Simple pneumonia and pleurisy with complications in New Hampshire
What 9 hospitals in New Hampshire charged and were paid for a Medicare hospital stay for simple pneumonia and pleurisy with complications (DRG 194), from 2024 Medicare claims.
Average charge
$26,189
Hospital list price billed
Average payment
$7,380
Medicare + patient + other payers
Medicare paid
$5,498
Average per stay
State rank
#21 of 47
1 = lowest average payment
Hospitals in New Hampshire billed an average of $26,189 for simple pneumonia and pleurisy with complications, about 3.5 times the average total payment of $7,380. That payment is 7% 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 $7,380Billed $26,189
About 28¢ was paid for every $1 hospitals in New Hampshire billed for this stay.
Medicare prices this stay in 3 versions, by how sick the patient was. Compare them in New Hampshire:
New Hampshire hospitals: simple pneumonia and pleurisy with complications
Every New Hampshire hospital that billed Medicare for this stay at least 11 times. Click a column to sort.
| Hospital | Stays | Avg charge | Avg payment | Medicare paid |
|---|---|---|---|---|
| Elliot HospitalManchester | 29 | $21,869 | $6,533 | $5,220 |
| Catholic Medical CenterManchester | 29 | $30,414 | $6,576 | $5,176 |
| Mary Hitchcock Mem HospitalLebanon | 24 | $33,172 | $10,268 | $7,735 |
| St Joseph HospitalNashua | 23 | $23,001 | $6,512 | $4,755 |
| Wentworth-Douglass HospitalDover | 21 | $24,456 | $6,180 | $4,859 |
| Southern Nh Medical CenterNashua | 21 | $23,996 | $8,655 | $4,590 |
| Concord HospitalConcord | 20 | $23,522 | $6,851 | $5,245 |
| Cheshire Medical CenterKeene | 13 | $25,333 | $7,747 | $6,243 |
| Exeter HospitalExeter | 11 | $31,224 | $7,629 | $6,293 |
Lowest and highest payments in New Hampshire
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
| Wentworth-Douglass HospitalDover, NH | $6,180 |
|---|---|
| St Joseph HospitalNashua, NH | $6,512 |
| Elliot HospitalManchester, NH | $6,533 |
| Catholic Medical CenterManchester, NH | $6,576 |
| Concord HospitalConcord, NH | $6,851 |
Highest
| Mary Hitchcock Mem HospitalLebanon, NH | $10,268 |
|---|---|
| Southern Nh Medical CenterNashua, NH | $8,655 |
| Cheshire Medical CenterKeene, NH | $7,747 |
| Exeter HospitalExeter, NH | $7,629 |
| Concord HospitalConcord, NH | $6,851 |
Simple pneumonia and pleurisy with complications in other states
Questions
How much does simple pneumonia and pleurisy with complications cost in New Hampshire?
In 2024 Medicare data, a hospital stay for simple pneumonia and pleurisy with complications (DRG 194) at 9 hospitals in New Hampshire was billed at $26,189 on average, while the average total payment was $7,380, of which Medicare paid $5,498. 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 New Hampshire, average charges were 3.5 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.