facebook tracking Simple pneumonia and pleurisy with major complications cost in Arkansas: 33 hospitals compared (DRG 193)

Simple pneumonia and pleurisy with major complications in Arkansas

What 33 hospitals in Arkansas charged and were paid for a Medicare hospital stay for simple pneumonia and pleurisy with major complications (DRG 193), from 2024 Medicare claims.

DRG 193 Inpatient 2024 Medicare data
Average charge $41,508 Hospital list price billed
Average payment $9,529 Medicare + patient + other payers
Medicare paid $7,964 Average per stay
State rank #2 of 50 1 = lowest average payment

Hospitals in Arkansas billed an average of $41,508 for simple pneumonia and pleurisy with major complications, about 4.4 times the average total payment of $9,529. That payment is 21% below the U.S. average of $12,020.

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 $9,529Billed $41,508

About 23¢ was paid for every $1 hospitals in Arkansas billed for this stay.

Arkansas hospitals: simple pneumonia and pleurisy with major 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 North Little RockNorth Little Rock 150 $47,776 $11,102 $8,917
Baptist Health - Fort SmithFort Smith 147 $45,964 $8,962 $7,419
CHI St. Vincent Hospital Hot SpringsHot Springs 145 $32,630 $9,364 $7,937
Baptist Health Medical Center-Little RockLittle Rock 137 $54,679 $9,085 $7,624
Nea Baptist Memorial HospitalJonesboro 117 $42,852 $8,866 $7,033
White County Medical CenterSearcy 103 $20,209 $10,740 $9,245
Mercy Hospital Northwest ArkansasRogers 101 $38,595 $9,679 $7,893
St Bernards Medical CenterJonesboro 84 $24,675 $9,133 $7,809
Conway Regional Medical CenterConway 80 $47,854 $9,340 $7,599
Mercy Hospital Fort SmithFort Smith 79 $28,894 $9,697 $8,301
Baptist Health Medical Center- ConwayConway 69 $46,584 $8,642 $7,483
Washington Regional Med CenterFayetteville 63 $39,231 $8,754 $7,306
St Vincent Infirmary Medical CenterLittle Rock 58 $32,853 $9,323 $7,986
National Park Medical CenterHot Springs 55 $131,454 $9,038 $7,896
Arkansas Heart HospitalLittle Rock 51 $22,100 $7,988 $6,868
Saline Memorial HospitalBenton 50 $31,402 $8,894 $7,343
Baxter Regional Medical CenterMountain Home 49 $25,400 $8,381 $7,265
Jefferson Regional Medical CtrPine Bluff 44 $48,646 $10,775 $9,361
White River Medical CenterBatesville 39 $21,738 $9,890 $8,036
Drew Memorial HospitalMonticello 37 $43,117 $10,211 $8,327
Arkansas Heart Hospital-EncoreBryant 36 $16,914 $7,898 $6,642
Northwest Medical Center-SpringdaleSpringdale 34 $81,048 $9,524 $8,230
St Marys Regional Medical CenterRussellville 34 $54,953 $8,623 $6,951
University of Arkansas Medical SciencesLittle Rock 30 $43,222 $14,153 $10,045
Medical Center South ArkansasEl Dorado 28 $88,936 $9,866 $8,028
Mena Regional Health SystemMena 26 $19,278 $10,638 $9,135
Arkansas Methodist Medical CenterParagould 23 $24,538 $9,076 $8,083
North Arkansas Reg Med CtrHarrison 20 $33,083 $10,378 $9,236
St Vincent Medical Center/NorthSherwood 19 $29,371 $8,721 $7,435
John Ed Chambers Mem Hosp, INCDanville 18 $14,982 $9,943 $8,673
Siloam Springs Memorial HospitalSiloam Springs 15 $49,809 $10,238 $8,932
Johnson Regional Medical CenterClarksville 11 $16,696 $11,355 $10,316
Ouachita County Medical CenterCamden 11 $27,755 $10,468 $9,281
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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

Highest

Simple pneumonia and pleurisy with major complications in other states

Questions

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

In 2024 Medicare data, a hospital stay for simple pneumonia and pleurisy with major complications (DRG 193) at 33 hospitals in Arkansas was billed at $41,508 on average, while the average total payment was $9,529, of which Medicare paid $7,964. 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 4.4 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.