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.
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MS-DRG 194: Simple Pneumonia and Pleurisy With Cc
313 hospitals in 41 markets. National Medicare rate $5,864.
| Market | Hospitals | 25th pct | Median | 75th pct | Low–high |
|---|---|---|---|---|---|
| Atlanta GA | 10 | $14,798 | $15,422 | $15,781 | $14,798–$24,142 |
| Austin TX | 8 | $7,476 | $8,806 | $11,810 | $5,247–$11,810 |
| Boston MA | 12 | $6,712 | $7,455 | $9,380 | $5,508–$18,024 |
| California (statewide) | 1 | — | — | — | $9,838–$9,838 |
| Charlotte NC | 7 | $12,313 | $13,442 | $14,678 | $9,122–$15,755 |
| Chicago IL | 11 | $10,166 | $11,446 | $13,102 | $7,788–$14,990 |
| Cleveland OH | 11 | $10,552 | $10,934 | $13,172 | $7,737–$14,291 |
| Columbus OH | 3 | — | — | — | $17,875–$21,596 |
| Dallas-Fort Worth TX | 16 | $11,110 | $13,187 | $15,467 | $10,746–$21,568 |
| Denver CO | 15 | $10,040 | $14,283 | $16,050 | $7,176–$21,320 |
| Detroit MI | 18 | $11,047 | $11,289 | $13,784 | $8,789–$16,221 |
| Florida (statewide) | 1 | — | — | — | $23,786–$23,786 |
| Georgia (statewide) | 1 | — | — | — | $16,256–$16,256 |
| Houston TX | 16 | $10,110 | $11,047 | $11,727 | $6,282–$14,189 |
| Illinois (statewide) | 1 | — | — | — | $6,421–$6,421 |
| Indianapolis IN | 4 | — | — | — | $11,705–$15,894 |
| Kansas (statewide) | 1 | — | — | — | $9,955–$9,955 |
| Las Vegas NV | 1 | — | — | — | $9,076–$9,076 |
| Los Angeles CA | 17 | $13,362 | $14,547 | $15,508 | $10,670–$24,669 |
| Miami-Fort Lauderdale FL | 3 | — | — | — | $9,844–$15,046 |
| Minneapolis-St. Paul MN | 15 | $11,673 | $13,655 | $14,083 | $6,810–$15,202 |
| Nashville TN | 8 | $9,202 | $9,852 | $11,025 | $8,346–$14,141 |
| New York (statewide) | 1 | — | — | — | $33,011–$33,011 |
| New York City | 8 | $14,958 | $15,210 | $17,780 | $8,062–$25,864 |
| Ohio (statewide) | 1 | — | — | — | $14,097–$14,097 |
| Pennsylvania (statewide) | 1 | — | — | — | $16,908–$16,908 |
| Philadelphia PA | 11 | $14,191 | $15,315 | $18,520 | $12,680–$21,922 |
| Phoenix AZ | 11 | $13,414 | $14,268 | $16,312 | $13,414–$18,752 |
| Pittsburgh PA | 7 | $12,768 | $13,042 | $15,818 | $8,122–$19,836 |
| Portland OR | 8 | $17,849 | $18,602 | $21,076 | $17,280–$21,076 |
| Research Triangle NC | 9 | $10,561 | $12,044 | $12,111 | $8,802–$12,429 |
| Richmond VA | 7 | $13,524 | $16,009 | $17,816 | $9,315–$19,390 |
| Rio Grande Valley TX | 6 | $8,096 | $9,251 | $10,817 | $5,867–$14,622 |
| Salt Lake City UT | 9 | $16,282 | $16,282 | $16,282 | $15,656–$16,282 |
| San Antonio TX | 3 | — | — | — | $7,895–$18,558 |
| San Diego CA | 6 | $11,694 | $11,694 | $11,694 | $10,686–$13,532 |
| San Francisco Bay Area CA | 2 | — | — | — | $9,428–$15,736 |
| Seattle-Tacoma WA | 14 | $18,355 | $18,512 | $18,596 | $16,154–$23,269 |
| St. Louis MO | 7 | $13,570 | $13,570 | $13,570 | $4,118–$17,416 |
| Tampa FL | 11 | $16,753 | $16,777 | $17,254 | $12,794–$19,668 |
| Washington DC | 11 | $13,183 | $16,083 | $16,728 | $7,138–$19,082 |
| Hospital | Market | Median across insurers | × Medicare | Insurers | File date |
|---|---|---|---|---|---|
| Mercy Hospital South | St. Louis MO | $4,118 | 0.7× | 1 | 2026-06-10 |
| Ascension Seton Medical Center Austin | Austin TX | $5,247 | 0.9× | 1 | 2026-01-01 |
| Emerson Hospital - | Boston MA | $5,508 | 0.8× | 2 | 2026-05-18 |
| Mission Regional Medical Center | Rio Grande Valley TX | $5,867 | 1.0× | 1 | 2026-09-01 |
| Anna Jaques Hospital | Boston MA | $6,054 | 0.9× | 1 | 2026-04-01 |
| Beth Israel Deaconess Hospital - Needham | Boston MA | $6,233 | 0.9× | 2 | 2026-04-01 |
| Chi St Luke's Health Brazosport | Houston TX | $6,282 | 1.1× | 2 | 2026-02-28 |
| Sarah Bush Lincoln Health Center | Illinois (statewide) | $6,421 | 1.0× | 1 | 2026-06-03 |
| North Memorial Health | Minneapolis-St. Paul MN | $6,810 | 1.1× | 5 | 2026-09-25 |
| Beth Israel Deaconess Hospital - Plymouth | Boston MA | $6,871 | 1.0× | 1 | 2026-04-01 |
| Mount Auburn Hospital | Boston MA | $7,138 | 1.0× | 1 | 2026-04-01 |
| Spotsylvania Regional Medical Center | Washington DC | $7,138 | 1.2× | 4 | 2026-09-01 |
| Hca Healthone Rose | Denver CO | $7,176 | 1.2× | 5 | 2026-09-01 |
| HCA HealthONE Sky Ridge | Denver CO | $7,228 | 1.2× | 5 | 2026-09-01 |
| St David's Medical Center | Austin TX | $7,340 | 1.3× | 5 | 2026-09-01 |
| Beverly Hospital Corporation | Boston MA | $7,455 | 1.1× | 1 | 2026-04-01 |
| Winchester Hospital | Boston MA | $7,455 | 1.1× | 1 | 2026-04-01 |
| Round Rock Medical Center | Austin TX | $7,522 | 1.3× | 5 | 2026-09-01 |
| HCA HealthONE Swedish | Denver CO | $7,523 | 1.2× | 5 | 2026-09-01 |
| Harlingen Medical Center | Rio Grande Valley TX | $7,728 | 1.3× | 2 | 2026-09-01 |
| University Hospitals St. John Medical Center | Cleveland OH | $7,737 | 1.4× | 3 | 2026-07-14 |
| Endeavor Health Northwest Community Hospital | Chicago IL | $7,788 | 1.3× | 3 | 2026-04-01 |
| Methodist Hospital Stone Oak | San Antonio TX | $7,895 | 1.4× | 4 | 2026-09-01 |
| Beth Israel Deaconess Medical Center | Boston MA | $8,025 | 1.1× | 2 | 2026-04-01 |
| Montefiore Medical Center | New York City | $8,062 | 1.1× | 1 | 2026-04-01 |
| Upmc Washington | Pittsburgh PA | $8,122 | 1.5× | 4 | 2026-03-06 |
| HCA HealthONE Presbyterian/St. Luke's | Denver CO | $8,137 | 1.3× | 4 | 2026-09-01 |
| TriStar Skyline Medical Center | Nashville TN | $8,346 | 1.5× | 8 | 2026-09-01 |
| New England Baptist Hospital | Boston MA | $8,591 | 1.2× | 3 | 2026-04-01 |
| St David's South Austin Medical Center | Austin TX | $8,661 | 1.5× | 5 | 2026-09-01 |
| Mclaren Lapeer Region | Detroit MI | $8,789 | 1.5× | 1 | 2025-12-31 |
| North Carolina Specialty Hospital | Research Triangle NC | $8,802 | 1.5× | 2 | 2026-02-25 |
| North Austin Medical Center | Austin TX | $8,950 | 1.6× | 5 | 2026-09-01 |
| Endeavor Health Edward Hospital | Chicago IL | $8,990 | 1.4× | 3 | 2026-04-01 |
| TriStar Summit Medical Center | Nashville TN | $9,008 | 1.6× | 8 | 2026-09-01 |
| University Hospitals - Elyria Medical Center | Cleveland OH | $9,072 | 1.7× | 3 | 2026-07-14 |
| University Medical Center of Southern Nevada | Las Vegas NV | $9,076 | 1.5× | 2 | 2026-07-01 |
| Duke Regional Hospital | Research Triangle NC | $9,116 | 1.6× | 4 | 2026-04-01 |
| Lake Norman Regional Medical Center | Charlotte NC | $9,122 | 1.6× | 4 | 2026-04-01 |
| Knapp Medical Center | Rio Grande Valley TX | $9,200 | 1.6× | 1 | 2026-09-01 |
| Methodist Hospital | San Antonio TX | $9,223 | 1.6× | 4 | 2026-09-01 |
| Hennepin County Medical Center | Minneapolis-St. Paul MN | $9,247 | 1.5× | 3 | 2025-12-17 |
| Lakeview Memorial Hospital | Minneapolis-St. Paul MN | $9,260 | 1.5× | 3 | 2026-03-31 |
| TriStar StoneCrest Medical Center | Nashville TN | $9,266 | 1.7× | 7 | 2026-09-01 |
| TriStar Hendersonville Medical Center | Nashville TN | $9,266 | 1.7× | 7 | 2026-09-01 |
| Valley Regional Medical Center | Rio Grande Valley TX | $9,302 | 1.6× | 5 | 2026-09-01 |
| Tricities Hospital | Richmond VA | $9,315 | 1.7× | 5 | 2026-09-01 |
| Henry Ford Health -St John Hospital | Detroit MI | $9,410 | 1.6× | 4 | 2026-01-01 |
| Good Samaritan Hospital | San Francisco Bay Area CA | $9,428 | 1.1× | 3 | 2026-09-01 |
| Hca Houston Healthcare Tomball | Houston TX | $9,738 | 1.7× | 4 | 2026-09-01 |
| Los Robles Hospital & Medical Center | California (statewide) | $9,838 | 1.3× | 3 | 2026-09-01 |
| Hca Houston Healthcare Clear Lake | Houston TX | $9,840 | 1.7× | 4 | 2026-09-01 |
| Cleveland Clinic Hospital | Miami-Fort Lauderdale FL | $9,844 | 1.6× | 4 | 2026-06-15 |
| Hca Houston Healthcare Conroe | Houston TX | $9,884 | 1.7× | 4 | 2026-09-01 |
| Menorah Medical Center | Kansas (statewide) | $9,955 | 1.8× | 6 | 2026-09-01 |
| Endeavor Health Elmhurst Hospital | Chicago IL | $9,969 | 1.6× | 3 | 2026-04-01 |
| St. Luke's Health The Woodlands Hospital | Houston TX | $10,186 | 1.8× | 5 | 2026-02-28 |
| MetroHealth System | Cleveland OH | $10,288 | 1.9× | 4 | 2026-04-01 |
| Northwestern Memorial Hospital | Chicago IL | $10,362 | 1.7× | 2 | 2026-04-01 |
| Ascension Saint Thomas Hospital (Midtown + West) | Nashville TN | $10,438 | 1.9× | 7 | 2026-01-01 |
| Hca Houston Healthcare Kingwood | Houston TX | $10,514 | 1.8× | 4 | 2026-09-01 |
| UNC Rex Hospital | Research Triangle NC | $10,561 | 1.8× | 3 | 2026-04-01 |
| Hca Houston Healthcare Medical Center | Houston TX | $10,566 | 1.8× | 4 | 2026-09-01 |
| Mclaren Port Huron | Detroit MI | $10,662 | 1.9× | 1 | 2025-12-31 |
| Usc Arcadia Hospital | Los Angeles CA | $10,670 | 1.4× | 4 | 2026-07-27 |
| Henry Ford Health Macomb Hospital | Detroit MI | $10,681 | 1.9× | 3 | 2026-06-28 |
| Uc San Diego Health Hillcrest - Hillcrest Med Ctr | San Diego CA | $10,686 | 1.4× | 7 | 2026-04-01 |
| St. Luke's Health Sugar Land Hospital | Houston TX | $10,704 | 1.9× | 5 | 2026-02-28 |
| Northwestern Medicine Central DuPage Hospital | Chicago IL | $10,713 | 1.7× | 1 | 2026-04-01 |
| Baylor Scott & White Medical Center - Lake Pointe | Dallas-Fort Worth TX | $10,746 | 1.9× | 4 | 2026-06-29 |
| Santa Monica - Ucla Med Ctr & Orthopaedic Hospital | Los Angeles CA | $10,798 | 1.4× | 1 | 2026-03-29 |
| University Hospitals Ahuja Medical Center | Cleveland OH | $10,815 | 2.0× | 2 | 2026-07-14 |
| Usc Verdugo Hills Hospital | Los Angeles CA | $10,904 | 1.4× | 5 | 2026-04-01 |
| Ascension Saint Thomas Rutherford | Nashville TN | $10,910 | 2.0× | 6 | 2026-01-01 |
| Cleveland Clinic Hillcrest Hospital | Cleveland OH | $10,934 | 2.0× | 4 | 2026-06-15 |
| Cleveland Clinic Fairview Hospital | Cleveland OH | $10,934 | 2.0× | 4 | 2026-06-15 |
| Reston Hospital Center | Washington DC | $10,946 | 1.8× | 5 | 2026-09-01 |
| Corewell Health Trenton Hospital | Detroit MI | $11,039 | 1.9× | 3 | 2026-05-01 |
| Corewell Health Beaumont Grosse Pointe Hospital | Detroit MI | $11,070 | 1.9× | 3 | 2026-05-01 |
| Baylor University Medical Center | Dallas-Fort Worth TX | $11,110 | 1.9× | 4 | 2026-06-29 |
| Baylor Scott & White Medical Center - Irving | Dallas-Fort Worth TX | $11,110 | 1.9× | 4 | 2026-06-29 |
| Baylor Scott & White Medical Center - Grapevine | Dallas-Fort Worth TX | $11,110 | 1.9× | 4 | 2026-06-29 |
| Baylor Scott & White Medical Center - McKinney | Dallas-Fort Worth TX | $11,110 | 1.9× | 4 | 2026-06-29 |
| Corewell Health William Beaumont University Hospit | Detroit MI | $11,166 | 1.9× | 3 | 2026-05-01 |
| Corewell Health Beaumont Troy Hospital | Detroit MI | $11,166 | 1.9× | 3 | 2026-05-01 |
| Corewell Health Wayne Hospital | Detroit MI | $11,289 | 2.0× | 3 | 2026-05-01 |
| Corewell Health Farmington Hills Hospital | Detroit MI | $11,289 | 2.0× | 4 | 2026-05-01 |
| Baylor Scott And White Medical Center Uptown | Dallas-Fort Worth TX | $11,317 | 2.0× | 4 | 2026-06-29 |
| Doctors Hospital at Renaissance | Rio Grande Valley TX | $11,322 | 2.0× | 3 | 2026-04-01 |
| Vanderbilt Wilson County Hospital | Nashville TN | $11,370 | 2.1× | 6 | 2025-10-01 |
| Corewell Health Dearborn Hospital | Detroit MI | $11,385 | 2.0× | 2 | 2026-05-01 |
| Houston Methodist Sugar Land Hospital | Houston TX | $11,390 | 2.0× | 2 | 2026-04-01 |
| Houston Methodist West Hospital | Houston TX | $11,390 | 2.0× | 2 | 2026-04-01 |
| Houston Methodist The Woodlands Hospital | Houston TX | $11,390 | 2.0× | 2 | 2026-04-01 |
| Endeavor Health Evanston Hospital | Chicago IL | $11,446 | 1.9× | 3 | 2026-04-01 |
| Park Nicollet Methodist Hospital | Minneapolis-St. Paul MN | $11,673 | 1.9× | 3 | 2026-03-31 |
| Regions Hospital | Minneapolis-St. Paul MN | $11,673 | 1.9× | 3 | 2026-03-31 |
| Scripps Green Hospital | San Diego CA | $11,694 | 1.6× | 6 | 2026-03-30 |
| Scripps Mercy Hospital | San Diego CA | $11,694 | 1.6× | 6 | 2026-03-30 |
| Scripps Memorial Hospital La Jolla | San Diego CA | $11,694 | 1.6× | 6 | 2026-03-30 |
| Scripps Memorial Hospital - Encinitas | San Diego CA | $11,694 | 1.6× | 6 | 2026-03-30 |
| Hendricks Regional Health | Indianapolis IN | $11,705 | 1.9× | 3 | 2026-05-20 |
| Stonesprings Hospital Center | Washington DC | $11,713 | 2.0× | 5 | 2026-09-01 |
| Hca Houston Healthcare Southeast | Houston TX | $11,727 | 2.0× | 4 | 2026-09-01 |
| Hca Houston Healthcare Northwest | Houston TX | $11,727 | 2.0× | 4 | 2026-09-01 |
| Lahey Hospital & Medical Center, Burlington | Boston MA | $11,746 | 1.7× | 4 | 2026-04-01 |
| Scott & White Hospital-Round Rock | Austin TX | $11,810 | 2.0× | 5 | 2026-06-13 |
| Baylor Scott & White Medical Center ? Pflugerville | Austin TX | $11,810 | 2.0× | 5 | 2026-06-13 |
| Baylor Scott & White Medical Center- Austin | Austin TX | $11,810 | 2.0× | 5 | 2026-06-13 |
| Uchealth Broomfield Hospital | Denver CO | $11,942 | 2.0× | 4 | 2025-11-01 |
| Atrium Health University City | Charlotte NC | $11,968 | 2.1× | 2 | 2025-12-05 |
| Baylor St. Luke's Medical Center | Houston TX | $11,978 | 2.1× | 5 | 2026-02-28 |
| UNC Hospitals (Chapel Hill) | Research Triangle NC | $11,997 | 2.1× | 3 | 2026-04-01 |
| Methodist Mansfield Medical Center | Dallas-Fort Worth TX | $12,036 | 2.1× | 4 | 2026-03-21 |
| Duke University Hospital | Research Triangle NC | $12,044 | 2.1× | 4 | 2026-04-01 |
| Duke Raleigh Hospital | Research Triangle NC | $12,044 | 2.1× | 4 | 2026-04-01 |
| UNC Health Johnston | Research Triangle NC | $12,111 | 2.1× | 3 | 2026-04-01 |
| Loyola University Medical Center | Chicago IL | $12,138 | 2.0× | 4 | 2026-03-31 |
| Trinity Health Oakland Hospital | Detroit MI | $12,151 | 2.1× | 17 | 2026-03-31 |
| Houston Methodist Baytown Hospital | Houston TX | $12,281 | 2.1× | 2 | 2026-04-01 |
| Providence Mission Hospital | Los Angeles CA | $12,316 | 1.6× | 4 | 2026-04-01 |
| Rush University Medical Center | Chicago IL | $12,341 | 2.0× | 4 | 2026-09-25 |
| WakeMed Raleigh Campus | Research Triangle NC | $12,429 | 2.1× | 2 | 2026-02-11 |
| WakeMed Cary Hospital | Research Triangle NC | $12,429 | 2.1× | 2 | 2026-02-11 |
| Atrium Health Union | Charlotte NC | $12,658 | 2.3× | 2 | 2025-12-04 |
| Medina Hospital | Cleveland OH | $12,679 | 2.3× | 4 | 2026-06-15 |
| Jefferson Abington Hospital | Philadelphia PA | $12,680 | 2.3× | 6 | 2026-09-15 |
| Upmc St Margaret | Pittsburgh PA | $12,682 | 2.3× | 1 | 2026-03-06 |
| Tampa General Hospital Brooksville | Tampa FL | $12,794 | 2.1× | 4 | 2026-04-01 |
| Henry Ford Health Rochester Hospital | Detroit MI | $12,814 | 2.2× | 1 | 2026-01-01 |
| Upmc East | Pittsburgh PA | $12,855 | 2.3× | 1 | 2026-03-06 |
| Mount Sinai Medical Center Of Florida, Inc | Miami-Fort Lauderdale FL | $12,886 | 2.1× | 3 | 2026-03-13 |
| CJW Medical Center (Chippenham + Johnston-Willis) | Richmond VA | $12,921 | 2.3× | 5 | 2026-09-01 |
| Mercy Hospital (Allina, Coon Rapids) | Minneapolis-St. Paul MN | $12,938 | 2.1× | 4 | 2026-06-17 |
| United Hospital (Allina) | Minneapolis-St. Paul MN | $12,938 | 2.1× | 4 | 2026-06-16 |
| Upmc Mercy | Pittsburgh PA | $13,042 | 2.3× | 1 | 2026-03-06 |
| Jefferson Einstein Montgomery Hospital | Philadelphia PA | $13,131 | 2.4× | 5 | 2026-09-15 |
| Cleveland Clinic Lutheran Hospital | Cleveland OH | $13,172 | 2.4× | 5 | 2026-06-15 |
| Marymount Hospital | Cleveland OH | $13,172 | 2.4× | 5 | 2026-06-15 |
| Medical City Weatherford | Dallas-Fort Worth TX | $13,174 | 2.3× | 6 | 2026-09-01 |
| Medical City Mckinney | Dallas-Fort Worth TX | $13,200 | 2.3× | 6 | 2026-09-01 |
| Providence St. Jude Medical Center | Los Angeles CA | $13,362 | 1.8× | 4 | 2026-04-01 |
| HonorHealth Scottsdale Osborn Medical Center | Phoenix AZ | $13,414 | 2.2× | 5 | 2026-04-01 |
| HonorHealth Scottsdale Shea Medical Center | Phoenix AZ | $13,414 | 2.2× | 5 | 2026-04-01 |
| HonorHealth John C. Lincoln Medical Center | Phoenix AZ | $13,414 | 2.2× | 5 | 2026-04-01 |
| HonorHealth Deer Valley Medical Center | Phoenix AZ | $13,414 | 2.2× | 5 | 2026-04-01 |
| Atrium Health Cabarrus | Charlotte NC | $13,442 | 2.4× | 2 | 2025-12-01 |
| Tri-City Medical Center | San Diego CA | $13,532 | 1.8× | 2 | 2026-05-29 |
| Missouri Baptist Medical Center | St. Louis MO | $13,570 | 2.4× | 5 | 2025-12-15 |
| Barnes-Jewish West County Hospital | St. Louis MO | $13,570 | 2.4× | 5 | 2025-12-15 |
| Barnes-Jewish St Peters Hospital | St. Louis MO | $13,570 | 2.4× | 5 | 2025-12-15 |
| Alton Memorial Hospital | St. Louis MO | $13,570 | 2.2× | 5 | 2025-12-15 |
| Progress West Hospital | St. Louis MO | $13,570 | 2.4× | 5 | 2025-12-15 |
| University Hospitals Cleveland Medical Center | Cleveland OH | $13,578 | 2.5× | 4 | 2026-07-14 |
| Atrium Health Pineville | Charlotte NC | $13,602 | 2.4× | 2 | 2025-12-05 |
| Buffalo Hospital | Minneapolis-St. Paul MN | $13,655 | 2.3× | 3 | 2026-06-16 |
| Cambridge Medical Center | Minneapolis-St. Paul MN | $13,655 | 2.3× | 3 | 2026-06-16 |
| Medical City Denton | Dallas-Fort Worth TX | $13,756 | 2.4× | 6 | 2026-09-01 |
| Providence St. Joseph Hospital | Los Angeles CA | $13,826 | 1.8× | 4 | 2026-04-01 |
| Advocate Christ Medical Center | Chicago IL | $13,862 | 2.2× | 4 | 2025-11-04 |
| Advocate Lutheran General Hospital | Chicago IL | $13,862 | 2.2× | 4 | 2025-11-04 |
| Medical City Fort Worth | Dallas-Fort Worth TX | $13,888 | 2.4× | 6 | 2026-09-01 |
| Paoli Hospital | Philadelphia PA | $14,038 | 2.5× | 4 | 2026-04-01 |
| M Health Fairview Lakes Medical Center | Minneapolis-St. Paul MN | $14,083 | 2.3× | 3 | 2026-02-05 |
| M Health Fairview Southdale Hospital | Minneapolis-St. Paul MN | $14,083 | 2.3× | 3 | 2026-02-06 |
| M Health Fairview Northland Medical Center | Minneapolis-St. Paul MN | $14,083 | 2.3× | 3 | 2026-01-29 |
| M Health Fairview Ridges Hospital | Minneapolis-St. Paul MN | $14,083 | 2.3× | 3 | 2026-02-06 |
| Bethesda North | Ohio (statewide) | $14,097 | 2.5× | 5 | 2026-04-01 |
| Huron Valley-Sinai Hospital | Detroit MI | $14,108 | 2.5× | 2 | 2026-05-20 |
| Henrico Doctors' Hospital | Richmond VA | $14,127 | 2.5× | 5 | 2026-09-01 |
| Vanderbilt University Medical Center | Nashville TN | $14,141 | 2.6× | 6 | 2025-10-01 |
| Harper University Hospital | Detroit MI | $14,172 | 2.5× | 2 | 2026-09-02 |
| Providence Cedars Sinai Tarzana Medical Center | Los Angeles CA | $14,172 | 1.9× | 6 | 2026-04-01 |
| Houston Methodist Hospital | Houston TX | $14,189 | 2.5× | 2 | 2026-04-01 |
| Lowell General Hospital | Boston MA | $14,216 | 2.0× | 4 | 2026-04-01 |
| HonorHealth Scottsdale Thompson Peak Medical Center | Phoenix AZ | $14,268 | 2.3× | 4 | 2026-04-01 |
| HonorHealth Sonoran Crossing Medical Center | Phoenix AZ | $14,268 | 2.3× | 4 | 2026-04-01 |
| Adventhealth Porter | Denver CO | $14,283 | 2.4× | 2 | 2026-04-01 |
| Adventhealth Parker | Denver CO | $14,283 | 2.4× | 2 | 2026-04-01 |
| Adventhealth Littleton | Denver CO | $14,283 | 2.4× | 2 | 2026-04-01 |
| Adventhealth Castle Rock | Denver CO | $14,283 | 2.4× | 2 | 2026-04-01 |
| Cleveland Clinic (main campus) | Cleveland OH | $14,291 | 2.6× | 5 | 2026-06-16 |
| M Health Fairview University of Minnesota Medical Center | Minneapolis-St. Paul MN | $14,331 | 2.4× | 3 | 2026-02-06 |
| Riddle Memorial Hospital | Philadelphia PA | $14,344 | 2.4× | 4 | 2026-04-01 |
| Providence Little Co Of Mary Med Ctr San Pedro | Los Angeles CA | $14,520 | 1.9× | 6 | 2026-04-01 |
| Jamaica Hospital Medical Center | New York City | $14,526 | 2.0× | 3 | 2026-03-25 |
| Providence Little Company Of Mary Med Ctr Torrance | Los Angeles CA | $14,547 | 1.9× | 6 | 2026-04-01 |
| Rio Grande Regional Hospital | Rio Grande Valley TX | $14,622 | 2.5× | 5 | 2026-09-01 |
| Chandler Regional Medical Center (Dignity) | Phoenix AZ | $14,634 | 2.4× | 4 | 2026-02-28 |
| Mercy Gilbert Medical Center (Dignity) | Phoenix AZ | $14,634 | 2.4× | 4 | 2026-02-28 |
| George Washington Univ Hospital | Washington DC | $14,653 | 2.1× | 3 | 2026-09-01 |
| Emory University Hospital | Atlanta GA | $14,798 | 2.6× | 5 | 2026-04-01 |
| Emory University Hospital Midtown | Atlanta GA | $14,798 | 2.6× | 5 | 2026-04-01 |
| Emory Saint Joseph's Hospital | Atlanta GA | $14,798 | 2.6× | 5 | 2026-04-01 |
| Emory Johns Creek Hospital | Atlanta GA | $14,798 | 2.6× | 5 | 2026-04-01 |
| Upmc Passavant | Pittsburgh PA | $14,972 | 2.7× | 1 | 2026-03-07 |
| Providence Saint Joseph Medical Ctr | Los Angeles CA | $14,984 | 2.0× | 6 | 2026-04-01 |
| University of Chicago Medical Center | Chicago IL | $14,990 | 2.4× | 5 | 2026-04-01 |
| Providence Holy Cross Medical Center | Los Angeles CA | $15,040 | 2.0× | 5 | 2026-04-01 |
| Trinity Health Livonia Hospital | Detroit MI | $15,041 | 2.6× | 16 | 2026-03-31 |
| Jackson Memorial Hospital | Miami-Fort Lauderdale FL | $15,046 | 2.5× | 5 | 2026-09-23 |
| LINCOLN MEDICAL & MENTAL HEALTH CENTER | New York City | $15,102 | 2.1× | 7 | 2026-09-05 |
| South Brooklyn Health | New York City | $15,102 | 2.1× | 7 | 2026-09-05 |
| Cedars-Sinai Medical Center | Los Angeles CA | $15,113 | 2.0× | 1 | 2025-11-26 |
| Jefferson Stratford Hospital | Philadelphia PA | $15,115 | 2.3× | 5 | 2026-09-15 |
| Medical City Plano | Dallas-Fort Worth TX | $15,188 | 2.6× | 6 | 2026-09-01 |
| Abbott Northwestern Hospital | Minneapolis-St. Paul MN | $15,202 | 2.5× | 5 | 2026-06-16 |
| Piedmont Atlanta Hospital | Atlanta GA | $15,219 | 2.6× | 5 | 2026-07-01 |
| Bryn Mawr Hospital | Philadelphia PA | $15,315 | 2.6× | 4 | 2026-04-01 |
| Elmhurst Hospital Center | New York City | $15,318 | 2.1× | 7 | 2026-09-05 |
| Memorialcare Orange Coast Medical Center | Los Angeles CA | $15,508 | 2.1× | 5 | 2026-04-01 |
| Ascension St Vincent Carmel | Indianapolis IN | $15,520 | 2.5× | 5 | 2026-01-01 |
| Ascension St Vincent Fishers | Indianapolis IN | $15,520 | 2.5× | 5 | 2026-01-01 |
| Adventhealth Wesley Chapel | Tampa FL | $15,539 | 2.6× | 4 | 2026-04-01 |
| Piedmont Fayette Hospital | Atlanta GA | $15,625 | 2.7× | 5 | 2026-07-01 |
| Piedmont Henry Hospital | Atlanta GA | $15,625 | 2.7× | 5 | 2026-07-01 |
| Mckay-Dee Hospital | Salt Lake City UT | $15,656 | 2.7× | 1 | 2026-08-05 |
| Ucla West Valley Medical Center | Los Angeles CA | $15,718 | 2.1× | 1 | 2026-03-29 |
| St Mary's Medical Center | San Francisco Bay Area CA | $15,736 | 1.8× | 2 | 2026-04-01 |
| Novant Health Matthews Medical Center | Charlotte NC | $15,755 | 2.8× | 3 | 2026-03-30 |
| Novant Health Huntersville Medical Center | Charlotte NC | $15,755 | 2.8× | 3 | 2026-03-30 |
| Uchealth Highlands Ranch Hospital | Denver CO | $15,756 | 2.6× | 4 | 2025-11-01 |
| Piedmont Newnan Hospital | Atlanta GA | $15,833 | 2.8× | 5 | 2026-07-01 |
| Ascension St Vincent Anderson | Indianapolis IN | $15,894 | 2.6× | 5 | 2026-01-01 |
| Trinity Health Livingston Hospital | Detroit MI | $15,926 | 2.8× | 16 | 2026-03-31 |
| Jacobi Medical Center | New York City | $15,926 | 2.2× | 7 | 2026-09-05 |
| VCU Medical Center | Richmond VA | $16,009 | 2.9× | 3 | 2026-01-02 |
| Lutheran Medical Center | Denver CO | $16,050 | 2.6× | 6 | 2026-03-22 |
| Intermountain Health Saint Joseph Hospital | Denver CO | $16,050 | 2.6× | 6 | 2026-03-22 |
| Inova Alexandria Hospital | Washington DC | $16,077 | 2.7× | 5 | 2026-04-01 |
| Inova Mount Vernon Hospital | Washington DC | $16,083 | 2.7× | 5 | 2026-04-01 |
| Overlake Hospital Medical Center | Seattle-Tacoma WA | $16,154 | 2.4× | 6 | 2026-04-01 |
| Henry Ford Health Hospital | Detroit MI | $16,221 | 2.8× | 3 | 2026-06-28 |
| Emory Houston Hospital Warner Robins | Georgia (statewide) | $16,256 | 3.3× | 4 | 2026-04-01 |
| Intermountain Health Utah Valley Hospital | Salt Lake City UT | $16,282 | 2.8× | 1 | 2026-08-05 |
| Lds Hospital | Salt Lake City UT | $16,282 | 2.8× | 1 | 2026-08-05 |
| Intermountain Medical Center | Salt Lake City UT | $16,282 | 2.8× | 1 | 2026-08-05 |
| American Fork Hospital | Salt Lake City UT | $16,282 | 2.8× | 1 | 2026-08-05 |
| Orem Community Hospital | Salt Lake City UT | $16,282 | 2.8× | 1 | 2026-08-05 |
| Intermountain Health Alta View Hospital | Salt Lake City UT | $16,282 | 2.8× | 1 | 2026-08-05 |
| Intermountain Health Layton Hospital | Salt Lake City UT | $16,282 | 2.8× | 1 | 2026-08-05 |
| Intermountain Health Spanish Fork Hospital | Salt Lake City UT | $16,282 | 2.8× | 1 | 2026-08-05 |
| Medical City Dallas | Dallas-Fort Worth TX | $16,305 | 2.8× | 6 | 2026-09-01 |
| Memorialcare Long Beach Medical Center | Los Angeles CA | $16,431 | 2.2× | 5 | 2026-04-01 |
| Jefferson Health-Northeast | Philadelphia PA | $16,436 | 2.8× | 5 | 2026-09-15 |
| Inova Loudoun Hospital | Washington DC | $16,492 | 2.8× | 5 | 2026-04-01 |
| Inova Fairfax Hospital | Washington DC | $16,653 | 2.8× | 5 | 2026-04-01 |
| Upmc Presbyterian Shadyside | Pittsburgh PA | $16,664 | 3.0× | 1 | 2026-03-06 |
| Adventhealth Zephyrhills | Tampa FL | $16,729 | 2.8× | 4 | 2026-04-01 |
| Morton Plant Hospital | Tampa FL | $16,777 | 2.8× | 5 | 2026-01-01 |
| Mease Dunedin Hospital | Tampa FL | $16,777 | 2.8× | 5 | 2026-01-01 |
| South Florida Baptist Hospital | Tampa FL | $16,777 | 2.8× | 5 | 2026-01-01 |
| Mease Countryside Hospital | Tampa FL | $16,777 | 2.8× | 5 | 2026-01-01 |
| Inova Fair Oaks Hospital | Washington DC | $16,802 | 2.8× | 5 | 2026-04-01 |
| Lehigh Valley Hospital | Pennsylvania (statewide) | $16,908 | 2.9× | 5 | 2026-07-01 |
| UCHealth University of Colorado Hospital | Denver CO | $16,963 | 2.8× | 6 | 2025-11-01 |
| Medstar Washington Hospital Center | Washington DC | $16,969 | 2.5× | 5 | 2026-04-01 |
| Swedish Edmonds Hospital | Seattle-Tacoma WA | $16,980 | 2.6× | 5 | 2026-04-01 |
| Tampa General Hospital | Tampa FL | $17,088 | 2.8× | 4 | 2026-04-01 |
| Legacy Meridian Park Medical Center | Portland OR | $17,280 | 2.7× | 4 | 2026-04-01 |
| Bon Secours St. Francis Medical Center | Richmond VA | $17,282 | 3.1× | 5 | 2026-04-01 |
| Barnes Jewish Hospital | St. Louis MO | $17,416 | 3.0× | 5 | 2025-12-15 |
| Adventhealth Tampa | Tampa FL | $17,421 | 2.9× | 4 | 2026-04-01 |
| Legacy Salmon Creek Medical Center | Portland OR | $17,682 | 2.7× | 4 | 2026-04-01 |
| Texas Health Presbyterian Hospital Dallas | Dallas-Fort Worth TX | $17,736 | 3.1× | 4 | 2026-04-21 |
| Texas Health Presbyterian Hospital Plano | Dallas-Fort Worth TX | $17,736 | 3.1× | 4 | 2026-04-21 |
| Intermountain Health Platte Valley Hospital | Denver CO | $17,844 | 2.9× | 6 | 2026-03-22 |
| Ohio State University Hospitals | Columbus OH | $17,875 | 3.2× | 3 | 2026-07-01 |
| Legacy Good Samaritan Medical Center | Portland OR | $17,905 | 2.8× | 4 | 2026-04-01 |
| St Anne Hospital | Seattle-Tacoma WA | $17,938 | 2.7× | 5 | 2026-02-28 |
| Banner Desert Medical Center | Phoenix AZ | $17,989 | 2.9× | 5 | 2026-03-02 |
| Tufts Medical Center | Boston MA | $18,024 | 2.6× | 4 | 2026-04-01 |
| Legacy Mount Hood Medical Center | Portland OR | $18,082 | 2.8× | 4 | 2026-04-01 |
| Temple University Hospital | Philadelphia PA | $18,129 | 3.1× | 7 | 2026-04-13 |
| Banner Del E. Webb Medical Center | Phoenix AZ | $18,324 | 3.0× | 5 | 2026-03-02 |
| Bon Secours Memorial Regional Medical Center | Richmond VA | $18,349 | 3.3× | 5 | 2026-04-01 |
| Tacoma General Allenmore Hospital | Seattle-Tacoma WA | $18,355 | 2.7× | 6 | 2026-08-27 |
| Multicare Auburn Medical Center | Seattle-Tacoma WA | $18,355 | 2.7× | 6 | 2026-08-27 |
| Multicare Covington Medical Center | Seattle-Tacoma WA | $18,355 | 2.7× | 6 | 2026-08-27 |
| Multicare Good Samaritan Hospital | Seattle-Tacoma WA | $18,428 | 2.7× | 6 | 2026-08-27 |
| University Health System | San Antonio TX | $18,558 | 3.2× | 2 | 2025-10-14 |
| St Clare Hospital | Seattle-Tacoma WA | $18,596 | 2.7× | 6 | 2026-02-28 |
| St Anthony Hospital | Seattle-Tacoma WA | $18,596 | 2.7× | 6 | 2026-02-28 |
| St Joseph Medical Center | Seattle-Tacoma WA | $18,596 | 2.7× | 6 | 2026-02-28 |
| St Francis Community Hospital | Seattle-Tacoma WA | $18,596 | 2.8× | 6 | 2026-02-28 |
| Banner Baywood Medical Center | Phoenix AZ | $18,752 | 3.0× | 5 | 2026-03-02 |
| Lankenau Medical Center | Philadelphia PA | $18,912 | 3.4× | 4 | 2026-04-01 |
| Medstar Georgetown University Hospital | Washington DC | $19,082 | 2.8× | 4 | 2026-04-01 |
| Hoag Memorial Hospital Presbyterian | Los Angeles CA | $19,088 | 2.5× | 1 | 2026-04-01 |
| Legacy Emanuel Medical Center | Portland OR | $19,121 | 3.0× | 4 | 2026-04-01 |
| Adventhealth Carrollwood | Tampa FL | $19,155 | 3.2× | 4 | 2026-04-01 |
| Bon Secours St. Mary's Hospital | Richmond VA | $19,390 | 3.5× | 5 | 2026-04-01 |
| Adventhealth North Pinellas | Tampa FL | $19,668 | 3.3× | 3 | 2026-04-01 |
| Thomas Jefferson University Hospital | Philadelphia PA | $19,751 | 3.4× | 5 | 2026-09-15 |
| Magee Womens Hospital Of Upmc Health System | Pittsburgh PA | $19,836 | 3.6× | 1 | 2026-03-06 |
| Swedish Issaquah | Seattle-Tacoma WA | $19,840 | 2.9× | 4 | 2026-04-01 |
| Providence St Vincent Medical Center | Portland OR | $21,076 | 3.3× | 3 | 2026-04-01 |
| Providence Portland Medical Center | Portland OR | $21,076 | 3.3× | 3 | 2026-04-01 |
| Providence Milwaukie Hospital | Portland OR | $21,076 | 3.3× | 3 | 2026-04-01 |
| Denver Health Medical Center | Denver CO | $21,320 | 3.5× | 2 | 2026-04-30 |
| UT Southwestern William P. Clements Jr. University Hospital | Dallas-Fort Worth TX | $21,568 | 3.7× | 4 | 2026-03-10 |
| Mount Carmel New Albany Surgical Hospital | Columbus OH | $21,596 | 3.9× | 20 | 2026-03-31 |
| Mount Carmel East | Columbus OH | $21,596 | 3.9× | 19 | 2026-03-31 |
| Inspira Medical Center Mullica Hill | Philadelphia PA | $21,922 | 3.4× | 5 | 2026-03-24 |
| Swedish Medical Center | Seattle-Tacoma WA | $23,269 | 3.5× | 5 | 2026-04-01 |
| Swedish Medical Center / Cherry Hill | Seattle-Tacoma WA | $23,269 | 3.5× | 5 | 2026-04-01 |
| Maimonides Medical Center | New York City | $23,344 | 3.2× | 6 | 2026-04-01 |
| Orlando Health Orlando Regional Medical Center | Florida (statewide) | $23,786 | 4.0× | 4 | 2026-04-01 |
| Wellstar Kennestone Hospital | Atlanta GA | $24,142 | 4.1× | 4 | 2026-04-01 |
| Wellstar North Fulton Hospital | Atlanta GA | $24,142 | 4.2× | 4 | 2026-04-01 |
| Keck Hospital Of Usc | Los Angeles CA | $24,669 | 3.3× | 7 | 2026-04-01 |
| NYU Langone Hospitals (Orthopedic Hospital + Tisch files) | New York City | $25,864 | 3.5× | 7 | 2026-01-01 |
| Stony Brook University Hospital | New York (statewide) | $33,011 | 4.5× | 1 | 2026-06-10 |
MS-DRG 193: Simple Pneumonia and Pleurisy With McC
127 hospitals in 39 markets. National Medicare rate $9,565.
| Market | Hospitals | 25th pct | Median | 75th pct | Low–high |
|---|---|---|---|---|---|
| Atlanta GA | 4 | — | — | — | $23,781–$25,172 |
| Austin TX | 2 | — | — | — | $8,558–$11,199 |
| Boston MA | 7 | $11,682 | $12,158 | $13,550 | $9,874–$19,157 |
| California (statewide) | 1 | — | — | — | $14,883–$14,883 |
| Charlotte NC | 2 | — | — | — | $21,856–$25,695 |
| Chicago IL | 7 | $15,234 | $18,394 | $19,816 | $12,516–$24,448 |
| Cleveland OH | 5 | $14,796 | $18,064 | $19,774 | $12,712–$20,309 |
| Columbus OH | 2 | — | — | — | $29,153–$35,222 |
| Dallas-Fort Worth TX | 4 | — | — | — | $17,478–$28,502 |
| Denver CO | 7 | $11,551 | $12,207 | $23,295 | $8,830–$27,667 |
| Detroit MI | 8 | $18,005 | $18,110 | $19,327 | $16,731–$22,664 |
| Florida (statewide) | 1 | — | — | — | $38,226–$38,226 |
| Georgia (statewide) | 1 | — | — | — | $26,124–$26,124 |
| Houston TX | 1 | — | — | — | $22,848–$22,848 |
| Illinois (statewide) | 1 | — | — | — | $10,472–$10,472 |
| Indianapolis IN | 3 | — | — | — | $15,520–$19,090 |
| Kansas (statewide) | 1 | — | — | — | $16,237–$16,237 |
| Las Vegas NV | 1 | — | — | — | $14,584–$14,584 |
| Los Angeles CA | 2 | — | — | — | $24,650–$40,234 |
| Miami-Fort Lauderdale FL | 2 | — | — | — | $16,054–$21,017 |
| Minneapolis-St. Paul MN | 6 | $19,193 | $19,654 | $21,592 | $15,103–$22,271 |
| Nashville TN | 4 | — | — | — | $11,711–$23,064 |
| New York (statewide) | 1 | — | — | — | $33,011–$33,011 |
| New York City | 2 | — | — | — | $12,956–$42,183 |
| Ohio (statewide) | 1 | — | — | — | $22,991–$22,991 |
| Pennsylvania (statewide) | 1 | — | — | — | $25,818–$25,818 |
| Philadelphia PA | 5 | $24,652 | $24,978 | $32,214 | $23,077–$35,754 |
| Phoenix AZ | 3 | — | — | — | $21,505–$21,692 |
| Pittsburgh PA | 1 | — | — | — | $23,483–$23,483 |
| Portland OR | 6 | $28,073 | $28,909 | $31,804 | $27,986–$32,578 |
| Research Triangle NC | 5 | $13,353 | $13,518 | $17,963 | $11,996–$19,278 |
| Richmond VA | 4 | — | — | — | $21,074–$31,625 |
| Salt Lake City UT | 3 | — | — | — | $22,411–$23,307 |
| San Antonio TX | 1 | — | — | — | $13,913–$13,913 |
| San Diego CA | 1 | — | — | — | $19,074–$19,074 |
| Seattle-Tacoma WA | 6 | $29,772 | $29,806 | $29,839 | $25,960–$37,395 |
| St. Louis MO | 5 | $15,216 | $16,457 | $16,457 | $6,717–$22,282 |
| Tampa FL | 4 | — | — | — | $26,632–$31,242 |
| Washington DC | 6 | $20,302 | $24,866 | $27,216 | $17,852–$31,122 |
| Hospital | Market | Median across insurers | × Medicare | Insurers | File date |
|---|---|---|---|---|---|
| Mercy Hospital South | St. Louis MO | $6,717 | 0.7× | 1 | 2026-06-10 |
| Ascension Seton Medical Center Austin | Austin TX | $8,558 | 0.9× | 1 | 2026-01-01 |
| Hca Healthone Rose | Denver CO | $8,830 | 0.9× | 5 | 2026-09-01 |
| Anna Jaques Hospital | Boston MA | $9,874 | 0.9× | 1 | 2026-04-01 |
| Sarah Bush Lincoln Health Center | Illinois (statewide) | $10,472 | 1.0× | 1 | 2026-06-03 |
| St David's Medical Center | Austin TX | $11,199 | 1.2× | 5 | 2026-09-01 |
| Beth Israel Deaconess Hospital - Plymouth | Boston MA | $11,207 | 1.0× | 1 | 2026-04-01 |
| HCA HealthONE Sky Ridge | Denver CO | $11,417 | 1.1× | 5 | 2026-09-01 |
| HCA HealthONE Swedish | Denver CO | $11,685 | 1.2× | 5 | 2026-09-01 |
| TriStar StoneCrest Medical Center | Nashville TN | $11,711 | 1.3× | 7 | 2026-09-01 |
| Duke Regional Hospital | Research Triangle NC | $11,996 | 1.3× | 4 | 2026-04-01 |
| Beverly Hospital Corporation | Boston MA | $12,158 | 1.1× | 1 | 2026-04-01 |
| Winchester Hospital | Boston MA | $12,158 | 1.1× | 1 | 2026-04-01 |
| HCA HealthONE Presbyterian/St. Luke's | Denver CO | $12,207 | 1.2× | 5 | 2026-09-01 |
| Endeavor Health Northwest Community Hospital | Chicago IL | $12,516 | 1.2× | 3 | 2026-04-01 |
| Cleveland Clinic Hillcrest Hospital | Cleveland OH | $12,712 | 1.4× | 4 | 2026-06-15 |
| Montefiore Medical Center | New York City | $12,956 | 1.1× | 1 | 2026-04-01 |
| Beth Israel Deaconess Medical Center | Boston MA | $13,089 | 1.1× | 2 | 2026-04-01 |
| UNC Rex Hospital | Research Triangle NC | $13,353 | 1.4× | 2 | 2026-04-01 |
| North Carolina Specialty Hospital | Research Triangle NC | $13,518 | 1.4× | 2 | 2026-02-25 |
| Methodist Hospital | San Antonio TX | $13,913 | 1.5× | 4 | 2026-09-01 |
| Ascension Saint Thomas Hospital (Midtown + West) | Nashville TN | $13,952 | 1.6× | 7 | 2026-01-01 |
| New England Baptist Hospital | Boston MA | $14,012 | 1.2× | 3 | 2026-04-01 |
| Endeavor Health Edward Hospital | Chicago IL | $14,447 | 1.4× | 3 | 2026-04-01 |
| University Medical Center of Southern Nevada | Las Vegas NV | $14,584 | 1.5× | 2 | 2026-07-01 |
| University Hospitals - Elyria Medical Center | Cleveland OH | $14,796 | 1.7× | 3 | 2026-07-14 |
| Los Robles Hospital & Medical Center | California (statewide) | $14,883 | 1.2× | 3 | 2026-09-01 |
| Ascension Saint Thomas Rutherford | Nashville TN | $14,932 | 1.7× | 6 | 2026-01-01 |
| Lakeview Memorial Hospital | Minneapolis-St. Paul MN | $15,103 | 1.5× | 3 | 2026-03-31 |
| Missouri Baptist Medical Center | St. Louis MO | $15,216 | 1.6× | 4 | 2025-12-15 |
| Ascension St Vincent Carmel | Indianapolis IN | $15,520 | 1.6× | 5 | 2026-01-01 |
| Ascension St Vincent Anderson | Indianapolis IN | $15,894 | 1.6× | 5 | 2026-01-01 |
| Endeavor Health Elmhurst Hospital | Chicago IL | $16,021 | 1.6× | 3 | 2026-04-01 |
| Cleveland Clinic Hospital | Miami-Fort Lauderdale FL | $16,054 | 1.6× | 4 | 2026-06-15 |
| Menorah Medical Center | Kansas (statewide) | $16,237 | 1.8× | 6 | 2026-09-01 |
| Barnes-Jewish West County Hospital | St. Louis MO | $16,457 | 1.8× | 5 | 2025-12-15 |
| Barnes-Jewish St Peters Hospital | St. Louis MO | $16,457 | 1.8× | 5 | 2025-12-15 |
| Mclaren Port Huron | Detroit MI | $16,731 | 1.8× | 1 | 2025-12-31 |
| Medical City Mckinney | Dallas-Fort Worth TX | $17,478 | 1.9× | 6 | 2026-09-01 |
| Reston Hospital Center | Washington DC | $17,852 | 1.8× | 5 | 2026-09-01 |
| Duke University Hospital | Research Triangle NC | $17,963 | 1.9× | 3 | 2026-04-01 |
| Baylor University Medical Center | Dallas-Fort Worth TX | $17,980 | 1.9× | 4 | 2026-06-29 |
| Corewell Health Beaumont Grosse Pointe Hospital | Detroit MI | $18,005 | 1.9× | 3 | 2026-05-01 |
| Corewell Health William Beaumont University Hospit | Detroit MI | $18,005 | 1.9× | 3 | 2026-05-01 |
| Corewell Health Beaumont Troy Hospital | Detroit MI | $18,005 | 1.9× | 3 | 2026-05-01 |
| Cleveland Clinic Lutheran Hospital | Cleveland OH | $18,064 | 2.0× | 5 | 2026-06-15 |
| Corewell Health Dearborn Hospital | Detroit MI | $18,214 | 1.9× | 2 | 2026-05-01 |
| Endeavor Health Evanston Hospital | Chicago IL | $18,394 | 1.8× | 3 | 2026-04-01 |
| Park Nicollet Methodist Hospital | Minneapolis-St. Paul MN | $19,039 | 1.9× | 3 | 2026-03-31 |
| Trinity Health Oakland Hospital | Detroit MI | $19,067 | 2.0× | 17 | 2026-03-31 |
| Scripps Green Hospital | San Diego CA | $19,074 | 1.6× | 6 | 2026-03-30 |
| Hendricks Regional Health | Indianapolis IN | $19,090 | 1.9× | 3 | 2026-05-20 |
| Stonesprings Hospital Center | Washington DC | $19,103 | 2.0× | 5 | 2026-09-01 |
| Lahey Hospital & Medical Center, Burlington | Boston MA | $19,157 | 1.7× | 4 | 2026-04-01 |
| Medical City Plano | Dallas-Fort Worth TX | $19,173 | 2.0× | 6 | 2026-09-01 |
| UNC Hospitals (Chapel Hill) | Research Triangle NC | $19,278 | 2.1× | 3 | 2026-04-01 |
| Loyola University Medical Center | Chicago IL | $19,504 | 1.9× | 4 | 2026-03-31 |
| Mercy Hospital (Allina, Coon Rapids) | Minneapolis-St. Paul MN | $19,654 | 2.0× | 4 | 2026-06-17 |
| United Hospital (Allina) | Minneapolis-St. Paul MN | $19,654 | 2.0× | 4 | 2026-06-16 |
| Medina Hospital | Cleveland OH | $19,774 | 2.2× | 4 | 2026-06-15 |
| Henry Ford Health Rochester Hospital | Detroit MI | $20,107 | 2.2× | 1 | 2026-01-01 |
| Rush University Medical Center | Chicago IL | $20,128 | 2.0× | 4 | 2026-09-25 |
| Cleveland Clinic (main campus) | Cleveland OH | $20,309 | 2.3× | 5 | 2026-06-16 |
| Mount Sinai Medical Center Of Florida, Inc | Miami-Fort Lauderdale FL | $21,017 | 2.1× | 3 | 2026-03-13 |
| CJW Medical Center (Chippenham + Johnston-Willis) | Richmond VA | $21,074 | 2.3× | 5 | 2026-09-01 |
| HonorHealth Scottsdale Osborn Medical Center | Phoenix AZ | $21,505 | 2.1× | 5 | 2026-04-01 |
| HonorHealth Scottsdale Shea Medical Center | Phoenix AZ | $21,505 | 2.1× | 5 | 2026-04-01 |
| HonorHealth Scottsdale Thompson Peak Medical Center | Phoenix AZ | $21,692 | 2.2× | 4 | 2026-04-01 |
| Atrium Health Pineville | Charlotte NC | $21,856 | 2.4× | 2 | 2025-12-05 |
| Abbott Northwestern Hospital | Minneapolis-St. Paul MN | $22,238 | 2.3× | 5 | 2026-06-16 |
| Buffalo Hospital | Minneapolis-St. Paul MN | $22,271 | 2.3× | 3 | 2026-06-16 |
| Barnes Jewish Hospital | St. Louis MO | $22,282 | 2.4× | 5 | 2025-12-15 |
| Mckay-Dee Hospital | Salt Lake City UT | $22,411 | 2.4× | 1 | 2026-08-05 |
| Harper University Hospital | Detroit MI | $22,664 | 2.4× | 2 | 2026-09-02 |
| Houston Methodist Hospital | Houston TX | $22,848 | 2.4× | 2 | 2026-04-01 |
| Bethesda North | Ohio (statewide) | $22,991 | 2.5× | 5 | 2026-04-01 |
| Henrico Doctors' Hospital | Richmond VA | $23,041 | 2.5× | 5 | 2026-09-01 |
| Vanderbilt University Medical Center | Nashville TN | $23,064 | 2.6× | 6 | 2025-10-01 |
| Riddle Memorial Hospital | Philadelphia PA | $23,077 | 2.4× | 4 | 2026-04-01 |
| Adventhealth Porter | Denver CO | $23,295 | 2.4× | 2 | 2026-04-01 |
| Adventhealth Parker | Denver CO | $23,295 | 2.4× | 2 | 2026-04-01 |
| Intermountain Health Utah Valley Hospital | Salt Lake City UT | $23,307 | 2.5× | 1 | 2026-08-05 |
| Lds Hospital | Salt Lake City UT | $23,307 | 2.5× | 1 | 2026-08-05 |
| Upmc Presbyterian Shadyside | Pittsburgh PA | $23,483 | 2.6× | 1 | 2026-03-06 |
| Emory University Hospital | Atlanta GA | $23,781 | 2.5× | 5 | 2026-04-01 |
| George Washington Univ Hospital | Washington DC | $23,898 | 2.1× | 3 | 2026-09-01 |
| University of Chicago Medical Center | Chicago IL | $24,448 | 2.4× | 5 | 2026-04-01 |
| Cedars-Sinai Medical Center | Los Angeles CA | $24,650 | 2.0× | 1 | 2025-11-26 |
| Jefferson Stratford Hospital | Philadelphia PA | $24,652 | 2.3× | 5 | 2026-09-15 |
| Piedmont Atlanta Hospital | Atlanta GA | $24,822 | 2.6× | 5 | 2026-07-01 |
| Bryn Mawr Hospital | Philadelphia PA | $24,978 | 2.6× | 4 | 2026-04-01 |
| Piedmont Fayette Hospital | Atlanta GA | $25,172 | 2.7× | 5 | 2026-07-01 |
| Piedmont Newnan Hospital | Atlanta GA | $25,172 | 2.7× | 5 | 2026-07-01 |
| Novant Health Matthews Medical Center | Charlotte NC | $25,695 | 2.8× | 3 | 2026-03-30 |
| VCU Medical Center | Richmond VA | $25,725 | 2.8× | 3 | 2026-01-02 |
| Lehigh Valley Hospital | Pennsylvania (statewide) | $25,818 | 2.7× | 5 | 2026-07-01 |
| Inova Alexandria Hospital | Washington DC | $25,835 | 2.7× | 5 | 2026-04-01 |
| Overlake Hospital Medical Center | Seattle-Tacoma WA | $25,960 | 2.4× | 6 | 2026-04-01 |
| Emory Houston Hospital Warner Robins | Georgia (statewide) | $26,124 | 3.2× | 4 | 2026-04-01 |
| Tampa General Hospital | Tampa FL | $26,632 | 2.7× | 4 | 2026-04-01 |
| Morton Plant Hospital | Tampa FL | $26,960 | 2.8× | 5 | 2026-01-01 |
| UCHealth University of Colorado Hospital | Denver CO | $27,667 | 2.8× | 6 | 2025-11-01 |
| Medstar Washington Hospital Center | Washington DC | $27,676 | 2.5× | 5 | 2026-04-01 |
| Legacy Mount Hood Medical Center | Portland OR | $27,986 | 2.7× | 4 | 2026-04-01 |
| Legacy Meridian Park Medical Center | Portland OR | $27,986 | 2.7× | 4 | 2026-04-01 |
| Legacy Good Samaritan Medical Center | Portland OR | $28,334 | 2.7× | 4 | 2026-04-01 |
| Adventhealth Tampa | Tampa FL | $28,412 | 2.9× | 4 | 2026-04-01 |
| Texas Health Presbyterian Hospital Dallas | Dallas-Fort Worth TX | $28,502 | 3.0× | 4 | 2026-04-21 |
| Ohio State University Hospitals | Columbus OH | $29,153 | 3.2× | 3 | 2026-07-01 |
| Legacy Emanuel Medical Center | Portland OR | $29,484 | 2.8× | 4 | 2026-04-01 |
| Multicare Good Samaritan Hospital | Seattle-Tacoma WA | $29,772 | 2.7× | 6 | 2026-08-27 |
| Tacoma General Allenmore Hospital | Seattle-Tacoma WA | $29,772 | 2.7× | 6 | 2026-08-27 |
| St Clare Hospital | Seattle-Tacoma WA | $29,839 | 2.7× | 6 | 2026-02-28 |
| St Anthony Hospital | Seattle-Tacoma WA | $29,839 | 2.7× | 6 | 2026-02-28 |
| Medstar Georgetown University Hospital | Washington DC | $31,122 | 2.8× | 4 | 2026-04-01 |
| Adventhealth Carrollwood | Tampa FL | $31,242 | 3.2× | 4 | 2026-04-01 |
| Bon Secours St. Mary's Hospital | Richmond VA | $31,625 | 3.5× | 5 | 2026-04-01 |
| Thomas Jefferson University Hospital | Philadelphia PA | $32,214 | 3.4× | 5 | 2026-09-15 |
| Providence St Vincent Medical Center | Portland OR | $32,578 | 3.1× | 3 | 2026-04-01 |
| Providence Portland Medical Center | Portland OR | $32,578 | 3.1× | 3 | 2026-04-01 |
| Stony Brook University Hospital | New York (statewide) | $33,011 | 2.8× | 1 | 2026-06-10 |
| Mount Carmel New Albany Surgical Hospital | Columbus OH | $35,222 | 3.9× | 20 | 2026-03-31 |
| Inspira Medical Center Mullica Hill | Philadelphia PA | $35,754 | 3.4× | 5 | 2026-03-24 |
| Swedish Medical Center | Seattle-Tacoma WA | $37,395 | 3.4× | 5 | 2026-04-01 |
| Orlando Health Orlando Regional Medical Center | Florida (statewide) | $38,226 | 3.9× | 4 | 2026-04-01 |
| Keck Hospital Of Usc | Los Angeles CA | $40,234 | 3.3× | 7 | 2026-04-01 |
| NYU Langone Hospitals (Orthopedic Hospital + Tisch files) | New York City | $42,183 | 3.5× | 7 | 2026-01-01 |
MS-DRG 195: Simple Pneumonia and Pleurisy Without Cc/McC
126 hospitals in 39 markets. National Medicare rate $4,573.
| Market | Hospitals | 25th pct | Median | 75th pct | Low–high |
|---|---|---|---|---|---|
| Atlanta GA | 4 | — | — | — | $11,239–$12,494 |
| Austin TX | 2 | — | — | — | $4,092–$6,426 |
| Boston MA | 7 | $5,586 | $5,814 | $6,480 | $4,721–$9,160 |
| California (statewide) | 1 | — | — | — | $8,873–$8,873 |
| Charlotte NC | 2 | — | — | — | $10,328–$12,287 |
| Chicago IL | 7 | $7,200 | $8,693 | $9,420 | $5,915–$11,690 |
| Cleveland OH | 5 | $8,637 | $8,810 | $9,454 | $7,075–$11,145 |
| Columbus OH | 1 | — | — | — | $13,940–$13,940 |
| Dallas-Fort Worth TX | 4 | — | — | — | $8,544–$13,470 |
| Denver CO | 7 | $6,036 | $6,922 | $11,139 | $5,767–$13,229 |
| Detroit MI | 8 | $8,283 | $8,609 | $8,630 | $7,234–$10,314 |
| Florida (statewide) | 1 | — | — | — | $18,066–$18,066 |
| Georgia (statewide) | 1 | — | — | — | $12,346–$12,346 |
| Houston TX | 1 | — | — | — | $10,786–$10,786 |
| Illinois (statewide) | 1 | — | — | — | $5,007–$5,007 |
| Indianapolis IN | 3 | — | — | — | $9,128–$15,894 |
| Kansas (statewide) | 1 | — | — | — | $7,764–$7,764 |
| Las Vegas NV | 1 | — | — | — | $6,892–$6,892 |
| Los Angeles CA | 2 | — | — | — | $11,787–$19,238 |
| Miami-Fort Lauderdale FL | 2 | — | — | — | $7,677–$10,049 |
| Minneapolis-St. Paul MN | 6 | $9,350 | $10,090 | $10,509 | $7,222–$11,856 |
| Nashville TN | 4 | — | — | — | $7,012–$11,028 |
| New York (statewide) | 1 | — | — | — | $33,011–$33,011 |
| New York City | 2 | — | — | — | $6,123–$20,170 |
| Ohio (statewide) | 1 | — | — | — | $10,994–$10,994 |
| Pennsylvania (statewide) | 1 | — | — | — | $13,186–$13,186 |
| Philadelphia PA | 5 | $11,788 | $11,944 | $15,404 | $11,108–$17,096 |
| Phoenix AZ | 3 | — | — | — | $10,461–$11,128 |
| Pittsburgh PA | 1 | — | — | — | $12,519–$12,519 |
| Portland OR | 6 | $14,358 | $15,068 | $15,952 | $13,308–$16,100 |
| Research Triangle NC | 5 | $6,959 | $8,020 | $9,110 | $6,430–$9,316 |
| Richmond VA | 4 | — | — | — | $10,077–$14,982 |
| Salt Lake City UT | 3 | — | — | — | $10,687–$11,114 |
| San Antonio TX | 1 | — | — | — | $7,961–$7,961 |
| San Diego CA | 1 | — | — | — | $9,120–$9,120 |
| Seattle-Tacoma WA | 6 | $14,101 | $14,118 | $14,136 | $12,378–$17,673 |
| St. Louis MO | 5 | $10,671 | $10,671 | $10,671 | $3,212–$13,387 |
| Tampa FL | 4 | — | — | — | $12,740–$14,939 |
| Washington DC | 6 | $9,708 | $11,818 | $12,978 | $8,536–$14,882 |
| Hospital | Market | Median across insurers | × Medicare | Insurers | File date |
|---|---|---|---|---|---|
| Mercy Hospital South | St. Louis MO | $3,212 | 0.7× | 1 | 2026-06-10 |
| Ascension Seton Medical Center Austin | Austin TX | $4,092 | 0.9× | 1 | 2026-01-01 |
| Anna Jaques Hospital | Boston MA | $4,721 | 0.9× | 1 | 2026-04-01 |
| Sarah Bush Lincoln Health Center | Illinois (statewide) | $5,007 | 1.0× | 1 | 2026-06-03 |
| Beth Israel Deaconess Hospital - Plymouth | Boston MA | $5,359 | 1.0× | 1 | 2026-04-01 |
| HCA HealthONE Sky Ridge | Denver CO | $5,767 | 1.2× | 5 | 2026-09-01 |
| Beverly Hospital Corporation | Boston MA | $5,814 | 1.1× | 1 | 2026-04-01 |
| Winchester Hospital | Boston MA | $5,814 | 1.1× | 1 | 2026-04-01 |
| Endeavor Health Northwest Community Hospital | Chicago IL | $5,915 | 1.2× | 3 | 2026-04-01 |
| Hca Healthone Rose | Denver CO | $6,000 | 1.3× | 5 | 2026-09-01 |
| HCA HealthONE Swedish | Denver CO | $6,071 | 1.3× | 5 | 2026-09-01 |
| Montefiore Medical Center | New York City | $6,123 | 1.1× | 1 | 2026-04-01 |
| Beth Israel Deaconess Medical Center | Boston MA | $6,259 | 1.1× | 2 | 2026-04-01 |
| St David's Medical Center | Austin TX | $6,426 | 1.4× | 5 | 2026-09-01 |
| North Carolina Specialty Hospital | Research Triangle NC | $6,430 | 1.4× | 2 | 2026-02-25 |
| New England Baptist Hospital | Boston MA | $6,700 | 1.2× | 3 | 2026-04-01 |
| Endeavor Health Edward Hospital | Chicago IL | $6,828 | 1.4× | 3 | 2026-04-01 |
| University Medical Center of Southern Nevada | Las Vegas NV | $6,892 | 1.4× | 2 | 2026-07-01 |
| HCA HealthONE Presbyterian/St. Luke's | Denver CO | $6,922 | 1.5× | 4 | 2026-09-01 |
| Duke Regional Hospital | Research Triangle NC | $6,959 | 1.6× | 4 | 2026-04-01 |
| TriStar StoneCrest Medical Center | Nashville TN | $7,012 | 1.6× | 6 | 2026-09-01 |
| University Hospitals - Elyria Medical Center | Cleveland OH | $7,075 | 1.7× | 3 | 2026-07-14 |
| Lakeview Memorial Hospital | Minneapolis-St. Paul MN | $7,222 | 1.5× | 3 | 2026-03-31 |
| Mclaren Port Huron | Detroit MI | $7,234 | 1.6× | 1 | 2025-12-31 |
| Endeavor Health Elmhurst Hospital | Chicago IL | $7,572 | 1.6× | 3 | 2026-04-01 |
| Cleveland Clinic Hospital | Miami-Fort Lauderdale FL | $7,677 | 1.6× | 4 | 2026-06-15 |
| Menorah Medical Center | Kansas (statewide) | $7,764 | 1.8× | 6 | 2026-09-01 |
| Methodist Hospital | San Antonio TX | $7,961 | 1.8× | 4 | 2026-09-01 |
| UNC Rex Hospital | Research Triangle NC | $8,020 | 1.8× | 3 | 2026-04-01 |
| Trinity Health Oakland Hospital | Detroit MI | $8,244 | 1.9× | 17 | 2026-03-31 |
| Corewell Health Dearborn Hospital | Detroit MI | $8,296 | 1.9× | 2 | 2026-05-01 |
| Reston Hospital Center | Washington DC | $8,536 | 1.8× | 5 | 2026-09-01 |
| Baylor University Medical Center | Dallas-Fort Worth TX | $8,544 | 1.9× | 4 | 2026-06-29 |
| Corewell Health Beaumont Grosse Pointe Hospital | Detroit MI | $8,609 | 1.9× | 3 | 2026-05-01 |
| Corewell Health William Beaumont University Hospit | Detroit MI | $8,609 | 1.9× | 3 | 2026-05-01 |
| Corewell Health Beaumont Troy Hospital | Detroit MI | $8,609 | 1.9× | 3 | 2026-05-01 |
| Cleveland Clinic Lutheran Hospital | Cleveland OH | $8,637 | 2.0× | 5 | 2026-06-15 |
| Endeavor Health Evanston Hospital | Chicago IL | $8,693 | 1.8× | 3 | 2026-04-01 |
| Henry Ford Health Rochester Hospital | Detroit MI | $8,694 | 1.9× | 1 | 2026-01-01 |
| Cleveland Clinic Hillcrest Hospital | Cleveland OH | $8,810 | 2.1× | 4 | 2026-06-15 |
| Los Robles Hospital & Medical Center | California (statewide) | $8,873 | 1.5× | 3 | 2026-09-01 |
| Park Nicollet Methodist Hospital | Minneapolis-St. Paul MN | $9,104 | 1.9× | 3 | 2026-03-31 |
| UNC Hospitals (Chapel Hill) | Research Triangle NC | $9,110 | 2.0× | 3 | 2026-04-01 |
| Scripps Green Hospital | San Diego CA | $9,120 | 1.6× | 6 | 2026-03-30 |
| Hendricks Regional Health | Indianapolis IN | $9,128 | 1.9× | 3 | 2026-05-20 |
| Stonesprings Hospital Center | Washington DC | $9,135 | 2.0× | 5 | 2026-09-01 |
| Lahey Hospital & Medical Center, Burlington | Boston MA | $9,160 | 1.7× | 4 | 2026-04-01 |
| Loyola University Medical Center | Chicago IL | $9,217 | 1.9× | 4 | 2026-03-31 |
| Duke University Hospital | Research Triangle NC | $9,316 | 2.1× | 4 | 2026-04-01 |
| Medina Hospital | Cleveland OH | $9,454 | 2.2× | 4 | 2026-06-15 |
| Rush University Medical Center | Chicago IL | $9,624 | 2.0× | 4 | 2026-09-25 |
| Mount Sinai Medical Center Of Florida, Inc | Miami-Fort Lauderdale FL | $10,049 | 2.1× | 3 | 2026-03-13 |
| CJW Medical Center (Chippenham + Johnston-Willis) | Richmond VA | $10,077 | 2.3× | 5 | 2026-09-01 |
| Mercy Hospital (Allina, Coon Rapids) | Minneapolis-St. Paul MN | $10,090 | 2.1× | 4 | 2026-06-17 |
| United Hospital (Allina) | Minneapolis-St. Paul MN | $10,090 | 2.1× | 4 | 2026-06-16 |
| Medical City Mckinney | Dallas-Fort Worth TX | $10,195 | 2.3× | 6 | 2026-09-01 |
| Harper University Hospital | Detroit MI | $10,314 | 2.3× | 2 | 2026-09-02 |
| Atrium Health Pineville | Charlotte NC | $10,328 | 2.4× | 2 | 2025-12-05 |
| Ascension Saint Thomas Hospital (Midtown + West) | Nashville TN | $10,387 | 2.4× | 7 | 2026-01-01 |
| HonorHealth Scottsdale Osborn Medical Center | Phoenix AZ | $10,461 | 2.2× | 5 | 2026-04-01 |
| HonorHealth Scottsdale Shea Medical Center | Phoenix AZ | $10,461 | 2.2× | 5 | 2026-04-01 |
| Buffalo Hospital | Minneapolis-St. Paul MN | $10,649 | 2.3× | 3 | 2026-06-16 |
| Missouri Baptist Medical Center | St. Louis MO | $10,671 | 2.4× | 5 | 2025-12-15 |
| Barnes-Jewish West County Hospital | St. Louis MO | $10,671 | 2.4× | 5 | 2025-12-15 |
| Barnes-Jewish St Peters Hospital | St. Louis MO | $10,671 | 2.4× | 5 | 2025-12-15 |
| Mckay-Dee Hospital | Salt Lake City UT | $10,687 | 2.4× | 1 | 2026-08-05 |
| Ascension Saint Thomas Rutherford | Nashville TN | $10,702 | 2.5× | 6 | 2026-01-01 |
| Houston Methodist Hospital | Houston TX | $10,786 | 2.4× | 2 | 2026-04-01 |
| Bethesda North | Ohio (statewide) | $10,994 | 2.5× | 5 | 2026-04-01 |
| Henrico Doctors' Hospital | Richmond VA | $11,018 | 2.5× | 5 | 2026-09-01 |
| Vanderbilt University Medical Center | Nashville TN | $11,028 | 2.6× | 6 | 2025-10-01 |
| Riddle Memorial Hospital | Philadelphia PA | $11,108 | 2.4× | 4 | 2026-04-01 |
| Intermountain Health Utah Valley Hospital | Salt Lake City UT | $11,114 | 2.5× | 1 | 2026-08-05 |
| Lds Hospital | Salt Lake City UT | $11,114 | 2.5× | 1 | 2026-08-05 |
| HonorHealth Scottsdale Thompson Peak Medical Center | Phoenix AZ | $11,128 | 2.3× | 4 | 2026-04-01 |
| Adventhealth Porter | Denver CO | $11,139 | 2.4× | 2 | 2026-04-01 |
| Adventhealth Parker | Denver CO | $11,139 | 2.4× | 2 | 2026-04-01 |
| Cleveland Clinic (main campus) | Cleveland OH | $11,145 | 2.6× | 5 | 2026-06-16 |
| Emory University Hospital | Atlanta GA | $11,239 | 2.5× | 5 | 2026-04-01 |
| George Washington Univ Hospital | Washington DC | $11,427 | 2.1× | 3 | 2026-09-01 |
| University of Chicago Medical Center | Chicago IL | $11,690 | 2.4× | 5 | 2026-04-01 |
| Cedars-Sinai Medical Center | Los Angeles CA | $11,787 | 2.0× | 1 | 2025-11-26 |
| Jefferson Stratford Hospital | Philadelphia PA | $11,788 | 2.3× | 5 | 2026-09-15 |
| Abbott Northwestern Hospital | Minneapolis-St. Paul MN | $11,856 | 2.5× | 5 | 2026-06-16 |
| Piedmont Atlanta Hospital | Atlanta GA | $11,869 | 2.6× | 5 | 2026-07-01 |
| Bryn Mawr Hospital | Philadelphia PA | $11,944 | 2.6× | 4 | 2026-04-01 |
| Medical City Plano | Dallas-Fort Worth TX | $12,144 | 2.7× | 6 | 2026-09-01 |
| VCU Medical Center | Richmond VA | $12,157 | 2.8× | 3 | 2026-01-02 |
| Piedmont Fayette Hospital | Atlanta GA | $12,185 | 2.7× | 5 | 2026-07-01 |
| Inova Alexandria Hospital | Washington DC | $12,209 | 2.6× | 5 | 2026-04-01 |
| Novant Health Matthews Medical Center | Charlotte NC | $12,287 | 2.8× | 3 | 2026-03-30 |
| Emory Houston Hospital Warner Robins | Georgia (statewide) | $12,346 | 3.2× | 4 | 2026-04-01 |
| Overlake Hospital Medical Center | Seattle-Tacoma WA | $12,378 | 2.4× | 6 | 2026-04-01 |
| Piedmont Newnan Hospital | Atlanta GA | $12,494 | 2.8× | 5 | 2026-07-01 |
| Upmc Presbyterian Shadyside | Pittsburgh PA | $12,519 | 2.9× | 1 | 2026-03-06 |
| Morton Plant Hospital | Tampa FL | $12,740 | 2.7× | 5 | 2026-01-01 |
| Tampa General Hospital | Tampa FL | $12,979 | 2.8× | 4 | 2026-04-01 |
| Lehigh Valley Hospital | Pennsylvania (statewide) | $13,186 | 2.9× | 5 | 2026-07-01 |
| UCHealth University of Colorado Hospital | Denver CO | $13,229 | 2.8× | 6 | 2025-11-01 |
| Medstar Washington Hospital Center | Washington DC | $13,234 | 2.5× | 5 | 2026-04-01 |
| Legacy Meridian Park Medical Center | Portland OR | $13,308 | 2.6× | 4 | 2026-04-01 |
| Barnes Jewish Hospital | St. Louis MO | $13,387 | 3.0× | 5 | 2025-12-15 |
| Texas Health Presbyterian Hospital Dallas | Dallas-Fort Worth TX | $13,470 | 3.0× | 4 | 2026-04-21 |
| Adventhealth Tampa | Tampa FL | $13,586 | 2.9× | 4 | 2026-04-01 |
| Ohio State University Hospitals | Columbus OH | $13,940 | 3.2× | 3 | 2026-07-01 |
| St Clare Hospital | Seattle-Tacoma WA | $14,101 | 2.7× | 6 | 2026-02-28 |
| St Anthony Hospital | Seattle-Tacoma WA | $14,101 | 2.7× | 6 | 2026-02-28 |
| Multicare Good Samaritan Hospital | Seattle-Tacoma WA | $14,136 | 2.7× | 6 | 2026-08-27 |
| Tacoma General Allenmore Hospital | Seattle-Tacoma WA | $14,136 | 2.7× | 6 | 2026-08-27 |
| Legacy Good Samaritan Medical Center | Portland OR | $14,267 | 2.8× | 4 | 2026-04-01 |
| Legacy Mount Hood Medical Center | Portland OR | $14,629 | 2.9× | 4 | 2026-04-01 |
| Medstar Georgetown University Hospital | Washington DC | $14,882 | 2.8× | 4 | 2026-04-01 |
| Adventhealth Carrollwood | Tampa FL | $14,939 | 3.2× | 4 | 2026-04-01 |
| Bon Secours St. Mary's Hospital | Richmond VA | $14,982 | 3.4× | 5 | 2026-04-01 |
| Thomas Jefferson University Hospital | Philadelphia PA | $15,404 | 3.4× | 5 | 2026-09-15 |
| Legacy Emanuel Medical Center | Portland OR | $15,506 | 3.1× | 4 | 2026-04-01 |
| Ascension St Vincent Carmel | Indianapolis IN | $15,520 | 3.3× | 5 | 2026-01-01 |
| Ascension St Vincent Anderson | Indianapolis IN | $15,894 | 3.3× | 5 | 2026-01-01 |
| Providence St Vincent Medical Center | Portland OR | $16,100 | 3.2× | 3 | 2026-04-01 |
| Providence Portland Medical Center | Portland OR | $16,100 | 3.2× | 3 | 2026-04-01 |
| Inspira Medical Center Mullica Hill | Philadelphia PA | $17,096 | 3.4× | 5 | 2026-03-24 |
| Swedish Medical Center | Seattle-Tacoma WA | $17,673 | 3.4× | 5 | 2026-04-01 |
| Orlando Health Orlando Regional Medical Center | Florida (statewide) | $18,066 | 3.9× | 4 | 2026-04-01 |
| Keck Hospital Of Usc | Los Angeles CA | $19,238 | 3.3× | 7 | 2026-04-01 |
| NYU Langone Hospitals (Orthopedic Hospital + Tisch files) | New York City | $20,170 | 3.5× | 7 | 2026-01-01 |
| Stony Brook University Hospital | New York (statewide) | $33,011 | 5.8× | 1 | 2026-06-10 |
Questions
How much do commercial insurers pay hospitals for pneumonia (hospital stay)?
Across 313 hospitals in 41 metro areas that post a usable dollar rate, the median commercial rate for inpatient stay (MS-DRG 194) is $13,655, 2.3× the same hospital's local Medicare base rate. The middle half of hospitals runs $11,070 to $16,282. 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: Mercy Hospital South ($4,118), Ascension Seton Medical Center Austin ($5,247), Emerson Hospital - ($5,508). Highest: Stony Brook University Hospital ($33,011), NYU Langone Hospitals (Orthopedic Hospital + Tisch files) ($25,864), Keck Hospital Of Usc ($24,669). Coverage is limited to the markets listed on this page.