the national average$6,690$31,471

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.