How much does Pneumonia (severe) cost?
MS-DRG 193 · Inpatient stay · 2,442 U.S. hospitals publish a price
Cheapest quarter
under $33,306
Typical charge
$46,587
Dearest quarter
over $68,738
Actually paid
$12,158
The middle U.S. hospital bills $46,587 for Pneumonia (severe). The dearest hospitals charge about 4.1x what the cheapest do for the same coded work. Medicare actually paid about $12,158 per case.
These are charges, not quotes. What you pay depends on your insurance and your own case. The figures matter because the charge is where an uninsured or out-of-network bill starts.
Pneumonia (severe) cost by state
The middle charge in each state where at least three hospitals publish a price, cheapest first.
| State | Hospitals | Typical charge | Range |
|---|---|---|---|
| Maryland | 40 | $16,907 | $12,379 – $34,675 |
| Massachusetts | 49 | $23,460 | $14,209 – $77,969 |
| Wyoming | 7 | $29,045 | $22,449 – $54,703 |
| Montana | 10 | $29,373 | $19,846 – $43,524 |
| Iowa | 27 | $29,569 | $17,530 – $66,171 |
| South Dakota | 9 | $29,734 | $18,170 – $53,257 |
| Vermont | 6 | $30,701 | $21,580 – $41,838 |
| North Dakota | 6 | $31,330 | $26,015 – $40,577 |
| Utah | 22 | $32,324 | $21,761 – $54,016 |
| Arkansas | 33 | $33,083 | $14,982 – $131,454 |
| Rhode Island | 9 | $33,703 | $26,872 – $58,704 |
| Michigan | 69 | $33,886 | $14,594 – $63,765 |
| Mississippi | 37 | $34,114 | $9,462 – $131,741 |
| Minnesota | 42 | $34,444 | $17,310 – $82,957 |
| Wisconsin | 53 | $34,936 | $21,632 – $66,593 |
| Oregon | 24 | $36,597 | $18,689 – $54,019 |
| New Hampshire | 13 | $36,854 | $26,296 – $79,872 |
| North Carolina | 72 | $36,881 | $16,120 – $91,652 |
| Maine | 13 | $37,107 | $26,981 – $64,452 |
| West Virginia | 21 | $37,232 | $16,446 – $76,396 |
| Virginia | 66 | $38,193 | $20,669 – $124,701 |
| Delaware | 6 | $38,291 | $19,001 – $44,920 |
| Oklahoma | 47 | $38,561 | $18,948 – $147,433 |
| Ohio | 101 | $38,985 | $19,313 – $86,933 |
| Alabama | 45 | $39,929 | $17,955 – $137,309 |
| Indiana | 70 | $40,094 | $18,571 – $86,227 |
| Nebraska | 16 | $40,204 | $33,238 – $54,945 |
| Kansas | 29 | $40,445 | $14,065 – $135,919 |
| Missouri | 56 | $40,656 | $21,175 – $153,571 |
| Idaho | 10 | $41,789 | $29,555 – $62,644 |
| New Mexico | 20 | $42,057 | $19,221 – $112,564 |
| Tennessee | 63 | $42,150 | $14,008 – $116,073 |
| Kentucky | 55 | $43,277 | $19,540 – $79,587 |
| Connecticut | 25 | $44,667 | $18,649 – $66,097 |
| South Carolina | 46 | $45,322 | $27,923 – $103,569 |
| Louisiana | 37 | $45,708 | $15,288 – $116,768 |
| Illinois | 102 | $48,072 | $23,293 – $103,318 |
| Hawaii | 11 | $48,691 | $37,409 – $62,026 |
| Georgia | 73 | $49,499 | $19,243 – $119,594 |
| Pennsylvania | 109 | $49,663 | $12,247 – $176,426 |
| New York | 116 | $51,154 | $13,642 – $159,475 |
| Arizona | 49 | $53,088 | $9,396 – $125,399 |
| Washington | 42 | $54,328 | $23,006 – $90,334 |
| District of Columbia | 5 | $58,303 | $44,210 – $148,700 |
| Texas | 179 | $61,888 | $18,291 – $182,287 |
| Colorado | 38 | $62,129 | $30,044 – $131,037 |
| Florida | 159 | $70,906 | $21,626 – $181,473 |
| Alaska | 7 | $71,658 | $45,179 – $109,677 |
| California | 223 | $83,191 | $34,067 – $257,291 |
| New Jersey | 56 | $90,941 | $48,905 – $375,925 |
| Nevada | 19 | $101,981 | $31,087 – $210,879 |
Where Pneumonia (severe) is charged least
Hospitals that performed it at least eleven times, so a single case cannot set the figure.
| Hospital | Charged | Actually paid |
|---|---|---|
|
Tuba City Regional Health Care Corporation
Tuba City, AZ |
$9,396 | $16,848 |
|
Neshoba County General Hospital
Philadelphia, MS |
$9,462 | $11,239 |
|
Washington Hospital, The
Washington, PA |
$12,247 | $9,748 |
|
Suburban Hospital
Bethesda, MD |
$12,379 | $11,037 |
|
Medstar Montgomery Medical Center
Olney, MD |
$13,106 | $11,709 |
|
Johns Hopkins Howard County Medical Center
Columbia, MD |
$13,119 | $12,032 |
|
Meritus Medical Center
Hagerstown, MD |
$13,590 | $12,574 |
|
University Of Md Baltimore Washington Medical Center
Glen Burnie, MD |
$13,625 | $12,625 |
|
Nicholas H Noyes Memorial Hospital
Dansville, NY |
$13,642 | $12,729 |
|
Bertrand Chaffee Hospital
Springville, NY |
$13,644 | $12,341 |
|
Claiborne Medical Center
Tazewell, TN |
$14,008 | $9,070 |
|
Frederick Health Hospital
Frederick, MD |
$14,053 | $12,860 |
Where it is charged most
Hospitals that performed it at least eleven times, so a single case cannot set the figure.
| Hospital | Charged | Actually paid |
|---|---|---|
|
Capital Health Regional Medical Center
Trenton, NJ |
$375,925 | $15,412 |
|
Carepoint Health - Bayonne Medical Center
Bayonne, NJ |
$339,310 | $15,744 |
|
Capital Health Medical Center - Hopewell
Pennington, NJ |
$300,760 | $14,212 |
|
Stanford Health Care
Stanford, CA |
$257,291 | $27,695 |
|
Good Samaritan Hospital
San Jose, CA |
$253,335 | $15,994 |
|
San Ramon Regional Medical Center
San Ramon, CA |
$247,858 | $14,233 |
|
Doctors Medical Center
Modesto, CA |
$246,652 | $13,783 |
|
Regional Medical Center Of San Jose
San Jose, CA |
$228,524 | $16,775 |
|
Cedars-Sinai Medical Center
Los Angeles, CA |
$223,597 | $19,803 |
|
Centennial Hills Hospital Medical Center
Las Vegas, NV |
$210,879 | $12,400 |
|
Ucla West Valley Medical Center
West Hills, CA |
$210,315 | $13,133 |
|
Uci Health - Los Alamitos
Los Alamitos, CA |
$208,478 | $12,443 |
Questions people ask
How much does Pneumonia (severe) cost in the United States?
Across 2,442 U.S. hospitals, the middle charge for Pneumonia (severe) is $46,587. Half of hospitals charge less than that and half charge more. The cheapest quarter charge under $33,306 and the dearest quarter over $68,738.
Why do hospitals charge such different amounts for the same procedure?
Because a hospital charge is a list price it sets itself, not a regulated rate. For Pneumonia (severe), the hospitals in the dearest tenth charge about 4.1x what the cheapest tenth charge for the same coded work. Insurers negotiate their own rates from those lists, which is why the charge and what is actually paid can be very far apart.
Is that what I would actually pay?
No. $12,158 is roughly what Medicare actually paid per case, against an average charge of $60,101. If you have insurance, your plan pays a negotiated rate and you pay your deductible and coinsurance. If you are uninsured or out of network, the hospital's charge is where your bill starts — which is why the gap matters. Ask for a written good-faith estimate before treatment.
What this code covers
CMS records this work as MS-DRG 193: “SIMPLE PNEUMONIA AND PLEURISY WITH MCC”. A DRG covers a whole inpatient stay rather than a single item, so the charge includes the room, the procedure and the care around it. Codes that mention complications carry a different, usually higher price.