DRG

SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC

DRG Code: 195

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Key Metrics

Total Discharges
1,801
Avg Medicare Payment ($)
$4,056.92
Avg Total Payment ($)
$6,028.64
Avg Covered Charge ($)
$28,889.75
Number of Hospitals
115

Payment Range (Avg Medicare Payment)

Minimum
$2,372.35
25th Percentile
$3,277.85
Median
$3,683.08
75th Percentile
$4,479.25
Maximum
$13,008.86

Top 20 Hospitals by Discharges

Rank Hospital Discharges Avg Medicare Payment
1 Northshore University Healthsystem Evanston Hosp 42 $3,925.17
2 St Francis Hospital, Roslyn 35 $3,533.77
3 West Jersey Hospital 31 $3,455.65
4 Cleveland Clinic Martin North Hospital 30 $3,115.57
5 Boca Raton Regional Hospital 29 $2,913.31
6 Christianacare 28 $4,211.71
7 Sarasota Memorial Hospital 26 $3,277.85
8 Silver Cross Hospital And Medical Centers 26 $3,243.50
9 Winchester Hospital 26 $3,245.50
10 Baptist Medical Center Jacksonville 22 $3,696.45
11 Frederick Health Hospital 22 $4,669.36
12 Lehigh Valley Hospital 22 $3,925.50
13 Jackson Memorial Hospital 21 $13,008.86
14 Hca Florida Ocala Hospital 21 $3,825.29
15 Adventhealth Orlando 20 $3,525.65
16 Naples Community Hospital 20 $3,305.00
17 Physicians Regional Medical Center - Pine Ridge 20 $2,372.35
18 Beebe Medical Center 19 $3,179.58
19 Bethesda Hospital East 19 $3,501.47
20 Monroe County Medical Center 19 $3,636.42

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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