Simple Pneumonia and Pleurisy Without Cc/Mcc in North Carolina

MS-DRG 195: Simple pneumonia and pleurisy without cc/mcc

North Carolina hospitals billed Medicare a typical $24,775 for this stay in 2024, about 4.3 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.