US Health Care Costs

Pneumonia, with complications in California

MS-DRG 194: Simple pneumonia and pleurisy with cc

$65,875typical hospital bill
$9,047typical amount paid
$6,330–$22,612range paid across 109 hospitals

California hospitals billed Medicare a typical $65,875 for this stay in 2024, about 7.3 times what was actually paid. Medicare's payment depends mostly on the hospital's location and teaching role; the bill depends on the hospital's own price list, so bills vary far more than payments.

Billed (list price)Actually paid (Medicare + patient)

HospitalCityMedicare staysBilledPaid
Palomar Medical Center PowayPoway18$88,895$6,330
Usc Arcadia HospitalArcadia17$65,698$6,856
Torrance Memorial Medical CenterTorrance44$80,194$7,851
Adventist Health Simi ValleySimi Valley12$93,096$7,859
French Hospital Medical CenterSan Luis Obispo11$47,905$7,914
Memorialcare Saddleback Medical CenterLaguna Hills14$75,052$7,944
Enloe HealthChico60$68,302$8,004
Adventist Health Lodi MemorialLodi15$85,751$8,113
Usc Verdugo Hills HospitalGlendale21$49,820$8,168
Saint John's Health CenterSanta Monica19$45,611$8,214
Clovis Community Medical CenterClovis45$51,586$8,236
Palomar Health Downtown CampusEscondido31$83,706$8,238
San Antonio Regional HospitalUpland29$63,859$8,289
Adventist Health BakersfieldBakersfield11$52,643$8,315
Uci Health - Fountain ValleyFountain Valley25$121,566$8,355
Providence Cedars Sinai Tarzana Medical CenterTarzana13$65,875$8,360
Hoag Memorial Hospital PresbyterianNewport Beach94$45,357$8,370
Memorial Medical CenterModesto36$57,822$8,391
Sharp Coronado Hospital and Hlthcr CtrCoronado12$70,286$8,411
St Johns Regional Medical CenterOxnard25$47,643$8,417
Uci Health-Placentia LindaPlacentia12$132,828$8,439
Mercy Hospital of FolsomFolsom17$61,401$8,446
Emanate Health Foothill Presbyterian HospitalGlendora12$50,661$8,450
Marshall Medical CenterPlacerville19$50,624$8,503
El Centro Regional Medical CenterEl Centro12$38,403$8,531
Providence Saint Joseph Medical CtrBurbank33$70,554$8,546
Los Robles Hospital & Medical CenterThousand Oaks27$114,462$8,584
Alhambra Hospital Medical CenterAlhambra12$66,778$8,618
Providence Mission HospitalMission Viejo19$50,128$8,618
Uci Health-LakewoodLakewood20$108,619$8,619
Huntington HospitalPasadena30$76,732$8,680
Ucla West Valley Medical CenterWest Hills15$140,853$8,683
Garden Grove Hospital & Medical CenterGarden Grove11$43,508$8,705
Grossmont HospitalLa Mesa54$65,144$8,714
Henry Mayo Newhall HospitalValencia22$82,377$8,715
Mercy HospitalBakersfield13$64,012$8,717
Sutter Roseville Medical CenterRoseville46$54,086$8,719
Emanuel Medical CenterTurlock16$114,869$8,726
Doctors Medical CenterModesto12$154,982$8,800
Los Angeles Community HospitalLos Angeles12$39,746$8,818
San Ramon Regional Medical CenterSan Ramon19$157,041$8,841
Garfield Medical CenterMonterey Park12$85,833$8,849
Adventist Health and RideoutMarysville23$67,782$8,854
Marian Regional Medical CenterSanta Maria16$54,508$8,855
Santa Barbara Cottage HospitalSanta Barbara41$59,982$8,885
Glendale Mem Hospital & Hlth CenterGlendale14$67,588$8,888
Southern California Hospital at HollywoodHollywood19$63,520$8,906
Providence St. Joseph HospitalOrange21$31,894$8,934
Scripps Memorial Hospital - EncinitasEncinitas20$40,676$8,963
Sutter Auburn Faith HospitalAuburn13$34,426$8,977
St Bernardine Medical CenterSan Bernardino11$66,680$8,980
Providence Little Company of Mary Med Ctr TorranceTorrance14$51,946$9,010
Lompoc Valley Medical CenterLompoc13$36,002$9,012
Mercy General HospitalSacramento12$59,859$9,019
Hollywood Presbyterian Medical CenterLos Angeles12$52,272$9,047
Valley Presbyterian HospitalVan Nuys14$34,543$9,048
Loma Linda University Medical Center-MurrietaMurrieta17$53,594$9,067
Memorialcare Orange Coast Medical CenterFountain Valley22$79,655$9,124
Scripps Memorial Hospital La JollaLa Jolla30$48,814$9,143
West Anaheim Medical CenterAnaheim25$36,454$9,145
Uci Health - Los AlamitosLos Alamitos21$144,509$9,222
Eisenhower Medical CenterRancho Mirage45$67,734$9,252
Glendale Adventist Medical CenterGlendale56$83,652$9,289
Community Regional Medical CenterFresno30$62,244$9,292
Pomona Valley Hospital Medical CenterPomona11$76,815$9,335
Scripps Mercy HospitalSan Diego22$52,786$9,341
Community Hospital of the Monterey PeninsulaMonterey37$74,668$9,351
Mercy Medical CenterMerced22$77,747$9,366
Memorialcare Long Beach Medical CenterLong Beach21$79,509$9,381
Sharp Chula Vista Medical CenterChula Vista35$76,253$9,431
El Camino HealthMountain View60$89,050$9,446
Emanate Health Inter-Community HospitalCovina23$46,490$9,451
John Muir Medical Center - Concord CampusConcord22$83,923$9,566
Saint Agnes Medical CenterFresno53$39,201$9,578
Washington HospitalFremont39$72,924$9,583
Southwest Healthcare Rancho Springs HospitalMurrieta15$68,746$9,587
Kaweah Health Medical CenterVisalia76$34,730$9,589
Salinas Valley Health Medical CenterSalinas28$82,859$9,591
Community Memorial Hospital - VenturaVentura28$31,094$9,598
Eden Medical CenterCastro Valley14$42,953$9,668
Providence St. Jude Medical CenterFullerton12$36,269$9,731
Desert Regional Medical CenterPalm Springs21$101,658$9,815
Good Samaritan HospitalSan Jose31$152,200$9,849
Providence Queen of the Valley Medical CenterNapa17$81,284$9,966
Bakersfield Memorial HospitalBakersfield12$59,449$10,062
Northbay Medical CenterFairfield19$123,119$10,065
Marinhealth Medical CenterGreenbrae16$86,303$10,217
John Muir Medical Center - Walnut Creek CampusWalnut Creek24$92,822$10,235
Riverside Community HospitalRiverside12$128,286$10,300
Sutter Santa Rosa Regional HospitalSanta Rosa15$45,599$10,513
Regional Medical Center of San JoseSan Jose13$161,184$10,565
Mercy San Juan Medical CenterCarmichael22$65,533$10,882
Scripps Green HospitalLa Jolla19$34,304$10,890
Dominican HospitalSanta Cruz22$116,013$10,898
Barton Memorial HospitalSouth Lake Tahoe17$73,847$11,273
Sutter Medical Center, SacramentoSacramento20$51,525$11,484
Natividad Medical CenterSalinas12$60,057$11,496
Temecula Valley HospitalTemecula12$73,198$11,593
Sharp Memorial HospitalSan Diego45$61,707$11,743
Cedars-Sinai Medical CenterLos Angeles89$146,002$12,662
California Pacific Medical Center- Van Ness CampusSan Francisco19$56,204$13,560
University of California Davis Medical CenterSacramento25$62,908$13,594
Uci Health-OrangeOrange22$60,511$14,116
Ucsf Medical CenterSan Francisco18$69,508$14,515
Uc San Diego Health Hillcrest - Hillcrest Med CtrSan Diego29$49,118$14,584
Santa Clara Valley Medical CenterSan Jose24$80,564$14,903
Stanford Health CareStanford52$140,880$16,396
Zuckerberg San Francisco General Hosp & Trauma CtrSan Francisco17$71,174$17,892
Contra Costa Regional Medical CenterMartinez16$39,476$22,612

Medicare: CMS, 2024 (hospitals with 11 or more Medicare stays). Cash and insurer prices: hospitals' own price files, where read; insurer figures are commercial plans only, median and 10th–90th percentile across plans.