Price AtlasInteractive atlas · All states · techysurgeon.comPneumonia (hospital stay): what insurers pay
A hospital stay for pneumonia (MS-DRG 194 with a complication). Commercial negotiated rates by hospital and market, next to Medicare for the same code.
Open the interactive explorerAll operations
MS-DRG 194: Simple Pneumonia and Pleurisy With Cc
1609 hospitals in 83 markets. National Medicare rate $5,864.
| Market | Hospitals | 25th pct | Median | 75th pct | Low–high |
|---|---|---|---|---|---|
| Alabama (statewide) | 22 | $7,006 | $8,575 | $10,160 | $4,353–$19,524 |
| Alaska (statewide) | 4 | — | — | — | $7,288–$27,113 |
| Arizona (statewide) | 29 | $10,420 | $14,526 | $18,186 | $4,906–$24,346 |
| Arkansas (statewide) | 12 | $6,908 | $7,506 | $8,242 | $4,802–$9,461 |
| Atlanta GA | 10 | $14,798 | $15,422 | $15,781 | $14,798–$24,142 |
| Austin TX | 13 | $5,368 | $8,891 | $10,013 | $5,049–$11,424 |
| Boston MA | 15 | $7,004 | $8,025 | $11,804 | $5,508–$13,232 |
| California (statewide) | 54 | $9,626 | $11,670 | $14,517 | $5,199–$42,564 |
| Charlotte NC | 8 | $12,486 | $13,522 | $15,755 | $9,041–$15,755 |
| Chicago IL | 11 | $10,166 | $11,446 | $13,102 | $7,788–$14,990 |
| Cleveland OH | 11 | $10,694 | $11,150 | $12,006 | $10,050–$16,900 |
| Colorado (statewide) | 16 | $10,586 | $15,785 | $18,635 | $4,938–$25,338 |
| Columbus OH | 3 | — | — | — | $16,381–$21,596 |
| Connecticut (statewide) | 6 | $16,032 | $16,716 | $17,856 | $15,363–$24,821 |
| Dallas-Fort Worth TX | 15 | $9,132 | $9,630 | $11,626 | $7,634–$19,352 |
| Delaware (statewide) | 2 | — | — | — | $11,136–$17,763 |
| Denver CO | 15 | $9,178 | $10,517 | $16,007 | $7,336–$21,320 |
| Detroit MI | 17 | $10,997 | $11,039 | $14,108 | $8,569–$15,926 |
| Florida (statewide) | 90 | $9,253 | $11,652 | $16,575 | $6,121–$24,206 |
| Georgia (statewide) | 43 | $11,560 | $15,727 | $20,749 | $7,483–$24,493 |
| Hawaii (statewide) | 11 | $22,276 | $23,797 | $24,017 | $13,902–$25,598 |
| Houston TX | 19 | $9,764 | $11,697 | $13,900 | $7,936–$25,214 |
| Idaho (statewide) | 16 | $12,702 | $15,769 | $17,794 | $7,880–$22,577 |
| Illinois (statewide) | 45 | $7,777 | $9,012 | $12,460 | $5,424–$39,465 |
| Indiana (statewide) | 57 | $10,000 | $12,733 | $14,732 | $4,384–$21,998 |
| Indianapolis IN | 6 | $14,737 | $14,876 | $17,452 | $13,700–$18,269 |
| Iowa (statewide) | 27 | $8,832 | $9,431 | $12,592 | $4,658–$35,710 |
| Kansas (statewide) | 33 | $8,462 | $8,919 | $10,893 | $4,194–$16,499 |
| Kentucky (statewide) | 41 | $7,206 | $9,958 | $10,854 | $4,987–$20,743 |
| Las Vegas NV | 1 | — | — | — | $13,432–$13,432 |
| Los Angeles CA | 18 | $14,075 | $15,114 | $16,075 | $10,797–$19,088 |
| Louisiana (statewide) | 24 | $6,960 | $7,802 | $8,943 | $5,642–$26,399 |
| Maine (statewide) | 15 | $14,468 | $21,854 | $23,900 | $6,010–$24,367 |
| Maryland (statewide) | 1 | — | — | — | $10,558–$10,558 |
| Massachusetts (statewide) | 8 | $5,600 | $8,844 | $10,985 | $4,909–$14,305 |
| Miami-Fort Lauderdale FL | 3 | — | — | — | $8,595–$10,376 |
| Michigan (statewide) | 39 | $9,367 | $10,679 | $12,896 | $6,100–$16,763 |
| Minneapolis-St. Paul MN | 15 | $11,673 | $13,655 | $14,083 | $9,008–$15,202 |
| Minnesota (statewide) | 25 | $10,284 | $10,313 | $14,083 | $4,424–$20,551 |
| Mississippi (statewide) | 22 | $8,059 | $8,288 | $9,111 | $4,368–$13,351 |
| Missouri (statewide) | 36 | $7,677 | $8,768 | $10,328 | $4,742–$16,487 |
| Montana (statewide) | 7 | $9,687 | $13,792 | $18,178 | $3,914–$28,385 |
| Nashville TN | 8 | $8,074 | $9,159 | $12,111 | $7,307–$15,744 |
| Nebraska (statewide) | 15 | $13,742 | $14,328 | $17,064 | $9,600–$19,247 |
| Nevada (statewide) | 5 | $11,028 | $12,102 | $16,006 | $9,233–$16,564 |
| New Hampshire (statewide) | 8 | $9,616 | $11,076 | $13,512 | $7,974–$18,955 |
| New Jersey (statewide) | 21 | $14,326 | $14,883 | $18,369 | $7,708–$24,627 |
| New Mexico (statewide) | 11 | $7,542 | $9,818 | $13,100 | $3,854–$24,692 |
| New York (statewide) | 48 | $9,265 | $10,904 | $14,529 | $5,847–$33,011 |
| New York City | 8 | $14,834 | $15,318 | $17,890 | $7,308–$24,814 |
| North Carolina (statewide) | 34 | $7,335 | $8,930 | $15,037 | $5,071–$25,762 |
| North Dakota (statewide) | 7 | $9,723 | $10,421 | $10,628 | $8,471–$14,806 |
| Ohio (statewide) | 57 | $10,537 | $12,414 | $15,336 | $5,177–$21,795 |
| Oklahoma (statewide) | 29 | $4,904 | $7,361 | $8,943 | $4,159–$15,760 |
| Oregon (statewide) | 12 | $13,371 | $15,960 | $18,104 | $7,190–$21,795 |
| Pennsylvania (statewide) | 61 | $10,074 | $12,751 | $15,363 | $5,864–$23,201 |
| Philadelphia PA | 11 | $14,210 | $15,315 | $18,520 | $13,351–$24,627 |
| Phoenix AZ | 11 | $13,414 | $14,132 | $15,787 | $13,414–$17,688 |
| Pittsburgh PA | 7 | $10,317 | $10,884 | $12,205 | $8,406–$14,368 |
| Portland OR | 9 | $17,743 | $19,121 | $21,076 | $16,492–$21,295 |
| Research Triangle NC | 9 | $9,116 | $10,906 | $12,044 | $7,245–$12,429 |
| Rhode Island (statewide) | 7 | $10,540 | $13,324 | $16,205 | $8,487–$17,450 |
| Richmond VA | 7 | $9,315 | $16,009 | $17,816 | $8,294–$19,390 |
| Rio Grande Valley TX | 6 | $9,582 | $10,448 | $11,390 | $9,399–$13,962 |
| Salt Lake City UT | 9 | $14,186 | $14,186 | $14,186 | $14,044–$14,186 |
| San Antonio TX | 3 | — | — | — | $7,895–$28,512 |
| San Diego CA | 7 | $10,198 | $11,532 | $13,202 | $9,837–$14,203 |
| San Francisco Bay Area CA | 2 | — | — | — | $10,167–$15,405 |
| Seattle-Tacoma WA | 16 | $17,923 | $18,276 | $19,115 | $16,479–$23,269 |
| South Carolina (statewide) | 31 | $15,061 | $16,134 | $19,414 | $7,623–$24,423 |
| South Dakota (statewide) | 4 | — | — | — | $8,865–$13,108 |
| St. Louis MO | 7 | $11,992 | $11,992 | $11,992 | $4,118–$15,892 |
| Tampa FL | 11 | $15,952 | $16,575 | $16,640 | $12,794–$17,874 |
| Tennessee (statewide) | 33 | $6,947 | $7,964 | $10,306 | $5,509–$15,744 |
| Texas (statewide) | 90 | $8,016 | $10,040 | $13,964 | $4,107–$23,240 |
| Utah (statewide) | 6 | $13,494 | $16,700 | $19,798 | $5,912–$19,993 |
| Vermont (statewide) | 3 | — | — | — | $10,252–$22,661 |
| Virginia (statewide) | 34 | $10,186 | $15,408 | $16,733 | $7,667–$25,051 |
| Washington (statewide) | 13 | $13,858 | $15,560 | $17,250 | $8,504–$34,483 |
| Washington DC | 11 | $12,442 | $16,077 | $16,572 | $7,384–$16,969 |
| West Virginia (statewide) | 16 | $4,703 | $5,420 | $14,262 | $4,012–$19,411 |
| Wisconsin (statewide) | 55 | $11,622 | $15,170 | $16,690 | $7,371–$19,384 |
| Wyoming (statewide) | 2 | — | — | — | $12,794–$18,269 |
Lowest and highest 12 hospital medians
| Hospital | Market | Median across insurers | × Medicare | Insurers | File date |
|---|---|---|---|---|---|
| Los Alamos Medical Center | New Mexico (statewide) | $3,854 | 0.7× | 3 | 2026-07-10 |
| Mccone County Health Center | Montana (statewide) | $3,914 | 0.7× | 1 | 2026-01-01 |
| Wetzel County Hospital | West Virginia (statewide) | $4,012 | 0.7× | 2 | 2026-07-10 |
| Memorial Medical Center | Texas (statewide) | $4,107 | 0.7× | 1 | 2026-09-14 |
| Mercy Hospital South | St. Louis MO | $4,118 | 0.7× | 1 | 2026-06-10 |
| Sweeny Community Hospital | Texas (statewide) | $4,125 | 0.7× | 1 | 2026-09-08 |
| Cordell Memorial Hospital | Oklahoma (statewide) | $4,159 | 0.8× | 5 | 2026-06-24 |
| Okeene Municipal Hospital | Oklahoma (statewide) | $4,159 | 0.8× | 4 | 2026-08-12 |
| Weatherford Regional Hospital, Inc Of Weatherford | Oklahoma (statewide) | $4,159 | 0.8× | 5 | 2026-06-24 |
| Carnegie Tri-County Municipal Hospital | Oklahoma (statewide) | $4,159 | 0.8× | 4 | 2026-09-01 |
| Mcpherson Hospital Inc | Kansas (statewide) | $4,194 | 0.8× | 3 | 2026-06-08 |
| Flowers Hospital | Alabama (statewide) | $4,353 | 0.9× | 1 | 2026-04-01 |
| Cape Fear Valley Hoke Hospital | North Carolina (statewide) | $25,762 | 4.5× | 1 | 2026-03-30 |
| Montefiore Mount Vernon Hospital | New York (statewide) | $26,294 | 3.6× | 10 | 2026-04-01 |
| Bayou Bend Health System | Louisiana (statewide) | $26,399 | 5.1× | 1 | 2026-09-15 |
| Providence Alaska Medical Center | Alaska (statewide) | $27,113 | 4.2× | 4 | 2026-04-01 |
| Providence St Joseph Medical Center | Montana (statewide) | $28,385 | 4.8× | 1 | 2026-04-01 |
| University Health System | San Antonio TX | $28,512 | 5.0× | 10 | 2025-10-14 |
| Stony Brook University Hospital | New York (statewide) | $33,011 | 4.5× | 1 | 2026-06-10 |
| Providence Centralia Hospital | Washington (statewide) | $34,483 | 5.3× | 2 | 2026-04-01 |
| Guthrie County Hospital | Iowa (statewide) | $35,710 | 6.5× | 1 | 2026-09-26 |
| Mason District Hospital | Illinois (statewide) | $39,465 | 6.4× | 1 | 2026-03-10 |
| Lac/Harbor-Ucla Med Center | California (statewide) | $40,684 | 5.4× | 1 | 2026-03-12 |
| Lac/Olive View-Ucla Medical Center | California (statewide) | $42,564 | 5.7× | 1 | 2026-03-12 |
Every hospital is on its state's page (linked in the market table) and in the interactive explorer.
MS-DRG 193: Simple Pneumonia and Pleurisy With McC
1606 hospitals in 83 markets. National Medicare rate $9,565.
| Market | Hospitals | 25th pct | Median | 75th pct | Low–high |
|---|---|---|---|---|---|
| Alabama (statewide) | 23 | $11,143 | $13,241 | $15,856 | $5,310–$31,374 |
| Alaska (statewide) | 4 | — | — | — | $11,741–$43,573 |
| Arizona (statewide) | 28 | $15,899 | $22,357 | $25,592 | $10,465–$29,743 |
| Arkansas (statewide) | 12 | $11,162 | $12,242 | $13,443 | $7,832–$15,431 |
| Atlanta GA | 10 | $23,781 | $24,997 | $25,172 | $23,781–$38,796 |
| Austin TX | 13 | $8,291 | $13,512 | $15,950 | $7,606–$18,492 |
| Boston MA | 15 | $11,424 | $12,193 | $16,778 | $9,321–$20,080 |
| California (statewide) | 54 | $14,988 | $18,607 | $23,113 | $8,355–$57,946 |
| Charlotte NC | 8 | $20,063 | $21,728 | $25,695 | $14,745–$25,695 |
| Chicago IL | 10 | $16,384 | $18,949 | $21,739 | $12,516–$24,448 |
| Cleveland OH | 11 | $16,276 | $18,064 | $18,480 | $12,774–$23,308 |
| Colorado (statewide) | 16 | $17,265 | $25,256 | $30,393 | $8,053–$41,326 |
| Columbus OH | 3 | — | — | — | $26,716–$35,222 |
| Connecticut (statewide) | 6 | $20,691 | $24,938 | $26,164 | $16,238–$27,453 |
| Dallas-Fort Worth TX | 15 | $13,384 | $14,986 | $17,802 | $11,788–$29,639 |
| Delaware (statewide) | 2 | — | — | — | $16,872–$25,126 |
| Denver CO | 15 | $14,594 | $17,152 | $26,107 | $11,149–$34,552 |
| Detroit MI | 17 | $17,338 | $18,005 | $22,594 | $13,629–$24,990 |
| Florida (statewide) | 90 | $13,541 | $15,580 | $26,142 | $9,836–$39,480 |
| Georgia (statewide) | 42 | $18,480 | $25,084 | $29,321 | $10,948–$38,796 |
| Hawaii (statewide) | 11 | $24,243 | $24,626 | $30,708 | $21,488–$36,338 |
| Houston TX | 19 | $13,632 | $17,655 | $20,846 | $12,461–$34,024 |
| Idaho (statewide) | 16 | $19,558 | $23,998 | $28,594 | $12,394–$33,901 |
| Illinois (statewide) | 46 | $12,698 | $14,477 | $20,157 | $8,848–$40,820 |
| Indiana (statewide) | 56 | $14,482 | $18,394 | $22,386 | $7,150–$39,564 |
| Indianapolis IN | 6 | $14,799 | $19,530 | $28,362 | $13,700–$29,796 |
| Iowa (statewide) | 29 | $13,276 | $15,059 | $19,906 | $11,198–$57,883 |
| Kansas (statewide) | 31 | $11,208 | $12,324 | $16,370 | $8,745–$45,094 |
| Kentucky (statewide) | 41 | $11,577 | $16,178 | $17,702 | $8,015–$30,393 |
| Las Vegas NV | 1 | — | — | — | $21,585–$21,585 |
| Los Angeles CA | 18 | $21,998 | $23,912 | $24,994 | $17,579–$30,676 |
| Louisiana (statewide) | 24 | $10,276 | $12,033 | $13,474 | $8,430–$17,649 |
| Maine (statewide) | 15 | $22,981 | $35,644 | $38,700 | $8,743–$39,742 |
| Maryland (statewide) | 1 | — | — | — | $10,314–$10,314 |
| Massachusetts (statewide) | 8 | $12,195 | $16,734 | $18,455 | $8,500–$23,331 |
| Miami-Fort Lauderdale FL | 3 | — | — | — | $13,659–$16,904 |
| Michigan (statewide) | 39 | $13,596 | $17,215 | $19,666 | $8,200–$27,340 |
| Minneapolis-St. Paul MN | 15 | $19,039 | $22,238 | $22,632 | $14,233–$23,374 |
| Minnesota (statewide) | 25 | $16,690 | $16,773 | $22,632 | $7,216–$33,027 |
| Mississippi (statewide) | 20 | $13,144 | $13,518 | $14,528 | $8,362–$21,776 |
| Missouri (statewide) | 35 | $11,734 | $14,188 | $16,669 | $7,734–$26,494 |
| Montana (statewide) | 8 | $15,576 | $23,987 | $30,840 | $6,290–$43,875 |
| Nashville TN | 8 | $11,530 | $12,861 | $16,787 | $10,902–$25,300 |
| Nebraska (statewide) | 15 | $22,084 | $23,368 | $27,062 | $15,427–$31,392 |
| Nevada (statewide) | 5 | $17,224 | $18,383 | $25,898 | $14,837–$26,105 |
| New Hampshire (statewide) | 8 | $15,129 | $17,799 | $21,949 | $12,975–$30,915 |
| New Jersey (statewide) | 21 | $22,267 | $25,542 | $29,959 | $12,465–$38,494 |
| New Mexico (statewide) | 11 | $11,998 | $15,896 | $20,890 | $6,193–$39,682 |
| New York (statewide) | 48 | $15,110 | $17,631 | $23,940 | $9,536–$42,256 |
| New York City | 8 | $24,068 | $24,984 | $29,178 | $11,744–$40,470 |
| North Carolina (statewide) | 35 | $11,659 | $13,772 | $23,594 | $8,149–$35,192 |
| North Dakota (statewide) | 7 | $14,875 | $16,746 | $17,273 | $13,613–$23,792 |
| Ohio (statewide) | 57 | $17,087 | $19,821 | $24,842 | $8,443–$35,222 |
| Oklahoma (statewide) | 29 | $10,652 | $12,600 | $15,493 | $7,998–$42,635 |
| Oregon (statewide) | 13 | $21,570 | $25,404 | $27,612 | $11,726–$35,186 |
| Pennsylvania (statewide) | 60 | $14,948 | $19,700 | $23,799 | $9,159–$37,592 |
| Philadelphia PA | 11 | $23,018 | $24,978 | $29,636 | $21,776–$38,494 |
| Phoenix AZ | 11 | $21,505 | $21,564 | $23,019 | $20,929–$24,812 |
| Pittsburgh PA | 7 | $15,351 | $16,306 | $18,151 | $12,785–$20,899 |
| Portland OR | 9 | $27,200 | $29,484 | $32,578 | $26,504–$33,543 |
| Research Triangle NC | 9 | $13,353 | $17,525 | $17,963 | $11,642–$20,272 |
| Rhode Island (statewide) | 7 | $17,048 | $20,984 | $26,430 | $13,455–$28,461 |
| Richmond VA | 7 | $15,192 | $25,725 | $29,056 | $13,239–$31,625 |
| Rio Grande Valley TX | 6 | $14,615 | $15,988 | $17,480 | $13,720–$18,175 |
| Salt Lake City UT | 9 | $20,306 | $20,306 | $20,306 | $20,104–$20,306 |
| San Antonio TX | 3 | — | — | — | $12,030–$34,519 |
| San Diego CA | 7 | $16,178 | $18,808 | $20,823 | $15,436–$22,222 |
| San Francisco Bay Area CA | 2 | — | — | — | $15,732–$24,756 |
| Seattle-Tacoma WA | 16 | $28,967 | $29,283 | $30,236 | $25,967–$37,395 |
| South Carolina (statewide) | 31 | $23,498 | $26,847 | $30,229 | $7,846–$39,832 |
| South Dakota (statewide) | 4 | — | — | — | $14,458–$21,379 |
| St. Louis MO | 7 | $16,457 | $16,563 | $16,563 | $6,717–$21,848 |
| Tampa FL | 11 | $25,824 | $26,635 | $27,134 | $20,321–$29,152 |
| Tennessee (statewide) | 33 | $11,015 | $13,225 | $14,397 | $9,959–$25,300 |
| Texas (statewide) | 90 | $12,568 | $15,546 | $21,353 | $7,394–$34,263 |
| Utah (statewide) | 6 | $20,354 | $24,003 | $28,341 | $9,642–$28,619 |
| Vermont (statewide) | 3 | — | — | — | $16,474–$36,415 |
| Virginia (statewide) | 34 | $16,248 | $24,944 | $27,292 | $12,505–$40,858 |
| Washington (statewide) | 14 | $20,932 | $24,976 | $27,473 | $10,875–$55,496 |
| Washington DC | 11 | $20,095 | $25,835 | $26,631 | $12,044–$27,676 |
| West Virginia (statewide) | 15 | $6,223 | $6,690 | $21,415 | $6,008–$31,659 |
| Wisconsin (statewide) | 55 | $16,070 | $24,377 | $26,826 | $11,622–$31,615 |
| Wyoming (statewide) | 2 | — | — | — | $20,866–$29,477 |
Lowest and highest 12 hospital medians
| Hospital | Market | Median across insurers | × Medicare | Insurers | File date |
|---|---|---|---|---|---|
| Flowers Hospital | Alabama (statewide) | $5,310 | 0.7× | 1 | 2026-04-01 |
| Weirton Medical Center, Inc | West Virginia (statewide) | $6,008 | 0.7× | 2 | 2026-07-10 |
| Camden Clark Medical Center | West Virginia (statewide) | $6,010 | 0.7× | 2 | 2026-07-09 |
| Reynolds Memorial Hospital, Inc | West Virginia (statewide) | $6,030 | 0.7× | 3 | 2026-07-09 |
| Los Alamos Medical Center | New Mexico (statewide) | $6,193 | 0.7× | 3 | 2026-07-10 |
| Thomas Memorial Hospital | West Virginia (statewide) | $6,209 | 0.7× | 3 | 2026-07-10 |
| United Hospital Center, Inc | West Virginia (statewide) | $6,237 | 0.7× | 3 | 2026-07-10 |
| Mccone County Health Center | Montana (statewide) | $6,290 | 0.7× | 1 | 2026-01-01 |
| Wheeling Hospital, Inc | West Virginia (statewide) | $6,414 | 0.7× | 3 | 2026-07-09 |
| Rivers Health | West Virginia (statewide) | $6,419 | 0.7× | 1 | 2025-11-22 |
| Berkeley Medical Center | West Virginia (statewide) | $6,690 | 0.8× | 3 | 2026-07-09 |
| Mercy Hospital South | St. Louis MO | $6,717 | 0.7× | 1 | 2026-06-10 |
| Carilion New River Valley Medical Center | Virginia (statewide) | $40,858 | 4.5× | 1 | 2025-12-15 |
| Intermountain Health St. Mary'S Regional Hospital | Colorado (statewide) | $41,326 | 4.2× | 4 | 2026-03-22 |
| Montefiore Mount Vernon Hospital | New York (statewide) | $42,256 | 3.5× | 10 | 2026-04-01 |
| Okeene Municipal Hospital | Oklahoma (statewide) | $42,635 | 4.8× | 4 | 2026-08-12 |
| Providence Alaska Medical Center | Alaska (statewide) | $43,573 | 4.2× | 4 | 2026-04-01 |
| Providence Medical Center | Kansas (statewide) | $43,573 | 4.9× | 4 | 2026-04-01 |
| Providence St Joseph Medical Center | Montana (statewide) | $43,875 | 4.6× | 1 | 2026-04-01 |
| Ashland Health Center | Kansas (statewide) | $45,094 | 5.3× | 1 | 2026-09-11 |
| Providence Centralia Hospital | Washington (statewide) | $55,496 | 5.3× | 2 | 2026-04-01 |
| Lac/Olive View-Ucla Medical Center | California (statewide) | $57,042 | 4.6× | 1 | 2026-03-12 |
| Guthrie County Hospital | Iowa (statewide) | $57,883 | 6.4× | 1 | 2026-09-26 |
| Lac/Harbor-Ucla Med Center | California (statewide) | $57,946 | 4.7× | 1 | 2026-03-12 |
Every hospital is on its state's page (linked in the market table) and in the interactive explorer.
MS-DRG 195: Simple Pneumonia and Pleurisy Without Cc/McC
1572 hospitals in 83 markets. National Medicare rate $4,573.
| Market | Hospitals | 25th pct | Median | 75th pct | Low–high |
|---|---|---|---|---|---|
| Alabama (statewide) | 21 | $5,292 | $6,775 | $8,083 | $4,211–$14,826 |
| Alaska (statewide) | 4 | — | — | — | $5,684–$20,593 |
| Arizona (statewide) | 28 | $8,341 | $11,146 | $14,156 | $4,026–$19,976 |
| Arkansas (statewide) | 10 | $5,280 | $5,736 | $6,322 | $3,745–$6,707 |
| Atlanta GA | 9 | $11,239 | $11,869 | $12,494 | $11,239–$18,336 |
| Austin TX | 13 | $4,194 | $7,606 | $7,809 | $3,938–$8,790 |
| Boston MA | 12 | $5,239 | $5,814 | $7,315 | $4,721–$10,497 |
| California (statewide) | 54 | $7,576 | $9,346 | $11,208 | $3,949–$38,910 |
| Charlotte NC | 8 | $9,481 | $10,268 | $12,287 | $7,051–$12,287 |
| Chicago IL | 10 | $7,768 | $8,955 | $10,301 | $5,915–$11,690 |
| Cleveland OH | 11 | $8,216 | $8,637 | $8,760 | $7,838–$11,145 |
| Colorado (statewide) | 16 | $8,256 | $12,010 | $14,533 | $3,851–$19,761 |
| Columbus OH | 2 | — | — | — | $12,775–$16,842 |
| Connecticut (statewide) | 6 | $12,468 | $15,024 | $16,208 | $11,350–$24,821 |
| Dallas-Fort Worth TX | 15 | $7,308 | $7,744 | $9,478 | $6,394–$14,006 |
| Delaware (statewide) | 1 | — | — | — | $13,293–$13,293 |
| Denver CO | 15 | $7,268 | $8,202 | $12,483 | $5,854–$16,438 |
| Detroit MI | 17 | $8,199 | $8,609 | $10,204 | $6,250–$11,164 |
| Florida (statewide) | 90 | $7,459 | $9,425 | $12,720 | $4,648–$18,878 |
| Georgia (statewide) | 43 | $9,451 | $12,346 | $15,759 | $6,183–$22,798 |
| Hawaii (statewide) | 11 | $17,672 | $18,938 | $19,054 | $10,842–$20,371 |
| Houston TX | 19 | $7,685 | $9,122 | $11,706 | $6,048–$22,141 |
| Idaho (statewide) | 15 | $10,614 | $12,920 | $13,513 | $6,485–$17,719 |
| Illinois (statewide) | 46 | $6,404 | $6,922 | $9,337 | $4,230–$15,491 |
| Indiana (statewide) | 53 | $8,104 | $9,930 | $13,271 | $3,418–$37,231 |
| Indianapolis IN | 6 | $13,837 | $14,247 | $14,611 | $11,505–$15,000 |
| Iowa (statewide) | 22 | $6,018 | $7,011 | $8,703 | $5,037–$12,694 |
| Kansas (statewide) | 33 | $6,467 | $6,807 | $8,360 | $3,558–$20,593 |
| Kentucky (statewide) | 39 | $5,579 | $7,692 | $8,465 | $3,788–$16,661 |
| Las Vegas NV | 1 | — | — | — | $10,200–$10,200 |
| Los Angeles CA | 18 | $10,852 | $11,526 | $12,364 | $8,406–$14,498 |
| Louisiana (statewide) | 25 | $5,055 | $5,777 | $6,411 | $2,601–$8,515 |
| Maine (statewide) | 14 | $11,596 | $17,044 | $18,701 | $4,722–$19,003 |
| Maryland (statewide) | 1 | — | — | — | $6,970–$6,970 |
| Massachusetts (statewide) | 8 | $5,100 | $6,943 | $8,288 | $4,480–$11,822 |
| Miami-Fort Lauderdale FL | 3 | — | — | — | $6,703–$8,083 |
| Michigan (statewide) | 40 | $7,124 | $8,339 | $9,303 | $3,251–$13,073 |
| Minneapolis-St. Paul MN | 15 | $9,104 | $10,649 | $10,696 | $6,936–$11,856 |
| Minnesota (statewide) | 25 | $8,020 | $8,970 | $10,696 | $3,450–$15,609 |
| Mississippi (statewide) | 20 | $6,123 | $6,322 | $7,347 | $3,998–$10,412 |
| Missouri (statewide) | 36 | $5,946 | $6,838 | $8,168 | $3,698–$12,520 |
| Montana (statewide) | 8 | $8,021 | $12,061 | $16,679 | $2,973–$21,683 |
| Nashville TN | 8 | $6,591 | $7,938 | $10,119 | $5,847–$11,956 |
| Nebraska (statewide) | 15 | $10,436 | $11,112 | $11,498 | $7,290–$15,010 |
| Nevada (statewide) | 5 | $8,868 | $10,130 | $12,482 | $7,011–$13,307 |
| New Hampshire (statewide) | 8 | $7,294 | $8,412 | $10,462 | $6,220–$14,782 |
| New Jersey (statewide) | 21 | $11,172 | $12,625 | $14,247 | $6,049–$19,164 |
| New Mexico (statewide) | 11 | $5,262 | $6,924 | $9,950 | $2,927–$18,754 |
| New York (statewide) | 48 | $7,225 | $8,468 | $11,635 | $4,560–$33,011 |
| New York City | 8 | $11,636 | $11,946 | $13,952 | $5,550–$19,352 |
| North Carolina (statewide) | 34 | $5,310 | $6,448 | $11,727 | $3,851–$22,473 |
| North Dakota (statewide) | 7 | $7,552 | $7,914 | $8,236 | $6,433–$11,244 |
| Ohio (statewide) | 56 | $8,206 | $9,574 | $11,816 | $3,446–$16,690 |
| Oklahoma (statewide) | 25 | $4,526 | $6,409 | $8,776 | $3,131–$19,046 |
| Oregon (statewide) | 11 | $8,884 | $11,344 | $13,319 | $5,607–$16,690 |
| Pennsylvania (statewide) | 61 | $7,409 | $9,515 | $11,847 | $4,527–$17,882 |
| Philadelphia PA | 11 | $11,043 | $11,944 | $14,256 | $10,412–$19,164 |
| Phoenix AZ | 11 | $10,461 | $11,128 | $12,593 | $10,461–$14,006 |
| Pittsburgh PA | 7 | $7,884 | $8,302 | $9,292 | $6,315–$11,040 |
| Portland OR | 9 | $14,090 | $15,133 | $16,100 | $12,526–$16,675 |
| Research Triangle NC | 9 | $6,959 | $8,282 | $9,316 | $5,502–$9,693 |
| Rhode Island (statewide) | 7 | $7,602 | $10,150 | $12,638 | $5,916–$13,609 |
| Richmond VA | 7 | $7,264 | $12,157 | $13,894 | $6,568–$14,982 |
| Rio Grande Valley TX | 6 | $7,939 | $8,954 | $9,870 | $7,699–$11,762 |
| Salt Lake City UT | 9 | $9,683 | $9,683 | $9,683 | $9,587–$9,683 |
| San Antonio TX | 3 | — | — | — | $6,938–$26,130 |
| San Diego CA | 7 | $8,112 | $8,993 | $10,533 | $7,883–$11,424 |
| San Francisco Bay Area CA | 2 | — | — | — | $8,032–$11,700 |
| Seattle-Tacoma WA | 16 | $13,689 | $13,838 | $14,516 | $12,607–$17,673 |
| South Carolina (statewide) | 31 | $10,350 | $12,837 | $16,964 | $3,503–$19,047 |
| South Dakota (statewide) | 4 | — | — | — | $6,914–$10,223 |
| St. Louis MO | 7 | $9,349 | $9,349 | $9,349 | $3,212–$10,928 |
| Tampa FL | 11 | $12,274 | $12,587 | $12,974 | $9,796–$13,940 |
| Tennessee (statewide) | 32 | $5,404 | $6,342 | $8,670 | $3,868–$11,956 |
| Texas (statewide) | 89 | $7,122 | $7,949 | $11,416 | $2,755–$21,688 |
| Utah (statewide) | 7 | $7,242 | $10,131 | $13,382 | $4,610–$13,648 |
| Vermont (statewide) | 3 | — | — | — | $7,785–$17,208 |
| Virginia (statewide) | 33 | $7,896 | $11,831 | $13,081 | $5,979–$19,537 |
| Washington (statewide) | 13 | $11,533 | $12,130 | $13,917 | $9,120–$26,207 |
| Washington DC | 11 | $9,666 | $12,209 | $12,585 | $5,759–$13,234 |
| West Virginia (statewide) | 14 | $2,840 | $5,804 | $10,968 | $2,745–$15,138 |
| Wisconsin (statewide) | 51 | $9,918 | $11,766 | $13,073 | $5,748–$15,215 |
| Wyoming (statewide) | 1 | — | — | — | $13,901–$13,901 |
Lowest and highest 12 hospital medians
| Hospital | Market | Median across insurers | × Medicare | Insurers | File date |
|---|---|---|---|---|---|
| Bayou Bend Health System | Louisiana (statewide) | $2,601 | 0.7× | 1 | 2026-09-15 |
| Weirton Medical Center, Inc | West Virginia (statewide) | $2,745 | 0.6× | 2 | 2026-07-10 |
| Camden Clark Medical Center | West Virginia (statewide) | $2,746 | 0.6× | 2 | 2026-07-09 |
| Memorial Medical Center | Texas (statewide) | $2,755 | 0.6× | 1 | 2026-09-14 |
| Reynolds Memorial Hospital, Inc | West Virginia (statewide) | $2,755 | 0.6× | 3 | 2026-07-09 |
| Thomas Memorial Hospital | West Virginia (statewide) | $2,837 | 0.7× | 3 | 2026-07-10 |
| United Hospital Center, Inc | West Virginia (statewide) | $2,850 | 0.7× | 3 | 2026-07-10 |
| Los Alamos Medical Center | New Mexico (statewide) | $2,927 | 0.7× | 3 | 2026-07-10 |
| Mccone County Health Center | Montana (statewide) | $2,973 | 0.7× | 1 | 2026-01-01 |
| Wheeling Hospital, Inc | West Virginia (statewide) | $3,002 | 0.7× | 3 | 2026-07-09 |
| Berkeley Medical Center | West Virginia (statewide) | $3,056 | 0.7× | 3 | 2026-07-09 |
| Weatherford Regional Hospital, Inc Of Weatherford | Oklahoma (statewide) | $3,131 | 0.7× | 5 | 2026-06-24 |
| Providence St Joseph Medical Center | Montana (statewide) | $21,683 | 4.7× | 1 | 2026-04-01 |
| St Joseph Medical Center | Texas (statewide) | $21,688 | 4.8× | 9 | 2026-09-01 |
| Memorial Hermann-Texas Medical Center | Houston TX | $22,141 | 4.9× | 1 | 2026-04-01 |
| Cape Fear Valley Hoke Hospital | North Carolina (statewide) | $22,473 | 5.0× | 1 | 2026-03-30 |
| Sgmc Berrien Campus | Georgia (statewide) | $22,798 | 5.8× | 1 | 2026-03-25 |
| St Vincent'S Medical Center | Connecticut (statewide) | $24,821 | 4.4× | 4 | 2026-04-01 |
| University Health System | San Antonio TX | $26,130 | 5.8× | 10 | 2025-10-14 |
| Providence Centralia Hospital | Washington (statewide) | $26,207 | 5.2× | 2 | 2026-04-01 |
| Stony Brook University Hospital | New York (statewide) | $33,011 | 5.8× | 1 | 2026-06-10 |
| Lac/Harbor-Ucla Med Center | California (statewide) | $36,277 | 6.2× | 1 | 2026-03-12 |
| Harrison County Hospital | Indiana (statewide) | $37,231 | 7.8× | 2 | 2026-07-16 |
| Lac/Olive View-Ucla Medical Center | California (statewide) | $38,910 | 6.6× | 1 | 2026-03-12 |
Every hospital is on its state's page (linked in the market table) and in the interactive explorer.
Questions
How much do commercial insurers pay hospitals for pneumonia (hospital stay)?
Across 1609 hospitals in 83 markets (metro areas and statewide) that post a usable dollar rate, the median commercial rate for inpatient stay (MS-DRG 194) is $11,782, 2.0× the same hospital's local Medicare base rate. The middle half of hospitals runs $8,907 to $15,744. Figures are each hospital's median across insurers, from its federal price-transparency file.
What does Medicare pay for pneumonia (hospital stay)?
Medicare's national inpatient base rate for MS-DRG 194 is $5,864, before local wage adjustment.
Which hospitals post the lowest and highest commercial rates for pneumonia (hospital stay)?
Lowest medians: Los Alamos Medical Center ($3,854), Mccone County Health Center ($3,914), Wetzel County Hospital ($4,012). Highest: Lac/Olive View-Ucla Medical Center ($42,564), Lac/Harbor-Ucla Med Center ($40,684), Mason District Hospital ($39,465). Coverage: every hospital whose price file we could read.