Simple pneumonia and pleurisy with major complications in New Hampshire
What 13 hospitals in New Hampshire 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
$40,443
Hospital list price billed
Average payment
$11,445
Medicare + patient + other payers
Medicare paid
$9,402
Average per stay
State rank
#27 of 50
1 = lowest average payment
Hospitals in New Hampshire billed an average of $40,443 for simple pneumonia and pleurisy with major complications, about 3.5 times the average total payment of $11,445. That payment is 5% 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 $11,445Billed $40,443
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 major 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 | 150 | $29,946 | $10,591 | $8,978 |
| Concord HospitalConcord | 121 | $33,952 | $10,750 | $9,167 |
| Southern Nh Medical CenterNashua | 108 | $26,296 | $10,840 | $8,750 |
| Wentworth-Douglass HospitalDover | 83 | $33,989 | $9,700 | $8,297 |
| Mary Hitchcock Mem HospitalLebanon | 82 | $53,648 | $16,338 | $12,615 |
| Parkland Medical CenterDerry | 65 | $70,467 | $10,203 | $8,158 |
| Portsmouth Regional HospitalPortsmouth | 63 | $79,872 | $12,024 | $9,318 |
| Concord Hospital- LaconiaLaconia | 60 | $36,606 | $11,807 | $10,747 |
| Cheshire Medical CenterKeene | 60 | $27,723 | $12,439 | $10,512 |
| St Joseph HospitalNashua | 55 | $37,270 | $10,617 | $8,027 |
| Exeter HospitalExeter | 47 | $36,854 | $13,552 | $9,992 |
| Catholic Medical CenterManchester | 45 | $37,247 | $10,018 | $8,735 |
| Frisbie Memorial HospitalRochester | 12 | $72,584 | $11,001 | $10,049 |
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 | $9,700 |
|---|---|
| Catholic Medical CenterManchester, NH | $10,018 |
| Parkland Medical CenterDerry, NH | $10,203 |
| Elliot HospitalManchester, NH | $10,591 |
| St Joseph HospitalNashua, NH | $10,617 |
Highest
| Mary Hitchcock Mem HospitalLebanon, NH | $16,338 |
|---|---|
| Exeter HospitalExeter, NH | $13,552 |
| Cheshire Medical CenterKeene, NH | $12,439 |
| Portsmouth Regional HospitalPortsmouth, NH | $12,024 |
| Concord Hospital- LaconiaLaconia, NH | $11,807 |
Simple pneumonia and pleurisy with major complications in other states
Questions
How much does simple pneumonia and pleurisy with major complications cost in New Hampshire?
In 2024 Medicare data, a hospital stay for simple pneumonia and pleurisy with major complications (DRG 193) at 13 hospitals in New Hampshire was billed at $40,443 on average, while the average total payment was $11,445, of which Medicare paid $9,402. 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.