How much does Pneumonia (uncomplicated) cost?
MS-DRG 195 · Inpatient stay · 115 U.S. hospitals publish a price
Cheapest quarter
under $19,763
Typical charge
$26,428
Dearest quarter
over $36,705
Actually paid
$5,989
The middle U.S. hospital bills $26,428 for Pneumonia (uncomplicated). The dearest hospitals charge about 3.8x what the cheapest do for the same coded work. Medicare actually paid about $5,989 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 (uncomplicated) 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 | 6 | $9,214 | $6,199 – $10,833 |
| Massachusetts | 8 | $14,152 | $12,212 – $18,783 |
| Indiana | 3 | $18,239 | $16,755 – $26,687 |
| Georgia | 3 | $19,802 | $16,039 – $36,949 |
| Kentucky | 5 | $21,249 | $14,712 – $26,428 |
| Ohio | 3 | $21,606 | $13,331 – $23,951 |
| Missouri | 5 | $21,654 | $19,694 – $49,228 |
| Illinois | 5 | $22,312 | $20,740 – $35,444 |
| North Carolina | 5 | $24,775 | $16,731 – $29,533 |
| Pennsylvania | 4 | $27,289 | $20,883 – $35,324 |
| Texas | 3 | $27,505 | $21,911 – $50,998 |
| Arizona | 4 | $29,922 | $10,805 – $74,817 |
| Florida | 14 | $34,195 | $20,430 – $63,715 |
| New Jersey | 9 | $47,455 | $30,595 – $69,148 |
| New York | 12 | $48,278 | $12,208 – $57,587 |
| California | 5 | $51,489 | $25,676 – $65,516 |
Where Pneumonia (uncomplicated) is charged least
Hospitals that performed it at least eleven times, so a single case cannot set the figure.
| Hospital | Charged | Actually paid |
|---|---|---|
|
University Of Md Baltimore Washington Medical Center
Glen Burnie, MD |
$6,199 | $5,725 |
|
Johns Hopkins Howard County Medical Center
Columbia, MD |
$6,287 | $5,800 |
|
Luminis Health Anne Arundel Medical Center, Inc
Annapolis, MD |
$9,158 | $8,494 |
|
Frederick Health Hospital
Frederick, MD |
$9,269 | $8,457 |
|
Umd Upper Chesapeake Medical Center
Bel Air, MD |
$10,522 | $9,617 |
|
Chinle Comprehensive Health Care Facility
Chinle, AZ |
$10,805 | $8,767 |
|
Greater Baltimore Medical Center
Baltimore, MD |
$10,833 | $9,638 |
|
Crouse Hospital
Syracuse, NY |
$12,208 | $6,319 |
|
Winchester Hospital
Winchester, MA |
$12,212 | $5,510 |
|
Anna Jaques Hospital
Newburyport, MA |
$12,629 | $5,652 |
|
Firelands Regional Medical Center
Sandusky, OH |
$13,331 | $4,944 |
|
South Shore Hospital
South Weymouth, MA |
$13,390 | $5,247 |
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 |
|---|---|---|
|
Exceptional Community Hospital Yuma
Yuma, AZ |
$74,817 | $4,197 |
|
Cooperman Barnabas Medical Center
Livingston, NJ |
$69,148 | $8,530 |
|
Sharp Chula Vista Medical Center
Chula Vista, CA |
$65,516 | $7,596 |
|
Marion Communtiy Hospital
Ocala, FL |
$63,715 | $5,626 |
|
Torrance Memorial Medical Center
Torrance, CA |
$59,683 | $6,224 |
|
Long Island Jewish Medical Center
New Hyde Park, NY |
$57,587 | $7,759 |
|
Nyu Langone Hospitals
New York, NY |
$56,773 | $10,226 |
|
West Jersey Hospital
Voorhees, NJ |
$55,774 | $5,830 |
|
Community Medical Center
Toms River, NJ |
$53,681 | $5,628 |
|
North Shore University Hospital
Manhasset, NY |
$52,908 | $8,861 |
|
New York-Presbyterian Hospital
New York, NY |
$52,448 | $8,565 |
|
New York Community Hospital Of Brooklyn, Inc.
Brooklyn, NY |
$52,175 | $6,910 |
Questions people ask
How much does Pneumonia (uncomplicated) cost in the United States?
Across 115 U.S. hospitals, the middle charge for Pneumonia (uncomplicated) is $26,428. Half of hospitals charge less than that and half charge more. The cheapest quarter charge under $19,763 and the dearest quarter over $36,705.
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 (uncomplicated), the hospitals in the dearest tenth charge about 3.8x 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. $5,989 is roughly what Medicare actually paid per case, against an average charge of $29,430. 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 195: “SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/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.