Simple pneumonia and pleurisy with complications in Kansas
What 14 hospitals in Kansas charged and were paid for a Medicare hospital stay for simple pneumonia and pleurisy with complications (DRG 194), from 2024 Medicare claims.
Average charge
$36,839
Hospital list price billed
Average payment
$6,480
Medicare + patient + other payers
Medicare paid
$4,662
Average per stay
State rank
#5 of 47
1 = lowest average payment
Hospitals in Kansas billed an average of $36,839 for simple pneumonia and pleurisy with complications, about 5.7 times the average total payment of $6,480. That payment is 18% 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 $6,480Billed $36,839
About 18¢ was paid for every $1 hospitals in Kansas billed for this stay.
Medicare prices this stay in 3 versions, by how sick the patient was. Compare them in Kansas:
Kansas hospitals: simple pneumonia and pleurisy with complications
Every Kansas hospital that billed Medicare for this stay at least 11 times. Click a column to sort.
| Hospital | Stays | Avg charge | Avg payment | Medicare paid |
|---|---|---|---|---|
| University of Kansas HospitalKansas City | 43 | $54,392 | $8,970 | $5,601 |
| Saint Luke's South HospitalOverland Park | 43 | $51,531 | $5,566 | $3,746 |
| Olathe Medical CenterOlathe | 41 | $31,427 | $5,614 | $3,868 |
| Stormont-Vail HealthcareTopeka | 34 | $36,222 | $5,804 | $4,411 |
| Menorah Medical CenterShawnee Mission | 24 | $54,974 | $6,162 | $4,507 |
| St Francis Health CenterTopeka | 21 | $30,416 | $5,933 | $4,654 |
| Salina Regional Health CenterSalina | 19 | $31,011 | $6,404 | $4,861 |
| NMC HealthNewton | 19 | $17,339 | $6,141 | $4,681 |
| Via Christi Hospitals Wichita INCWichita | 18 | $26,865 | $7,629 | $5,887 |
| Promise Regional Medical Center Hutchinson INCHutchinson | 15 | $23,880 | $6,580 | $5,167 |
| Stormont Vail Health Flint HillsJunction City | 14 | $22,909 | $5,019 | $3,387 |
| Miami County Medical CenterPaola | 14 | $18,640 | $7,117 | $5,485 |
| Shawnee Mission Medical CenterOverland Park | 13 | $36,017 | $6,386 | $4,771 |
| Hays Medical CenterHays | 11 | $25,164 | $7,229 | $6,042 |
Lowest and highest payments in Kansas
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
| Stormont Vail Health Flint HillsJunction City, KS | $5,019 |
|---|---|
| Saint Luke's South HospitalOverland Park, KS | $5,566 |
| Olathe Medical CenterOlathe, KS | $5,614 |
| Stormont-Vail HealthcareTopeka, KS | $5,804 |
| St Francis Health CenterTopeka, KS | $5,933 |
Highest
| University of Kansas HospitalKansas City, KS | $8,970 |
|---|---|
| Via Christi Hospitals Wichita INCWichita, KS | $7,629 |
| Hays Medical CenterHays, KS | $7,229 |
| Miami County Medical CenterPaola, KS | $7,117 |
| Promise Regional Medical Center Hutchinson INCHutchinson, KS | $6,580 |
Simple pneumonia and pleurisy with complications in other states
Questions
How much does simple pneumonia and pleurisy with complications cost in Kansas?
In 2024 Medicare data, a hospital stay for simple pneumonia and pleurisy with complications (DRG 194) at 14 hospitals in Kansas was billed at $36,839 on average, while the average total payment was $6,480, of which Medicare paid $4,662. 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 Kansas, average charges were 5.7 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.