DRG

SIMPLE PNEUMONIA AND PLEURISY WITH CC

DRG Code: 194

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Key Metrics

Total Discharges
37,586
Avg Medicare Payment ($)
$5,732.92
Avg Total Payment ($)
$7,671.65
Avg Covered Charge ($)
$36,919.11
Number of Hospitals
1,421

Payment Range (Avg Medicare Payment)

Minimum
$2,738.53
25th Percentile
$4,733.07
Median
$5,344.48
75th Percentile
$6,209.11
Maximum
$17,182.92

Top 20 Hospitals by Discharges

Rank Hospital Discharges Avg Medicare Payment
1 Cleveland Clinic Martin North Hospital 173 $4,553.67
2 Christianacare 167 $5,801.63
3 Southcoast Hospital Group, Inc 160 $5,662.25
4 West Jersey Hospital 160 $5,008.67
5 Luminis Health Anne Arundel Medical Center, Inc 153 $7,435.09
6 New York-Presbyterian Hospital 152 $8,583.94
7 Nyu Langone Hospitals 146 $8,856.60
8 St Francis Hospital, Roslyn 144 $5,328.15
9 South Shore Hospital 143 $5,352.82
10 Northshore University Healthsystem Evanston Hosp 126 $5,724.71
11 Adventhealth Orlando 123 $5,027.59
12 Mercy Medical Center - Cedar Rapids 115 $4,700.44
13 Sarasota Memorial Hospital 114 $4,867.96
14 Saint Agnes Medical Center 108 $6,794.71
15 Baptist Medical Center Jacksonville 106 $5,283.32
16 Northeast Georgia Medical Center, Inc 106 $5,875.49
17 Carroll Hospital Center 100 $8,222.10
18 United Regional Health Care System 95 $5,459.12
19 Integris Baptist Medical Center, Inc 92 $5,261.50
20 Naples Community Hospital 89 $4,781.13

Related Entities

Methodology

Data source: Medicare Inpatient Hospitals by Provider and Service (DRG) (dataset ID: inpatient-by-drg). Vintage: 2023. Downloaded: 2026-04-13. Rows in source: 146,427.

Medicare Inpatient Hospitals by Provider and Service reports charges and payments for hospital inpatient stays by DRG (Diagnosis Related Group). Payment amounts reflect what Medicare actually paid, while covered charges are the hospital's list price before adjustments.

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