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 Wisconsin
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 23 hospitals
- $7,255
- Median hospital
- $7,189
- Lowest to highest
- $5,454–$10,485
- Medicare stays
- 444
23 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 |
|---|---|---|---|---|---|
| Waukesha Memorial Hospital | 46 | $5,454 | 31% below the national average | $4,128 | $27,980 |
| Oconomowoc Memorial Hospital | 24 | $5,468 | 31% below the national average | $4,040 | $24,786 |
| Aurora Medical Center Sheboygan County | 11 | $6,259 | 21% below the national average | $5,072 | $24,462 |
| Froedtert South Inc. | 25 | $6,515 | 18% below the national average | $5,405 | $29,863 |
| SSM Health St Mary's Hospital - Janesville | 18 | $6,594 | 17% below the national average | $4,545 | $31,009 |
| Mercy Health System Corp | 13 | $6,623 | 17% below the national average | $4,955 | $34,840 |
| UnityPoint Health - Meriter | 16 | $6,660 | 16% below the national average | $5,267 | $27,507 |
| Ascension Ne Wisconsin - St Elizabeth Campus | 13 | $6,692 | 16% below the national average | $5,236 | $14,558 |
| Mayo Clinic Health System Eau Claire Hospital | 33 | $6,923 | 13% below the national average | $4,900 | $25,157 |
| Watertown Memorial Hospital | 16 | $7,038 | 11% below the national average | $5,023 | $24,660 |
| The Monroe Clinic | 15 | $7,076 | 11% below the national average | $5,341 | $30,012 |
| West Allis Memorial Hospital | 15 | $7,189 | About average | $4,611 | $33,509 |
| SSM Health St Mary's Hospital - Madison | 18 | $7,245 | About average | $4,566 | $35,829 |
| Ascension All Saints Hospital | 20 | $7,321 | About average | $5,881 | $20,850 |
| Gundersen Lutheran Medical Center | 15 | $7,414 | About average | $5,725 | $18,080 |
| Mayo Clinic Health System-Franciscan Medical Center Inc | 17 | $7,459 | About average | $5,517 | $21,454 |
| Ascension Columbia St Marys Hospital Milwaukee | 18 | $7,638 | About average | $5,816 | $32,854 |
| Aurora St Lukes Medical Center | 16 | $7,698 | About average | $5,862 | $47,219 |
| SSM Health St Clare Hospital - Baraboo | 11 | $7,958 | About average | $5,783 | $22,867 |
| Ascension Se Wisconsin Hospital | 24 | $8,068 | About average | $5,219 | $21,128 |
| Aurora Medical Center Kenosha | 17 | $8,831 | 11% above the national average | $4,503 | $27,933 |
| University Of Wisconsin Hospitals & Clinics Authority | 19 | $10,296 | 30% above the national average | $6,631 | $40,026 |
| Froedtert Memorial Lutheran Hospital | 24 | $10,485 | 32% above the national average | $5,611 | $31,250 |
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.