Simple pneumonia and pleurisy with major complications in Kansas
What 29 hospitals in Kansas charged and were paid for a Medicare hospital stay for simple pneumonia and pleurisy with major complications (DRG 193), from 2024 Medicare claims.
Average charge
$56,040
Hospital list price billed
Average payment
$10,596
Medicare + patient + other payers
Medicare paid
$8,590
Average per stay
State rank
#12 of 50
1 = lowest average payment
Hospitals in Kansas billed an average of $56,040 for simple pneumonia and pleurisy with major complications, about 5.3 times the average total payment of $10,596. That payment is 12% 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 $10,596Billed $56,040
About 19¢ 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 major 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 |
|---|---|---|---|---|
| Via Christi Hospitals Wichita INCWichita | 139 | $48,141 | $11,411 | $9,263 |
| Wesley Medical CenterWichita | 127 | $135,919 | $11,301 | $8,860 |
| University of Kansas HospitalKansas City | 108 | $85,935 | $13,581 | $9,907 |
| St Francis Health CenterTopeka | 88 | $43,069 | $8,820 | $7,382 |
| Stormont-Vail HealthcareTopeka | 83 | $49,052 | $10,322 | $6,974 |
| Via Christi Hospital Wichita St Teresa INCWichita | 74 | $32,888 | $8,219 | $7,139 |
| Hays Medical CenterHays | 72 | $44,036 | $11,665 | $10,472 |
| Shawnee Mission Medical CenterOverland Park | 71 | $58,378 | $9,675 | $7,837 |
| Olathe Medical CenterOlathe | 68 | $36,371 | $9,058 | $7,232 |
| Menorah Medical CenterShawnee Mission | 55 | $82,685 | $10,040 | $8,111 |
| Overland Park Regional CenterShawnee Mission | 53 | $100,242 | $10,219 | $8,501 |
| Promise Regional Medical Center Hutchinson INCHutchinson | 52 | $34,728 | $10,905 | $8,748 |
| Salina Regional Health CenterSalina | 51 | $36,540 | $10,210 | $8,653 |
| Saint Luke's South HospitalOverland Park | 48 | $63,822 | $8,597 | $6,947 |
| Mercy Hospital PittsburgPittsburg | 36 | $24,384 | $11,057 | $9,429 |
| Lawrence Memorial HospitalLawrence | 35 | $40,445 | $10,752 | $8,368 |
| Southwest Medical CenterLiberal | 29 | $44,001 | $12,971 | $11,214 |
| Rock Regional Hospital, LLCDerby | 29 | $24,879 | $8,048 | $6,866 |
| Ascension Via Christi Hospital ManhattanManhattan | 28 | $19,986 | $9,324 | $7,926 |
| McPherson HospitalMcPherson | 23 | $23,963 | $12,531 | $10,818 |
| Labette County Medical CenterParsons | 21 | $19,933 | $11,371 | $9,896 |
| Adventhealth OttawaOttawa | 20 | $40,619 | $14,135 | $11,073 |
| Pratt Regional Medical CenterPratt | 20 | $20,839 | $13,423 | $12,118 |
| Great Bend Regional HospitalGreat Bend | 20 | $28,284 | $13,218 | $11,996 |
| NMC HealthNewton | 19 | $26,689 | $9,443 | $8,326 |
| Adventhealth South Overland Park, INCOverland Park | 16 | $40,715 | $7,304 | $6,080 |
| Stormont Vail Health Flint HillsJunction City | 14 | $29,024 | $8,323 | $6,093 |
| Providence Medical CenterKansas City | 14 | $42,670 | $10,076 | $8,486 |
| Kansas Medical Center LLCAndover | 12 | $14,065 | $7,701 | $6,205 |
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
| Adventhealth South Overland Park, INCOverland Park, KS | $7,304 |
|---|---|
| Kansas Medical Center LLCAndover, KS | $7,701 |
| Rock Regional Hospital, LLCDerby, KS | $8,048 |
| Via Christi Hospital Wichita St Teresa INCWichita, KS | $8,219 |
| Stormont Vail Health Flint HillsJunction City, KS | $8,323 |
Highest
| Adventhealth OttawaOttawa, KS | $14,135 |
|---|---|
| University of Kansas HospitalKansas City, KS | $13,581 |
| Pratt Regional Medical CenterPratt, KS | $13,423 |
| Great Bend Regional HospitalGreat Bend, KS | $13,218 |
| Southwest Medical CenterLiberal, KS | $12,971 |
Simple pneumonia and pleurisy with major complications in other states
Questions
How much does simple pneumonia and pleurisy with major complications cost in Kansas?
In 2024 Medicare data, a hospital stay for simple pneumonia and pleurisy with major complications (DRG 193) at 29 hospitals in Kansas was billed at $56,040 on average, while the average total payment was $10,596, of which Medicare paid $8,590. 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 5.3 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.