Pneumonia, with major complications in West Virginia
MS-DRG 193: Simple pneumonia and pleurisy with mcc
$37,232typical hospital bill
$9,954typical amount paid
$7,896–$14,565range paid across 21 hospitals
West Virginia hospitals billed Medicare a typical $37,232 for this stay in 2024, about 3.7 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)
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.