facebook tracking Simple pneumonia and pleurisy with complications cost in Arkansas: 25 hospitals compared (DRG 194)

Simple pneumonia and pleurisy with complications in Arkansas

What 25 hospitals in Arkansas charged and were paid for a Medicare hospital stay for simple pneumonia and pleurisy with complications (DRG 194), from 2024 Medicare claims.

DRG 194 Inpatient 2024 Medicare data
Average charge $26,784 Hospital list price billed
Average payment $6,317 Medicare + patient + other payers
Medicare paid $4,664 Average per stay
State rank #2 of 47 1 = lowest average payment

Hospitals in Arkansas billed an average of $26,784 for simple pneumonia and pleurisy with complications, about 4.2 times the average total payment of $6,317. That payment is 20% below the U.S. average of $7,941.

These are averages for patients with original (fee-for-service) Medicare. Private insurance pays different, negotiated prices, and what you owe depends on your plan's deductible and coinsurance. Use these figures to compare hospitals, not as a quote.

Paid $6,317Billed $26,784

About 24¢ was paid for every $1 hospitals in Arkansas billed for this stay.

Arkansas hospitals: simple pneumonia and pleurisy with complications

Every Arkansas hospital that billed Medicare for this stay at least 11 times. Click a column to sort.

Hospital Stays Avg charge Avg payment Medicare paid
Baptist Health Medical Center-Little RockLittle Rock 50 $33,248 $6,066 $4,354
White River Medical CenterBatesville 40 $17,243 $6,480 $4,695
St Bernards Medical CenterJonesboro 39 $17,797 $5,471 $4,287
Baxter Regional Medical CenterMountain Home 27 $10,547 $5,358 $3,728
Baptist Health - Fort SmithFort Smith 27 $28,837 $5,909 $3,917
Washington Regional Med CenterFayetteville 25 $25,870 $5,722 $3,442
Baptist Health Medical Center North Little RockNorth Little Rock 25 $30,932 $7,546 $5,231
Nea Baptist Memorial HospitalJonesboro 24 $22,415 $5,710 $3,717
Drew Memorial HospitalMonticello 23 $27,444 $6,274 $5,210
Medical Center South ArkansasEl Dorado 23 $55,401 $6,078 $4,719
Mercy Hospital Fort SmithFort Smith 21 $21,973 $6,170 $4,646
White County Medical CenterSearcy 20 $17,089 $6,965 $5,517
Conway Regional Medical CenterConway 18 $26,653 $6,070 $4,351
Mercy Hospital Northwest ArkansasRogers 17 $30,579 $6,748 $4,402
Mena Regional Health SystemMena 17 $16,714 $6,756 $5,414
North Arkansas Reg Med CtrHarrison 16 $21,722 $6,770 $5,138
John Ed Chambers Mem Hosp, INCDanville 15 $13,323 $6,525 $5,001
Ouachita County Medical CenterCamden 15 $21,966 $7,115 $5,354
National Park Medical CenterHot Springs 15 $81,967 $5,629 $4,323
Johnson Regional Medical CenterClarksville 13 $11,733 $7,553 $6,298
University of Arkansas Medical SciencesLittle Rock 12 $27,699 $8,620 $6,189
CHI St. Vincent Hospital Hot SpringsHot Springs 12 $26,050 $6,074 $4,785
Magnolia Regional Medical CenterMagnolia 12 $26,423 $7,222 $5,882
Northwest Medical Center-SpringdaleSpringdale 11 $53,592 $6,055 $4,990
Arkansas Methodist Medical CenterParagould 11 $24,669 $6,337 $4,949
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Lowest and highest payments in Arkansas

Among hospitals with at least 11 Medicare hospital stays. Differences reflect local wage costs, teaching status and how sick patients were, as well as price.

Lowest

Baxter Regional Medical CenterMountain Home, AR$5,358
St Bernards Medical CenterJonesboro, AR$5,471
National Park Medical CenterHot Springs, AR$5,629
Nea Baptist Memorial HospitalJonesboro, AR$5,710
Washington Regional Med CenterFayetteville, AR$5,722

Highest

University of Arkansas Medical SciencesLittle Rock, AR$8,620
Johnson Regional Medical CenterClarksville, AR$7,553
Baptist Health Medical Center North Little RockNorth Little Rock, AR$7,546
Magnolia Regional Medical CenterMagnolia, AR$7,222
Ouachita County Medical CenterCamden, AR$7,115

Simple pneumonia and pleurisy with complications in other states

Questions

How much does simple pneumonia and pleurisy with complications cost in Arkansas?

In 2024 Medicare data, a hospital stay for simple pneumonia and pleurisy with complications (DRG 194) at 25 hospitals in Arkansas was billed at $26,784 on average, while the average total payment was $6,317, of which Medicare paid $4,664. Your own cost depends on your insurance, deductible and the hospital.

Why are hospital charges so much higher than payments?

Charges are a hospital's list prices. Medicare pays fixed rates set in advance, and private insurers negotiate their own discounts, so almost nobody pays the full charge. For this stay in Arkansas, average charges were 4.2 times the average payment. Uninsured patients can ask the hospital about its financial assistance (charity care) policy and cash prices.

Source: CMS, Medicare Inpatient Hospitals by Provider and Service, 2024. Average total payment includes Medicare's payment, the patient's deductible and coinsurance, and any other payer. CMS omits hospitals with fewer than 11 hospital stays for privacy. About the data.