Simple Pneumonia and Pleurisy Without Cc/Mcc in California
MS-DRG 195: Simple pneumonia and pleurisy without cc/mcc
$51,489typical hospital bill
$6,944typical amount paid
$6,224–$7,596range paid across 5 hospitals
California hospitals billed Medicare a typical $51,489 for this stay in 2024, about 7.4 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)
| Hospital | City | Medicare stays | Billed | Paid | |
|---|---|---|---|---|---|
| Torrance Memorial Medical Center | Torrance | 18 | $59,683 | $6,224 | |
| Grossmont Hospital | La Mesa | 16 | $51,489 | $6,909 | |
| Hoag Memorial Hospital Presbyterian | Newport Beach | 13 | $28,461 | $6,944 | |
| Kaweah Health Medical Center | Visalia | 15 | $25,676 | $7,448 | |
| Sharp Chula Vista Medical Center | Chula Vista | 12 | $65,516 | $7,596 |
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.