Pneumonia (with major complications)
Hospitalization for simple pneumonia and pleurisy with major comorbidities.
Compare Pneumonia cost by state
40 states with parsed pricing data, ranked by hospital count. More states roll out as we parse additional hospital MRF files.
What is pneumonia?
Hospitalization for simple pneumonia and pleurisy with major comorbidities.
Pneumonia is billed under Medicare's MS-DRG 193 (with major complications), classified within the Respiratory diagnostic category. Hospitals publish gross charges per DRG under the federal Hospital Price Transparency Rule, but actual cost depends on insurance: insurers negotiate substantial discounts, Medicare and Medicaid pay fixed rates, and uninsured patients can often qualify for cash-pay discounts. Use the gross charge as a benchmark when comparing hospitals; a facility that lists a procedure at twice the price of another tends to charge higher rates across the board.
Data current as of 2026-05-27.