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Simple Pneumonia and Pleurisy with major complications
Medicare DRG 193. What hospitals charge and what Medicare pays, 2024.
Avg hospital charge
$56,085
Avg total payment
$12,157
Avg Medicare pays
$10,036
Hospitals reporting
2,424
The "charge" is the hospital's list price — almost nobody pays it. "Total payment" is what the hospital actually received (Medicare plus patient copays and other payers). These figures cover Medicare fee-for-service inpatient stays only.
| State | Hospitals | Avg charge | Avg Medicare payment |
|---|---|---|---|
| New Jersey | 56 | $107,631 | $11,227 |
| Nevada | 18 | $106,334 | $10,453 |
| California | 221 | $94,407 | $13,450 |
| Florida | 157 | $80,933 | $9,258 |
| Alaska | 7 | $75,209 | $16,452 |
| District of Columbia | 5 | $74,491 | $12,176 |
| Texas | 177 | $71,480 | $10,126 |
| Colorado | 38 | $65,732 | $9,626 |
| Arizona | 49 | $60,647 | $10,034 |
| New York | 115 | $59,219 | $12,720 |
| Pennsylvania | 108 | $56,466 | $8,929 |
| Washington | 42 | $54,908 | $10,086 |
| New Mexico | 20 | $52,853 | $10,488 |
| Georgia | 73 | $52,537 | $9,661 |
| South Carolina | 46 | $50,845 | $8,906 |
| Alabama | 45 | $50,334 | $8,246 |
| Mississippi | 37 | $49,057 | $8,631 |
| Hawaii | 11 | $48,918 | $13,687 |
| Illinois | 101 | $48,918 | $9,942 |
| Missouri | 55 | $48,884 | $9,424 |
| Louisiana | 37 | $47,716 | $8,363 |
| Tennessee | 63 | $47,423 | $8,436 |
| Oklahoma | 47 | $46,547 | $8,786 |
| Connecticut | 25 | $45,884 | $11,589 |
| Kansas | 29 | $44,562 | $8,652 |
| New Hampshire | 13 | $44,343 | $9,488 |
| Idaho | 10 | $44,085 | $9,243 |
| Kentucky | 54 | $43,557 | $8,331 |
| Virginia | 66 | $42,731 | $8,791 |
| Indiana | 70 | $42,540 | $9,307 |
| Nebraska | 16 | $41,205 | $8,970 |
| Arkansas | 32 | $40,874 | $8,109 |
| West Virginia | 21 | $39,701 | $8,107 |
| North Carolina | 71 | $39,265 | $9,271 |
| Ohio | 100 | $39,074 | $8,609 |
| Maine | 12 | $38,755 | $10,073 |
| Oregon | 24 | $37,549 | $10,897 |
| Wisconsin | 53 | $37,481 | $8,841 |
| Rhode Island | 9 | $37,153 | $9,935 |
| Delaware | 6 | $35,596 | $9,946 |
| Minnesota | 41 | $35,492 | $9,827 |
| Utah | 22 | $35,273 | $8,803 |
| Michigan | 69 | $35,111 | $9,439 |
| Wyoming | 6 | $34,649 | $13,281 |
| South Dakota | 9 | $34,326 | $9,535 |
| North Dakota | 6 | $32,570 | $8,634 |
| Iowa | 27 | $31,933 | $8,540 |
| Vermont | 6 | $30,247 | $6,505 |
| Montana | 10 | $30,192 | $8,889 |
| Massachusetts | 49 | $27,509 | $10,842 |
| Maryland | 40 | $18,018 | $14,540 |
Source: CMS Medicare Inpatient Hospitals by Provider and Service. A DRG (Diagnosis Related Group) is how Medicare classifies an inpatient stay for payment; the description is Medicare's, not a diagnosis for any individual.