US Health Care Costs

Pneumonia, with complications in Pennsylvania

MS-DRG 194: Simple pneumonia and pleurisy with cc

$33,884typical hospital bill
$6,929typical amount paid
$5,401–$15,688range paid across 80 hospitals

Pennsylvania hospitals billed Medicare a typical $33,884 for this stay in 2024, about 4.9 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
St Clair HospitalPittsburgh16$14,878$5,401
Upmc PassavantPittsburgh21$37,977$5,475
Jefferson Lansdale HospitalLansdale31$24,951$5,491
Jefferson HospitalJefferson Hills20$31,876$5,590
Wilkes-Barre General HospitalWilkes-Barre20$54,114$5,605
Excela Health - Frick HospitalMount Pleasant11$21,474$5,669
Wellspan Evangelical Community HospitalLewisburg21$45,483$5,670
Upmc EastMonroeville11$44,890$5,798
Upmc CarlisleCarlisle13$38,407$5,817
Paoli HospitalPaoli63$52,323$5,839
Pottstown HospitalPottstown19$52,875$5,897
St Luke's Hospital - Grand View CampusSellersville41$29,117$5,919
Heritage Valley SewickleySewickley18$13,808$5,933
Forbes HospitalMonroeville18$31,869$5,951
Upmc NorthwestSeneca25$25,050$5,986
Chester County HospitalWest Chester76$36,283$6,072
Excela Health Westmoreland Regional HospitalGreensburg16$18,657$6,079
Riddle Memorial HospitalMedia38$56,105$6,091
Independence Health System Butler Memorial HospitaButler16$21,991$6,116
Penn Highlands DuboisDubois28$14,828$6,194
Holy Redeemer Hospital and Medical CenterMeadowbrook32$21,037$6,233
Regional Hospital of ScrantonScranton14$49,413$6,239
The Washington HospitalWashington17$12,144$6,250
Gettysburg HospitalGettysburg11$25,389$6,314
St Luke's Hospital - Monroe CampusStroudsburg16$63,527$6,324
Upmc HorizonGreenville19$33,675$6,393
Meadville Medical CenterMeadville22$22,860$6,419
Uniontown HospitalUniontown20$26,172$6,447
Bryn Mawr HospitalBryn Mawr56$47,301$6,473
Upmc AltoonaAltoona19$31,129$6,487
Heritage Valley BeaverBeaver17$12,395$6,545
Excela Health Latrobe HospitalLatrobe12$22,288$6,683
Upmc MemorialYork16$37,446$6,694
Upmc WilliamsportWilliamsport24$31,110$6,727
Phoenixville HospitalPhoenixville27$41,908$6,772
Geisinger-Community Medical CenterScranton29$60,502$6,787
Lehigh Valley Hospital - PoconoEast Stroudsburg30$41,579$6,791
Upmc HanoverHanover30$34,092$6,842
Doylestown HospitalDoylestown33$21,395$6,927
St Mary Medical CenterLanghorne64$22,767$6,928
Lancaster General HospitalLancaster45$26,280$6,931
Jefferson Abington HospitalAbington73$26,258$7,034
Penn State Health St. JosephReading25$31,824$7,034
Schuylkill Medical Center - South Jackson StreetPottsville16$38,599$7,055
Wayne Memorial HospitalHonesdale37$33,211$7,060
Upmc Bedford MemorialEverett13$20,855$7,080
Penn State Health Holy Spirit Medical CenterCamp Hill23$30,861$7,133
Conemaugh Memorial Medical CenterJohnstown13$23,980$7,210
Saint Vincent HospitalErie18$34,209$7,269
Upmc St MargaretPittsburgh20$51,143$7,316
Penn State Health Lancaster Medical CenterLancaster14$31,334$7,320
Reading HospitalWest Reading45$35,188$7,335
Wellspan Chambersburg HospitalChambersburg27$19,293$7,338
Geisinger Wyoming Valley Medical CenterWilkes Barre22$71,043$7,394
St Luke's Hospital - Upper Bucks CampusQuakertown12$84,067$7,494
Upmc Pinnacle HospitalsHarrisburg57$32,680$7,544
Upmc HamotErie28$51,844$7,636
Lehigh Valley Hospital - Dickson CityDickson City13$36,149$7,643
Lehigh Valley HospitalAllentown118$47,429$7,645
Wellspan York HospitalYork37$27,445$7,790
Geisinger-Lewistown HospitalLewistown18$39,651$7,812
Robert Packer HospitalSayre40$31,798$7,823
Jefferson Einstein Montgomery HospitalEast Norriton26$26,481$7,847
Main Line Hospital LankenauWynnewood34$51,252$8,069
Mount Nittany Medical CenterState College18$28,559$8,076
Jefferson Health- NortheastPhiladelphia26$25,070$8,080
Temple Health - Chestnut Hill HospitalPhiladelphia25$96,099$8,179
Independence Health System Clarion HospitalClarion14$13,859$8,361
Pennsylvania HospitalPhiladelphia22$60,536$8,409
Upmc MercyPittsburgh14$44,911$8,872
Geisinger Medical CenterDanville17$54,228$9,003
St Lukes HospitalBethlehem29$62,402$9,016
Penn Presbyterian Medical CenterPhiladelphia11$50,774$9,089
Penn State Health Hampden Medical CenterEnola13$26,774$9,341
St Luke's Hospital - Anderson CampusEaston18$59,998$9,361
Upmc Presbyterian ShadysidePittsburgh24$93,971$9,785
Milton S Hershey Medical CenterHershey30$37,877$9,788
Thomas Jefferson University HospitalPhiladelphia28$37,206$10,427
Temple University HospitalPhiladelphia57$94,754$10,982
Hospital of Univ of PennsylvaniaPhiladelphia40$123,613$15,688

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.