Pneumonia, with complications in Massachusetts
MS-DRG 194: Simple pneumonia and pleurisy with cc
$16,078typical hospital bill
$7,478typical amount paid
$6,374–$16,846range paid across 46 hospitals
Massachusetts hospitals billed Medicare a typical $16,078 for this stay in 2024, about 2.1 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)
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.