Simple pneumonia and pleurisy without complications in Indiana
What 3 hospitals in Indiana charged and were paid for a Medicare hospital stay for simple pneumonia and pleurisy without complications (DRG 195), from 2024 Medicare claims.
Average charge
$21,974
Hospital list price billed
Average payment
$4,675
Medicare + patient + other payers
Medicare paid
$3,164
Average per stay
State rank
#2 of 16
1 = lowest average payment
Hospitals in Indiana billed an average of $21,974 for simple pneumonia and pleurisy without complications, about 4.7 times the average total payment of $4,675. That payment is 22% below the U.S. average of $6,019.
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 $4,675Billed $21,974
About 21¢ was paid for every $1 hospitals in Indiana billed for this stay.
Medicare prices this stay in 3 versions, by how sick the patient was. Compare them in Indiana:
Indiana hospitals: simple pneumonia and pleurisy without complications
Every Indiana hospital that billed Medicare for this stay at least 11 times. Click a column to sort.
| Hospital | Stays | Avg charge | Avg payment | Medicare paid |
|---|---|---|---|---|
| Floyd Memorial Hospital and Health ServicesNew Albany | 22 | $26,687 | $4,435 | $2,844 |
| Deaconess Hospital INCEvansville | 12 | $16,755 | $4,730 | $3,168 |
| Union Hospital INCTerre Haute | 11 | $18,239 | $5,095 | $3,800 |
Lowest and highest payments in Indiana
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
| Floyd Memorial Hospital and Health ServicesNew Albany, IN | $4,435 |
|---|---|
| Deaconess Hospital INCEvansville, IN | $4,730 |
| Union Hospital INCTerre Haute, IN | $5,095 |
Highest
| Union Hospital INCTerre Haute, IN | $5,095 |
|---|---|
| Deaconess Hospital INCEvansville, IN | $4,730 |
| Floyd Memorial Hospital and Health ServicesNew Albany, IN | $4,435 |
Simple pneumonia and pleurisy without complications in other states
Questions
How much does simple pneumonia and pleurisy without complications cost in Indiana?
In 2024 Medicare data, a hospital stay for simple pneumonia and pleurisy without complications (DRG 195) at 3 hospitals in Indiana was billed at $21,974 on average, while the average total payment was $4,675, of which Medicare paid $3,164. 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 Indiana, average charges were 4.7 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.