Simple pneumonia and pleurisy with complications in California
What 109 hospitals in California charged and were paid for a Medicare hospital stay for simple pneumonia and pleurisy with complications (DRG 194), from 2024 Medicare claims.
Average charge
$73,263
Hospital list price billed
Average payment
$9,767
Medicare + patient + other payers
Medicare paid
$7,630
Average per stay
State rank
#43 of 47
1 = lowest average payment
Hospitals in California billed an average of $73,263 for simple pneumonia and pleurisy with complications, about 7.5 times the average total payment of $9,767. That payment is 23% above 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 $9,767Billed $73,263
About 13¢ was paid for every $1 hospitals in California billed for this stay.
Medicare prices this stay in 3 versions, by how sick the patient was. Compare them in California:
California hospitals: simple pneumonia and pleurisy with complications
Every California hospital that billed Medicare for this stay at least 11 times. Click a column to sort.
| Hospital | Stays | Avg charge | Avg payment | Medicare paid |
|---|---|---|---|---|
| Hoag Memorial Hospital PresbyterianNewport Beach | 94 | $45,357 | $8,370 | $6,534 |
| Cedars-Sinai Medical CenterLos Angeles | 89 | $146,002 | $12,662 | $8,527 |
| Kaweah Delta Medical CenterVisalia | 76 | $34,730 | $9,589 | $7,946 |
| Enloe Medical CenterChico | 60 | $68,302 | $8,004 | $6,672 |
| El Camino HospitalMountain View | 60 | $89,050 | $9,446 | $8,184 |
| Glendale Adventist Medical CtrGlendale | 56 | $83,652 | $9,289 | $7,675 |
| Grossmont HospitalLa Mesa | 54 | $65,144 | $8,714 | $7,476 |
| Saint Agnes Medical CenterFresno | 53 | $39,201 | $9,578 | $7,750 |
| Stanford HospitalPalo Alto | 52 | $140,880 | $16,396 | $10,650 |
| Sutter Roseville Medical CenterRoseville | 46 | $54,086 | $8,719 | $6,944 |
| Sharp Memorial HospitalSan Diego | 45 | $61,707 | $11,743 | $6,948 |
| Clovis Community Medical CenterClovis | 45 | $51,586 | $8,236 | $6,979 |
| Eisenhower Memorial HospitalRancho Mirage | 45 | $67,734 | $9,252 | $7,365 |
| Torrance Memorial Medical CenterTorrance | 44 | $80,194 | $7,851 | $6,360 |
| Santa Barbara Cottage HospitalSanta Barbara | 41 | $59,982 | $8,885 | $7,333 |
| Washington HospitalFremont | 39 | $72,924 | $9,583 | $8,170 |
| Community Hospital of the Monterey PeninsulaMonterey | 37 | $74,668 | $9,351 | $7,941 |
| Memorial Medical CenterModesto | 36 | $57,822 | $8,391 | $6,557 |
| Sharp Chula Vista Medical CenterChula Vista | 35 | $76,253 | $9,431 | $7,353 |
| Providence Saint Joseph Medical CtrBurbank | 33 | $70,554 | $8,546 | $6,940 |
| Palomar Medical CenterEscondido | 31 | $83,706 | $8,238 | $5,900 |
| Good Samaritan HospitalSan Jose | 31 | $152,200 | $9,849 | $7,323 |
| Community Regional Medical CenterFresno | 30 | $62,244 | $9,292 | $7,323 |
| Scripps Memorial Hospital la JollaLa Jolla | 30 | $48,814 | $9,143 | $6,105 |
| Huntington Memorial HospitalPasadena | 30 | $76,732 | $8,680 | $7,004 |
| University of California San Diego Medical CenterSan Diego | 29 | $49,118 | $14,584 | $9,482 |
| San Antonio Community HospitalUpland | 29 | $63,859 | $8,289 | $6,854 |
| Salinas Valley Memorial HospitalSalinas | 28 | $82,859 | $9,591 | $8,310 |
| Community Memorial Hospital - VenturaVentura | 28 | $31,094 | $9,598 | $7,591 |
| Los Robles Hospital & Medical CenterThousand Oaks | 27 | $114,462 | $8,584 | $7,066 |
| St Johns Regional Medical CenterOxnard | 25 | $47,643 | $8,417 | $6,965 |
| West Anaheim Medical CenterAnaheim | 25 | $36,454 | $9,145 | $7,811 |
| Fountain Valley Regional Hospital & Medical CenterFountain Valley | 25 | $121,566 | $8,355 | $7,022 |
| University of California Davis Medical CenterSacramento | 25 | $62,908 | $13,594 | $8,809 |
| Santa Clara Valley Medical CenterSan Jose | 24 | $80,564 | $14,903 | $12,789 |
| John Muir Medical Center - Walnut Creek CampusWalnut Creek | 24 | $92,822 | $10,235 | $7,213 |
| Rideout Memorial HospitalMarysville | 23 | $67,782 | $8,854 | $7,577 |
| Emanate Health Inter-Community HospitalCovina | 23 | $46,490 | $9,451 | $7,116 |
| Scripps Mercy HospitalSan Diego | 22 | $52,786 | $9,341 | $7,846 |
| Dominican HospitalSanta Cruz | 22 | $116,012 | $10,898 | $6,821 |
| UCI Health-OrangeOrange | 22 | $60,511 | $14,116 | $11,057 |
| Mercy Medical Ctr MercedMerced | 22 | $77,747 | $9,366 | $7,504 |
| John Muir Medical Center - Concord CampusConcord | 22 | $83,923 | $9,566 | $7,884 |
| Mercy San Juan Medical CenterCarmichael | 22 | $65,533 | $10,882 | $7,680 |
| Henry Mayo Newhall Memorial HospitalValencia | 22 | $82,377 | $8,715 | $5,929 |
| Orange Coast Memorial Medical CenterFountain Valley | 22 | $79,655 | $9,124 | $5,660 |
| St Joseph HospitalOrange | 21 | $31,894 | $8,934 | $6,555 |
| Verdugo Hills HospitalGlendale | 21 | $49,820 | $8,168 | $6,088 |
| Desert Regional Medical CenterPalm Springs | 21 | $101,658 | $9,815 | $8,187 |
| Long Beach Memorial Medical CenterLong Beach | 21 | $79,509 | $9,381 | $7,869 |
| Los Alamitos Medical CenterLos Alamitos | 21 | $144,509 | $9,222 | $6,170 |
| Sutter General HospitalSacramento | 20 | $51,525 | $11,484 | $7,761 |
| Scripps Memorial Hospital - EncinitasEncinitas | 20 | $40,676 | $8,963 | $6,424 |
| Lakewood Regional Medical CenterLakewood | 20 | $108,619 | $8,619 | $7,223 |
| California Pacific Medical Ctr-Pacific Campus HospSan Francisco | 19 | $56,204 | $13,560 | $9,926 |
| Hollywood Community Hospital of HollywoodLos Angeles | 19 | $63,520 | $8,906 | $7,531 |
| Marshall Medical Center (1-Rh)Placerville | 19 | $50,624 | $8,503 | $7,472 |
| Saint John's Health CenterSanta Monica | 19 | $45,611 | $8,214 | $6,534 |
| Northbay Medical CenterFairfield | 19 | $123,119 | $10,065 | $9,108 |
| Scripps Green HospitalLa Jolla | 19 | $34,304 | $10,890 | $7,653 |
| Mission Hospital Regional Med CenterMission Viejo | 19 | $50,128 | $8,618 | $6,194 |
| San Ramon Regional Medical CtrSan Ramon | 19 | $157,041 | $8,841 | $7,553 |
| UCSF Medical CenterSan Francisco | 18 | $69,508 | $14,515 | $11,287 |
| Palomar Medical Center PowayPoway | 18 | $88,894 | $6,330 | $5,060 |
| Queen of the Valley Medical CenterNapa | 17 | $81,284 | $9,966 | $7,570 |
| San Francisco General HospitalSan Francisco | 17 | $71,174 | $17,892 | $15,130 |
| USC Arcadia HospitalArcadia | 17 | $65,698 | $6,856 | $5,429 |
| Barton Memorial HospitalSouth Lake Tahoe | 17 | $73,847 | $11,273 | $9,929 |
| Mercy Hospital of FolsomFolsom | 17 | $61,401 | $8,446 | $7,006 |
| Loma Linda University Medical Center-MurrietaMurrieta | 17 | $53,594 | $9,067 | $7,763 |
| Marian Medical CenterSanta Maria | 16 | $54,508 | $8,855 | $7,439 |
| Emanuel Medical Center INCTurlock | 16 | $114,868 | $8,726 | $7,502 |
| Contra Costa Regional Medical CenterMartinez | 16 | $39,476 | $22,612 | $14,605 |
| Marinhealth Medical CenterGreenbrae | 16 | $86,303 | $10,217 | $7,617 |
| Sutter Medical Center of Santa RosaSanta Rosa | 15 | $45,599 | $10,513 | $8,755 |
| Lodi Memorial HospitalLodi | 15 | $85,751 | $8,113 | $6,689 |
| West Hills Hospital & Medical CenterWest Hills | 15 | $140,853 | $8,683 | $6,405 |
| Southwest Healthcare SystemMurrieta | 15 | $68,746 | $9,587 | $7,922 |
| Glendale Mem Hospital & Hlth CenterGlendale | 14 | $67,588 | $8,888 | $7,610 |
| Valley Presbyterian HospitalVan Nuys | 14 | $34,543 | $9,048 | $7,329 |
| Providence Little Company of Mary Med Ctr TorranceTorrance | 14 | $51,946 | $9,010 | $6,516 |
| Eden Medical CenterCastro Valley | 14 | $42,953 | $9,668 | $8,498 |
| Saddleback Memorial Medical CenterLaguna Hills | 14 | $75,052 | $7,944 | $6,778 |
| Lompoc Healthcare DistrictLompoc | 13 | $36,002 | $9,012 | $7,631 |
| Regional Medical Center of San JoseSan Jose | 13 | $161,184 | $10,565 | $9,155 |
| Mercy HospitalBakersfield | 13 | $64,012 | $8,717 | $7,588 |
| Sutter Auburn Faith HospitalAuburn | 13 | $34,426 | $8,977 | $7,542 |
| Providence Tarzana Medical CenterTarzana | 13 | $65,875 | $8,360 | $6,767 |
| Mercy General HospitalSacramento | 12 | $59,859 | $9,019 | $7,752 |
| Riverside Community HospitalRiverside | 12 | $128,286 | $10,300 | $8,334 |
| Bakersfield Memorial HospitalBakersfield | 12 | $59,449 | $10,062 | $6,678 |
| El Centro Regional Medical CenterEl Centro | 12 | $38,403 | $8,531 | $6,899 |
| Hollywood Presbyterian Medical CenterLos Angeles | 12 | $52,272 | $9,047 | $7,562 |
| St Jude Medical CenterFullerton | 12 | $36,269 | $9,731 | $6,261 |
| Sharp Coronado Hospital and Hlthcr CtrCoronado | 12 | $70,286 | $8,411 | $7,187 |
| Simi Valley Hospital & Health Care ServicesSimi Valley | 12 | $93,096 | $7,859 | $6,499 |
| Natividad Medical CenterSalinas | 12 | $60,057 | $11,496 | $10,042 |
| Alhambra Hospital Medical CenterAlhambra | 12 | $66,778 | $8,618 | $7,258 |
| Doctors Medical CenterModesto | 12 | $154,982 | $8,800 | $7,632 |
| UCI Health-Placentia LindaPlacentia | 12 | $132,828 | $8,439 | $6,705 |
| Foothill Presbyterian HospitalGlendora | 12 | $50,661 | $8,450 | $6,948 |
| Los Angeles Community HospitalLos Angeles | 12 | $39,746 | $8,818 | $7,594 |
| Garfield Medical CenterMonterey Park | 12 | $85,833 | $8,849 | $7,491 |
| Temecula Valley HospitalTemecula | 12 | $73,198 | $11,593 | $9,365 |
| St Bernardine Medical CenterSan Bernardino | 11 | $66,680 | $8,980 | $7,792 |
| Garden Grove Hospital & Medical CenterGarden Grove | 11 | $43,508 | $8,705 | $7,370 |
| Pomona Valley Hospital Medical CenterPomona | 11 | $76,815 | $9,335 | $7,182 |
| French Hospital Medical CenterSan Luis Obispo | 11 | $47,905 | $7,914 | $6,430 |
| Adventist Health BakersfieldBakersfield | 11 | $52,643 | $8,315 | $6,828 |
Lowest and highest payments in California
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
| Palomar Medical Center PowayPoway, CA | $6,330 |
|---|---|
| USC Arcadia HospitalArcadia, CA | $6,856 |
| Torrance Memorial Medical CenterTorrance, CA | $7,851 |
| Simi Valley Hospital & Health Care ServicesSimi Valley, CA | $7,859 |
| French Hospital Medical CenterSan Luis Obispo, CA | $7,914 |
Highest
| Contra Costa Regional Medical CenterMartinez, CA | $22,612 |
|---|---|
| San Francisco General HospitalSan Francisco, CA | $17,892 |
| Stanford HospitalPalo Alto, CA | $16,396 |
| Santa Clara Valley Medical CenterSan Jose, CA | $14,903 |
| University of California San Diego Medical CenterSan Diego, CA | $14,584 |
Simple pneumonia and pleurisy with complications in other states
Questions
How much does simple pneumonia and pleurisy with complications cost in California?
In 2024 Medicare data, a hospital stay for simple pneumonia and pleurisy with complications (DRG 194) at 109 hospitals in California was billed at $73,263 on average, while the average total payment was $9,767, of which Medicare paid $7,630. 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 California, average charges were 7.5 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.