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Pneumonia (hospital stay) in Pennsylvania: what insurers pay

Posted commercial rates at 17 Pennsylvania hospitals, each next to its own Medicare base rate.

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MS-DRG 194

HospitalMedian across insurers× MedicareInsurersFile date
Upmc Washington Washington$8,1221.5×42026-03-06
Jefferson Abington Hospital Abington$12,6802.3×62026-09-15
Upmc St Margaret Pittsburgh$12,6822.3×12026-03-06
Upmc East Monroeville$12,8552.3×12026-03-06
Upmc Mercy Pittsburgh$13,0422.3×12026-03-06
Jefferson Einstein Montgomery Hospital East Norriton$13,1312.4×52026-09-15
Paoli Hospital Paoli$14,0382.5×42026-04-01
Riddle Memorial Hospital Media$14,3442.4×42026-04-01
Upmc Passavant Pittsburgh$14,9722.7×12026-03-07
Bryn Mawr Hospital Bryn Mawr$15,3152.6×42026-04-01
Jefferson Health-Northeast Philadelphia$16,4362.8×52026-09-15
Upmc Presbyterian Shadyside Pittsburgh$16,6643.0×12026-03-06
Lehigh Valley Hospital Allentown$16,9082.9×52026-07-01
Temple University Hospital Philadelphia$18,1293.1×72026-04-13
Lankenau Medical Center Wynnewood$18,9123.4×42026-04-01
Thomas Jefferson University Hospital Philadelphia$19,7513.4×52026-09-15
Magee Womens Hospital Of Upmc Health System Pittsburgh$19,8363.6×12026-03-06

MS-DRG 193

HospitalMedian across insurers× MedicareInsurersFile date
Riddle Memorial Hospital Media$23,0772.4×42026-04-01
Upmc Presbyterian Shadyside Pittsburgh$23,4832.6×12026-03-06
Bryn Mawr Hospital Bryn Mawr$24,9782.6×42026-04-01
Lehigh Valley Hospital Allentown$25,8182.7×52026-07-01
Thomas Jefferson University Hospital Philadelphia$32,2143.4×52026-09-15

MS-DRG 195

HospitalMedian across insurers× MedicareInsurersFile date
Riddle Memorial Hospital Media$11,1082.4×42026-04-01
Bryn Mawr Hospital Bryn Mawr$11,9442.6×42026-04-01
Upmc Presbyterian Shadyside Pittsburgh$12,5192.9×12026-03-06
Lehigh Valley Hospital Allentown$13,1862.9×52026-07-01
Thomas Jefferson University Hospital Philadelphia$15,4043.4×52026-09-15

Questions

How much do insurers pay for pneumonia (hospital stay) in Pennsylvania?

17 Pennsylvania hospitals post usable commercial rates for pneumonia (hospital stay) in their federal price-transparency files. For inpatient stay (MS-DRG 194), the median across 17 hospitals is $14,972, 2.6× each hospital's local Medicare base rate. Your share depends on your plan's deductible and coinsurance; the surgeon and anesthesia bill separately.