Inpatient stays / DRG 193
MS-DRG 193 · 2,442 hospitals · 139,034 stays
DRG 193: Simple Pneumonia and Pleurisy with MCC
Medicare patients had 139,034 stays in DRG 193 in 2024. Hospitals charged an average of $59,757 per stay and were paid $12,050 — a ratio of 5 to 1 — of which Medicare's own share averaged $9,899. Average charges ran from $9,396 at the least expensive hospital to $375,925 at the most; half of hospitals charged between $33,280 and $68,768.
- 1Average charge $59,757
- 2Average paid $12,050
- 3Reporting hospitals 2,442
- 4Medicare stays 139,034
By state
Average charges for DRG 193 were highest in Nevada ($110,082) and lowest in Maryland ($17,101). Payments vary far less than charges, because Medicare sets them: they range across states from $9,426 to $16,907.
| State | Stays | Avg charge | Avg paid | Ratio |
|---|---|---|---|---|
| Nevada | 1,425 | $110,082 | $12,692 | 8.7× |
| California | 12,601 | $103,761 | $15,112 | 6.9× |
| New Jersey | 4,944 | $100,241 | $13,150 | 7.6× |
| Alaska | 279 | $81,154 | $16,907 | 4.8× |
| Florida | 11,700 | $78,292 | $10,939 | 7.2× |
| New York | 7,368 | $77,177 | $15,976 | 4.8× |
| Texas | 10,209 | $73,756 | $11,597 | 6.4× |
| Colorado | 1,485 | $68,465 | $11,488 | 6× |
| District of Columbia | 230 | $67,928 | $15,540 | 4.4× |
| Arizona | 2,933 | $59,468 | $11,853 | 5× |
| Pennsylvania | 5,386 | $59,404 | $11,319 | 5.2× |
| Georgia | 3,847 | $56,349 | $12,110 | 4.7× |
| Kansas | 1,458 | $55,501 | $10,625 | 5.2× |
| Washington | 2,140 | $54,278 | $12,466 | 4.4× |
| South Carolina | 2,353 | $53,401 | $11,120 | 4.8× |
| Oklahoma | 2,139 | $52,579 | $10,397 | 5.1× |
| Hawaii | 480 | $50,424 | $16,146 | 3.1× |
| Alabama | 2,229 | $50,009 | $10,124 | 4.9× |
| Connecticut | 1,807 | $49,093 | $14,233 | 3.4× |
| Illinois | 5,667 | $49,081 | $11,857 | 4.1× |
| Louisiana | 1,879 | $48,369 | $9,868 | 4.9× |
| Tennessee | 3,545 | $48,160 | $10,379 | 4.6× |
| Missouri | 3,111 | $47,966 | $10,821 | 4.4× |
| Mississippi | 1,556 | $47,785 | $9,796 | 4.9× |
| New Mexico | 924 | $47,073 | $12,080 | 3.9× |
| Virginia | 3,819 | $44,717 | $11,065 | 4× |
| Idaho | 474 | $44,005 | $11,057 | 4× |
| Kentucky | 2,945 | $43,745 | $9,962 | 4.4× |
| Indiana | 3,781 | $43,683 | $10,631 | 4.1× |
| Ohio | 5,387 | $41,598 | $10,716 | 3.9× |
| West Virginia | 1,247 | $41,357 | $10,412 | 4× |
| Nebraska | 653 | $41,281 | $11,009 | 3.7× |
| South Dakota | 499 | $41,232 | $11,334 | 3.6× |
| Arkansas | 2,020 | $41,156 | $9,550 | 4.3× |
| New Hampshire | 951 | $40,443 | $11,445 | 3.5× |
| Maine | 545 | $40,166 | $12,049 | 3.3× |
| Wisconsin | 1,853 | $40,070 | $11,231 | 3.6× |
| North Carolina | 4,244 | $39,905 | $11,523 | 3.5× |
| Delaware | 888 | $38,798 | $12,102 | 3.2× |
| Oregon | 959 | $38,212 | $13,346 | 2.9× |
| Minnesota | 1,704 | $38,121 | $12,053 | 3.2× |
| Utah | 759 | $37,536 | $11,384 | 3.3× |
| Michigan | 3,884 | $35,850 | $11,562 | 3.1× |
| Rhode Island | 390 | $35,281 | $12,735 | 2.8× |
| Wyoming | 397 | $35,136 | $14,649 | 2.4× |
| Vermont | 262 | $33,721 | $9,426 | 3.6× |
| Iowa | 1,468 | $33,652 | $10,047 | 3.3× |
| North Dakota | 366 | $31,041 | $10,826 | 2.9× |
| Montana | 546 | $29,130 | $10,599 | 2.7× |
| Massachusetts | 5,059 | $28,077 | $12,627 | 2.2× |
| Maryland | 2,239 | $17,101 | $15,416 | 1.1× |
Highest average charges
| Hospital | Charge | Paid |
|---|---|---|
| Capital Health Regional Medical Center Trenton, NJ · 26 stays | $375,925 | $15,412 |
| Carepoint Health - Bayonne Medical Center Bayonne, NJ · 26 stays | $339,310 | $15,744 |
| Capital Health Medical Center - Hopewell Pennington, NJ · 90 stays | $300,760 | $14,212 |
| Stanford Health Care Stanford, CA · 112 stays | $257,291 | $27,695 |
| Good Samaritan Hospital San Jose, CA · 105 stays | $253,335 | $15,994 |
| San Ramon Regional Medical Center San Ramon, CA · 50 stays | $247,858 | $14,233 |
| Doctors Medical Center Modesto, CA · 70 stays | $246,652 | $13,783 |
| Regional Medical Center of San Jose San Jose, CA · 56 stays | $228,524 | $16,775 |
| Cedars-Sinai Medical Center Los Angeles, CA · 235 stays | $223,597 | $19,803 |
| Centennial Hills Hospital Medical Center Las Vegas, NV · 73 stays | $210,879 | $12,400 |
Lowest average charges
| Hospital | Charge | Paid |
|---|---|---|
| Tuba City Regional Health Care Corporation Tuba City, AZ · 12 stays | $9,396 | $16,848 |
| Neshoba County General Hospital Philadelphia, MS · 13 stays | $9,462 | $11,239 |
| UPMC Washington Washington, PA · 27 stays | $12,247 | $9,748 |
| Suburban Hospital Bethesda, MD · 56 stays | $12,379 | $11,037 |
| Medstar Montgomery Medical Center Olney, MD · 40 stays | $13,106 | $11,709 |
| Johns Hopkins Howard County Medical Center Columbia, MD · 90 stays | $13,119 | $12,032 |
| Meritus Medical Center Hagerstown, MD · 121 stays | $13,590 | $12,574 |
| Umd Baltimore Washington Medical Center Glen Burnie, MD · 42 stays | $13,625 | $12,625 |
| Nicholas H Noyes Memorial Hospital Dansville, NY · 28 stays | $13,642 | $12,729 |
| Bertrand Chaffee Hospital Springville, NY · 16 stays | $13,644 | $12,341 |
These are averages over each hospital's Medicare stays in this DRG, which mix simple and complicated cases. A high average charge is the hospital's pricing, not a sign of better or worse care, and not what a patient pays: Medicare patients owe the inpatient deductible, and people with other coverage pay their plan's negotiated rate.
Sources: CMS Medicare Inpatient Hospitals — by Provider and Service / by Geography and Service, data year 2024. Hospitals with fewer than 11 stays are suppressed by CMS. Checked 2026-10-24. Methodology.