Simple pneumonia and pleurisy without CC/MCC
In 2024, Medicare and patients paid an average of $6,019 per stay at 115 hospitals. Half of hospitals averaged between $4,947 and $6,443.
Also known as: Pneumonia
National figures, 2024
- Average payment per case
- $6,019
- Typical range (middle half of hospitals)
- $4,947–$6,443
- Medicare’s share
- $4,015
- Average billed charge
- $29,430
- Hospitals reporting
- 115
Compare hospitals
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.
115 hospitals reported at least 11 Medicare stays for this in 2024; showing 51–100. Download as CSV
| Hospital | Cases | Average payment | vs national average | Medicare paid | Billed charge |
|---|---|---|---|---|---|
| Jefferson Abington Hospital | 18 | $5,593 | About average | $3,471 | $21,140 |
| Huntsville Hospital | 17 | $5,602 | About average | $3,001 | $22,973 |
| Bethesda Hospital East | 27 | $5,622 | About average | $3,531 | $41,185 |
| Marion Communtiy Hospital | 13 | $5,626 | About average | $4,082 | $63,715 |
| Community Medical Center | 11 | $5,628 | About average | $3,643 | $53,681 |
| Baptist Health Medical Center - Jacksonville | 15 | $5,641 | About average | $3,965 | $38,921 |
| Anna Jaques Hospital | 14 | $5,652 | About average | $3,899 | $12,629 |
| Park Nicollet Methodist Hospital | 12 | $5,709 | About average | $3,076 | $22,235 |
| University Of Maryland Baltimore Washington Medical Center | 11 | $5,725 | About average | $4,093 | $6,199 |
| Beebe Medical Center | 22 | $5,729 | About average | $3,420 | $26,648 |
| Caromont Regional Medical Center | 12 | $5,749 | About average | $3,812 | $29,533 |
| Willis Knighton Medical Center | 19 | $5,760 | About average | $2,733 | $21,661 |
| Newton-Wellesley Hospital | 11 | $5,761 | About average | $3,931 | $18,783 |
| Johns Hopkins Howard County Medical Center | 15 | $5,800 | About average | $4,277 | $6,287 |
| Lehigh Valley Hospital | 17 | $5,814 | About average | $4,100 | $33,439 |
| Lee Memorial Hospital | 13 | $5,815 | About average | $4,392 | $28,661 |
| West Jersey Hospital | 25 | $5,830 | About average | $3,384 | $55,774 |
| NorthShore University HealthSystem - Evanston Hospital | 30 | $5,837 | About average | $3,993 | $22,312 |
| Northeast Hospital Corporation | 18 | $5,882 | About average | $3,469 | $17,064 |
| Carolinas Medical Center-Northeast | 13 | $5,882 | About average | $3,934 | $26,583 |
| Lowell General Hospital | 13 | $5,899 | About average | $3,768 | $13,959 |
| Freeman Health System - Freeman West | 11 | $5,932 | About average | $3,359 | $30,542 |
| Cox Medical Centers | 11 | $5,972 | About average | $4,391 | $19,694 |
| Lakeland Regional Medical Center | 19 | $5,976 | About average | $3,999 | $29,113 |
| Mount Sinai Medical Center Of Florida, Inc | 12 | $6,029 | About average | $4,494 | $35,705 |
| Bryn Mawr Hospital | 11 | $6,040 | About average | $2,680 | $35,324 |
| Christiana Hospital | 27 | $6,122 | About average | $4,089 | $19,202 |
| Good Samaritan Hospital Medical Center | 12 | $6,164 | About average | $4,653 | $36,695 |
| Torrance Memorial Medical Center | 18 | $6,224 | About average | $4,773 | $59,683 |
| Wynn Hospital | 14 | $6,237 | About average | $4,222 | $25,111 |
| Integris Baptist Medical Center, Inc | 14 | $6,245 | About average | $3,855 | $34,021 |
| Crouse Hospital | 11 | $6,319 | About average | $3,698 | $12,208 |
| Spartanburg Medical Center | 19 | $6,360 | About average | $4,664 | $31,564 |
| Peconic Bay Medical Center | 14 | $6,425 | About average | $4,397 | $47,629 |
| University Of Missouri Health Care | 11 | $6,431 | About average | $4,425 | $21,654 |
| United Regional Health Care System | 11 | $6,440 | About average | $3,286 | $27,505 |
| Morristown Medical Center | 16 | $6,445 | About average | $4,728 | $47,433 |
| Wayne Memorial Hospital | 11 | $6,466 | About average | $4,982 | $19,802 |
| WakeMed, Raleigh Campus | 24 | $6,526 | About average | $4,551 | $20,966 |
| Overlook Medical Center | 11 | $6,752 | 12% above the national average | $4,622 | $49,768 |
| AdventHealth Orlando | 26 | $6,768 | 12% above the national average | $3,569 | $45,275 |
| Northeast Georgia Medical Center, Inc | 20 | $6,876 | 14% above the national average | $4,922 | $36,949 |
| Grossmont Hospital | 16 | $6,909 | 15% above the national average | $5,483 | $51,489 |
| New York Community Hospital Of Brooklyn, Inc. | 13 | $6,910 | 15% above the national average | $5,413 | $52,175 |
| Hoag Memorial Hospital Presbyterian | 13 | $6,944 | 15% above the national average | $3,952 | $28,461 |
| Englewood Hospital And Medical Center | 12 | $7,048 | 17% above the national average | $5,175 | $36,544 |
| Kent County Memorial Hospital | 12 | $7,155 | 19% above the national average | $4,142 | $21,166 |
| Stamford Hospital | 13 | $7,214 | 20% above the national average | $5,471 | $39,140 |
| Methodist Hospital | 21 | $7,402 | 23% above the national average | $3,539 | $50,998 |
| Kaweah Health Medical Center | 15 | $7,448 | 24% above the national average | $5,429 | $25,676 |
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 | $5,752 | $25K |
| 2021 | $5,571 | $24K |
| 2022 | $5,757 | $25K |
| 2023 | $6,029 | $29K |
| 2024 | $6,019 | $29K |
By state, 2024
Case-weighted average payment across each state’s reporting hospitals, lowest first.
Show all 33 states
| State | Hospitals | Cases | Average payment | Typical range |
|---|---|---|---|---|
| Iowa | 1 | 13 | $4,145 | $4,145–$4,145 |
| West Virginia | 1 | 17 | $4,281 | $4,281–$4,281 |
| Wisconsin | 1 | 11 | $4,344 | $4,344–$4,344 |
| Michigan | 1 | 13 | $4,523 | $4,523–$4,523 |
| Kentucky | 5 | 75 | $4,623 | $4,390–$4,928 |
| Indiana | 3 | 45 | $4,675 | $4,583–$4,912 |
| Kansas | 1 | 11 | $4,789 | $4,789–$4,789 |
| Ohio | 3 | 38 | $4,948 | $4,665–$5,255 |
| Tennessee | 1 | 15 | $4,951 | $4,951–$4,951 |
| Louisiana | 2 | 36 | $5,039 | $4,616–$5,379 |
| Nebraska | 1 | 19 | $5,118 | $5,118–$5,118 |
| Mississippi | 1 | 17 | $5,119 | $5,119–$5,119 |
| Alabama | 2 | 31 | $5,267 | $5,047–$5,417 |
| Missouri | 5 | 59 | $5,300 | $4,579–$5,972 |
| North Carolina | 5 | 87 | $5,419 | $5,080–$5,882 |
| Virginia | 1 | 20 | $5,478 | $5,478–$5,478 |
| Massachusetts | 8 | 132 | $5,532 | $5,383–$5,791 |
| Pennsylvania | 4 | 58 | $5,553 | $5,364–$5,870 |
| Oklahoma | 2 | 25 | $5,647 | $5,226–$5,905 |
| Minnesota | 1 | 12 | $5,709 | $5,709–$5,709 |
| Arizona | 4 | 65 | $5,842 | $4,444–$6,248 |
| Delaware | 2 | 49 | $5,946 | $5,827–$6,024 |
| Florida | 14 | 284 | $6,025 | $4,957–$5,936 |
| Georgia | 3 | 46 | $6,105 | $5,639–$6,671 |
| New Jersey | 9 | 125 | $6,153 | $5,332–$6,752 |
| South Carolina | 1 | 19 | $6,360 | $6,360–$6,360 |
| Texas | 3 | 45 | $6,442 | $5,665–$6,921 |
| Illinois | 5 | 78 | $6,463 | $5,052–$7,997 |
| California | 5 | 74 | $6,969 | $6,909–$7,448 |
| Rhode Island | 1 | 12 | $7,155 | $7,155–$7,155 |
| Connecticut | 1 | 13 | $7,214 | $7,214–$7,214 |
| New York | 12 | 178 | $7,218 | $6,218–$8,498 |
| Maryland | 6 | 115 | $8,177 | $6,464–$9,336 |
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.