Simple pneumonia and pleurisy with complications in Indiana
What 49 hospitals in Indiana charged and were paid for a Medicare hospital stay for simple pneumonia and pleurisy with complications (DRG 194), from 2024 Medicare claims.
Average charge
$29,898
Hospital list price billed
Average payment
$6,815
Medicare + patient + other payers
Medicare paid
$5,274
Average per stay
State rank
#8 of 47
1 = lowest average payment
Hospitals in Indiana billed an average of $29,898 for simple pneumonia and pleurisy with complications, about 4.4 times the average total payment of $6,815. That payment is 14% 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 $6,815Billed $29,898
About 23¢ was paid for every $1 hospitals in Indiana billed for this stay.
Medicare prices this stay in 3 versions, by how sick the patient was. Compare them in Indiana:
Indiana hospitals: simple pneumonia and pleurisy with complications
Every Indiana hospital that billed Medicare for this stay at least 11 times. Click a column to sort.
| Hospital | Stays | Avg charge | Avg payment | Medicare paid |
|---|---|---|---|---|
| Floyd Memorial Hospital and Health ServicesNew Albany | 90 | $32,359 | $5,761 | $4,318 |
| Community Hospital SouthIndianapolis | 51 | $29,587 | $6,592 | $5,009 |
| Elkhart General HospitalElkhart | 48 | $28,174 | $6,386 | $5,154 |
| Community HospitalMunster | 47 | $27,581 | $6,048 | $4,980 |
| Union Hospital INCTerre Haute | 44 | $22,025 | $6,583 | $5,337 |
| Community Hospital NorthIndianapolis | 43 | $29,291 | $6,643 | $5,362 |
| Parkview HospitalFort Wayne | 42 | $23,159 | $6,830 | $5,796 |
| Deaconess Hospital INCEvansville | 39 | $23,296 | $6,429 | $4,755 |
| Memorial Hospital and Health Care CenterJasper | 39 | $25,211 | $7,021 | $5,305 |
| Memorial Hospital of South BendSouth Bend | 34 | $33,649 | $6,634 | $5,336 |
| Ball Memorial Hospital INCMuncie | 30 | $31,065 | $7,145 | $5,389 |
| IU Health Goshen HospitalGoshen | 29 | $21,886 | $7,053 | $5,794 |
| Henry County Memorial HospitalNew Castle | 28 | $28,077 | $7,632 | $6,467 |
| St Vincent Hospital & Health ServicesIndianapolis | 28 | $33,961 | $8,285 | $5,636 |
| Community Hospital EastIndianapolis | 27 | $32,419 | $7,999 | $5,439 |
| Columbus Regional HospitalColumbus | 27 | $20,500 | $6,713 | $5,405 |
| Lutheran Hospital of IndianaFort Wayne | 26 | $51,615 | $6,356 | $4,790 |
| Methodist Hospitals, INCGary | 25 | $38,702 | $6,879 | $5,818 |
| Reid Hosp & Hlth Care ServicesRichmond | 25 | $20,946 | $6,849 | $5,237 |
| Franciscan St Anthony Health - Michigan CityMichigan City | 24 | $35,919 | $7,015 | $4,970 |
| Clarian Health PartnersIndianapolis | 24 | $38,562 | $10,150 | $7,019 |
| St Mary's Medical Center of Evansville INCEvansville | 23 | $25,239 | $6,531 | $5,186 |
| Howard Regional Health SystemKokomo | 22 | $28,951 | $6,294 | $5,181 |
| Bloomington HospitalBloomington | 21 | $55,428 | $7,152 | $6,008 |
| Community Hospital of Anderson and Madison CountyAnderson | 21 | $21,793 | $6,315 | $4,913 |
| Indiana University Health West HospitalAvon | 21 | $31,388 | $6,205 | $4,884 |
| Indiana University Health Arnett HospitalLafayette | 21 | $25,257 | $6,866 | $4,858 |
| Clark Memorial HospitalJeffersonville | 20 | $42,523 | $6,305 | $4,868 |
| Witham Health ServicesLebanon | 19 | $21,188 | $7,433 | $6,059 |
| Marion General HospitalMarion | 18 | $17,414 | $7,108 | $5,863 |
| La Porte Regional Health SystLa Porte | 17 | $29,248 | $6,094 | $4,846 |
| Saint Joseph Reg Medical CtrSouth Bend | 17 | $30,133 | $7,789 | $5,246 |
| King's Daughters' Hospital and Health Services,TheMadison | 17 | $22,531 | $7,447 | $5,460 |
| Daviess Community HospitalWashington | 16 | $27,414 | $7,767 | $6,135 |
| Dearborn County HospitalLawrenceburg | 16 | $19,164 | $5,806 | $4,865 |
| Riverview HospitalNoblesville | 15 | $24,576 | $7,094 | $5,549 |
| St Mary Medical Center INCHobart | 14 | $24,361 | $6,225 | $4,392 |
| Saint Joseph's Regional Medical Center - PlymouthPlymouth | 14 | $24,013 | $7,896 | $6,498 |
| Indiana University Health North HospitalCarmel | 14 | $33,464 | $6,006 | $4,840 |
| Franciscan Health IndianapolisIndianapolis | 14 | $55,760 | $7,576 | $4,819 |
| Memorial HospitalLogansport | 12 | $25,343 | $8,562 | $7,204 |
| Bluffton Regional Medical CenterBluffton | 12 | $28,007 | $7,212 | $5,716 |
| Kosciusko Community HospitalWarsaw | 12 | $50,258 | $6,872 | $4,695 |
| Johnson Memorial HospitalFranklin | 11 | $30,323 | $6,582 | $5,098 |
| Porter, Valparaiso HospitalValparaiso | 11 | $48,387 | $5,789 | $4,309 |
| Good Samaritan HospitalVincennes | 11 | $21,261 | $7,063 | $5,222 |
| Terre Haute Regional HospitalTerre Haute | 11 | $49,306 | $6,315 | $4,979 |
| Saint John's Health SystemAnderson | 11 | $31,157 | $7,166 | $5,101 |
| St Vincent Carmel Hospital INCCarmel | 11 | $29,126 | $6,439 | $4,955 |
Lowest and highest payments in Indiana
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
| Floyd Memorial Hospital and Health ServicesNew Albany, IN | $5,761 |
|---|---|
| Porter, Valparaiso HospitalValparaiso, IN | $5,789 |
| Dearborn County HospitalLawrenceburg, IN | $5,806 |
| Indiana University Health North HospitalCarmel, IN | $6,006 |
| Community HospitalMunster, IN | $6,048 |
Highest
| Clarian Health PartnersIndianapolis, IN | $10,150 |
|---|---|
| Memorial HospitalLogansport, IN | $8,562 |
| St Vincent Hospital & Health ServicesIndianapolis, IN | $8,285 |
| Community Hospital EastIndianapolis, IN | $7,999 |
| Saint Joseph's Regional Medical Center - PlymouthPlymouth, IN | $7,896 |
Simple pneumonia and pleurisy with complications in other states
Questions
How much does simple pneumonia and pleurisy with complications cost in Indiana?
In 2024 Medicare data, a hospital stay for simple pneumonia and pleurisy with complications (DRG 194) at 49 hospitals in Indiana was billed at $29,898 on average, while the average total payment was $6,815, of which Medicare paid $5,274. 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 Indiana, average charges were 4.4 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.