US Health Care Costs

Pneumonia, with major complications in Pennsylvania

MS-DRG 193: Simple pneumonia and pleurisy with mcc

$49,663typical hospital bill
$10,474typical amount paid
$8,717–$22,598range paid across 109 hospitals

Pennsylvania hospitals billed Medicare a typical $49,663 for this stay in 2024, about 4.7 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
Canonsburg General HospitalCanonsburg19$49,605$8,717
St Clair HospitalPittsburgh76$26,020$8,753
Jefferson Lansdale HospitalLansdale54$37,106$8,773
Excela Health - Frick HospitalMount Pleasant27$26,783$8,859
Heritage Valley SewickleySewickley25$17,629$8,874
Allegheny Valley HospitalNatrona24$38,060$9,083
Excela Health Westmoreland Regional HospitalGreensburg44$32,287$9,119
Geisinger St. Luke's HospitalOrwigsburg39$53,877$9,129
Lehigh Valley Hospital - Dickson CityDickson City19$55,400$9,160
Jefferson HospitalJefferson Hills68$52,144$9,230
Sharon Regional Medical CenterSharon21$37,218$9,260
Upmc NorthwestSeneca44$41,918$9,265
St Luke's Hospital - Grand View CampusSellersville70$46,040$9,317
Upmc EastMonroeville37$62,734$9,326
St Luke's Hospital - Carbon CampusLehighton19$66,904$9,368
Lehigh Valley Hospital - HazletonHazleton39$54,807$9,391
Upmc PassavantPittsburgh59$63,097$9,395
Excela Health Latrobe HospitalLatrobe22$27,572$9,404
Independence Health System Butler Memorial HospitaButler36$33,963$9,408
Riddle Memorial HospitalMedia76$78,289$9,422
Penn Highlands Mon ValleyMonongahela17$34,513$9,426
Wellspan Ephrata Community HospitalEphrata26$40,969$9,478
Paoli HospitalPaoli120$83,248$9,499
Upmc HorizonGreenville38$39,918$9,509
Wellspan Evangelical Community HospitalLewisburg26$60,165$9,528
Indiana Regional Medical CenterIndiana21$23,999$9,529
Upmc JamesonNew Castle45$24,207$9,551
Pottstown HospitalPottstown42$79,928$9,567
Penn Highlands DuboisDubois35$21,898$9,576
Regional Hospital of ScrantonScranton107$66,803$9,593
Chester County HospitalWest Chester100$46,438$9,698
Penn State Health Holy Spirit Medical CenterCamp Hill29$44,951$9,716
Uniontown HospitalUniontown41$26,460$9,734
The Washington HospitalWashington27$12,247$9,748
Doylestown HospitalDoylestown68$37,343$9,756
St Luke's Hospital - Monroe CampusStroudsburg32$84,743$9,809
Ahn Wexford HospitalWexford39$43,461$9,830
Upmc MemorialYork24$53,397$9,872
Wilkes-Barre General HospitalWilkes-Barre80$76,169$9,903
Acmh HospitalKittanning16$25,822$10,031
Upmc WilliamsportWilliamsport62$56,650$10,056
Wellspan Good Samaritan HospitalLebanon24$38,441$10,063
Upmc LititzLititz15$51,227$10,077
Lehigh Valley Hospital - PoconoEast Stroudsburg45$66,791$10,172
Upmc SomersetSomerset19$21,209$10,246
Schuylkill Medical Center - South Jackson StreetPottsville31$55,321$10,249
Geisinger-Community Medical CenterScranton64$88,248$10,286
Holy Redeemer Hospital and Medical CenterMeadowbrook66$31,587$10,317
Heritage Valley BeaverBeaver35$26,230$10,372
Meadville Medical CenterMeadville27$33,156$10,397
Wellspan Chambersburg HospitalChambersburg86$33,634$10,419
Gettysburg HospitalGettysburg27$42,636$10,434
Upmc AltoonaAltoona54$43,961$10,435
Forbes HospitalMonroeville45$48,580$10,450
Bryn Mawr HospitalBryn Mawr68$81,351$10,474
Upmc St MargaretPittsburgh27$67,357$10,502
St Mary Medical CenterLanghorne129$31,717$10,697
Geisinger-Bloomsburg HospitalBloomsburg14$50,551$10,723
Upmc CarlisleCarlisle29$48,588$10,724
Upmc Bedford MemorialEverett24$30,787$11,119
Lancaster General HospitalLancaster213$37,896$11,170
St Luke's Hospital - Upper Bucks CampusQuakertown22$99,126$11,189
Geisinger-Lewistown HospitalLewistown34$42,076$11,203
Phoenixville HospitalPhoenixville52$71,282$11,216
St Luke's Hospital - Easton CampusEaston14$80,437$11,230
Reading HospitalWest Reading135$51,021$11,351
St Luke's Miners Memorial HospitalCoaldale13$49,663$11,415
Upmc Pinnacle HospitalsHarrisburg55$54,091$11,427
Upmc McKeesport HospitalMc Keesport17$60,533$11,449
Warren General HospitalWarren18$15,497$11,475
Wayne Memorial HospitalHonesdale65$40,154$11,491
Geisinger Wyoming Valley Medical CenterWilkes Barre78$80,632$11,525
Jefferson Health- NortheastPhiladelphia101$44,115$11,562
Saint Vincent HospitalErie73$69,389$11,564
Roxborough Memorial HospitalPhiladelphia16$55,702$11,661
Wellspan Waynesboro HospitalWaynesboro16$35,805$11,734
Jefferson Abington HospitalAbington132$45,424$11,782
Penn State Health St. JosephReading31$63,070$11,826
Robert Packer HospitalSayre84$35,591$11,944
Lehigh Valley HospitalAllentown159$74,604$11,975
Mount Nittany Medical CenterState College57$38,639$11,976
Upmc HamotErie44$94,175$12,100
Penn State Health Lancaster Medical CenterLancaster24$43,108$12,121
Jefferson Einstein Montgomery HospitalEast Norriton72$45,060$12,392
Crozer Chester Medical CenterUpland47$100,769$12,655
Conemaugh Memorial Medical CenterJohnstown49$35,324$12,679
Upmc HanoverHanover39$49,445$12,768
Main Line Hospital LankenauWynnewood64$88,548$12,885
Nazareth HospitalPhiladelphia39$39,164$12,908
Wellspan York HospitalYork85$43,227$12,940
Pennsylvania HospitalPhiladelphia37$114,527$12,967
Lower Bucks HospitalBristol27$45,543$12,979
Temple Health - Chestnut Hill HospitalPhiladelphia81$162,132$12,990
Upmc MercyPittsburgh14$84,408$12,993
West Penn HospitalPittsburgh18$88,519$13,032
Independence Health System Clarion HospitalClarion17$18,958$13,151
Allegheny General HospitalPittsburgh25$67,339$13,669
St Lukes HospitalBethlehem53$91,242$13,857
Upmc Presbyterian ShadysidePittsburgh54$147,118$13,901
Geisinger Medical CenterDanville65$93,855$14,259
St Luke's Hospital - Anderson CampusEaston41$81,134$14,364
Milton S Hershey Medical CenterHershey84$60,804$14,472
Penn Presbyterian Medical CenterPhiladelphia24$115,436$15,013
Penn State Health Hampden Medical CenterEnola17$52,449$15,551
Mercy Catholic Medical Center- Mercy FitzgeraldDarby17$52,569$16,091
Thomas Jefferson University HospitalPhiladelphia61$71,232$16,367
Jefferson Einstein Philadelphia HospitalPhiladelphia22$55,425$16,656
Temple University HospitalPhiladelphia73$140,626$17,183
Hospital of Univ of PennsylvaniaPhiladelphia83$176,426$22,598

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.