Pneumonia, with major complications in Washington
MS-DRG 193: Simple pneumonia and pleurisy with mcc
$54,328typical hospital bill
$12,145typical amount paid
$10,659–$17,761range paid across 42 hospitals
Washington hospitals billed Medicare a typical $54,328 for this stay in 2024, about 4.5 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.