DRG 194 · Respiratory

Pneumonia Cost in Massachusetts — Compare All Hospitals

Hospitalization for simple pneumonia and pleurisy with complications — one of the most common medical admissions.

State average
$49,340
gross charge · DRG 194
Hospitals
16
with published pricing
Price range
$7,564 – $120,625
low to high
Lowest $7,564 Highest $120,625

16 Massachusetts hospitals publish gross charges for pneumonia (DRG 194). Prices range from $7,564 to $120,625 — roughly 16×. The cheapest is Cambridge Health Alliance in Cambridge; the most expensive is Brigham and Women's Faulkner Hospital in Jamaica Plain. The state average sits at $49,340.

These numbers are list prices — what the hospital bills before any insurance adjustment. Insurance plans negotiate substantial discounts, Medicare and Medicaid pay fixed federal rates, and uninsured patients can usually qualify for a cash-pay discount. But the gross charge still works as a useful benchmark: a hospital that lists pneumonia at twice the price of another typically negotiates higher rates with insurers too, and quotes more for uninsured patients.

You usually don't choose a hospital during an urgent pneumonia admission. This page is for the planning side: patients with chronic conditions weighing their options, caregivers picking ahead of time, or employers comparing in-network facilities. Click any hospital name for its full quality profile — CMS overall star rating, mortality and readmission rates, patient-experience scores. When two nearby hospitals look similar on quality, the one with lower published charges is the safer default for routine medical admissions.

Pricing comes from each hospital's Machine-Readable File (MRF), published under the federal Hospital Price Transparency Rule. Massachusetts hospitals missing from the list either don't perform pneumonia in volume, haven't published a usable price for DRG 194 in their most recent MRF, or fell below our data-quality thresholds (we filter out clearly erroneous entries like $0 charges). The list refreshes as hospitals update their files.

What this hospital charge usually covers

The gross-charge number above is the hospital's facility bill for pneumonia. Here's what's typically inside that price (typical inpatient stay: 3–5 days):

Included in the hospital bill

  • Inpatient room and respiratory monitoring
  • IV antibiotics and oxygen therapy
  • Chest imaging, blood cultures, and routine labs
  • Respiratory treatments (nebulizers, etc.) during the stay

Usually billed separately

  • Hospitalist and infectious-disease consultant professional fees
  • Pulmonologist consultation if required
  • Outpatient antibiotics after discharge
  • Follow-up chest imaging

Quality signals to check before picking a hospital

Price alone won't tell you which hospital does pneumonia best. These are the CMS quality measures that matter most for this specific procedure. Click any hospital below for its full profile, then look for these:

Pneumonia Mortality (30-day)

How often patients hospitalized for pneumonia survive 30 days. The headline pneumonia outcome.

Pneumonia Readmissions

Strong discharge planning, the right outpatient antibiotic, and follow-up reduce returns to the hospital.

Sepsis Care Bundle

Severe pneumonia can become sepsis. Hospitals with strong sepsis-bundle compliance catch and treat it early.

When the cheapest hospital may not be the best fit

The list below sorts by price. For pneumonia, the lowest price isn't automatically the best fit — these are situations where it's worth weighing additional factors against price. None of the below is medical advice; talk to your doctor about what applies to your specific situation.

Questions to ask your hospital or insurer

The gross charge is the starting point. These are the procedure-specific questions to ask before you commit:

Hospitals ranked by gross charge

  1. 1

    Cambridge Health Alliance

    Cambridge, MA

    Gross charge $7,564
  2. 2

    Lowell General Hospital

    Lowell, MA

    75 Medicare stays/yr
    Gross charge $10,304
    Cash pay $7,213
    Medicare pays (avg) $5,629
  3. 3

    MelroseWakefield Hospital

    Melrose, MA

    62 Medicare stays/yr
    Gross charge $10,304
    Cash pay $7,213
    Medicare pays (avg) $5,322
  4. 4
    Gross charge $11,020
    Cash pay $8,265
  5. 5

    Umass Memorial Healthalliance Hospitals

    Leominster, MA

    42 Medicare stays/yr
    Gross charge $22,854
    Medicare pays (avg) $5,931
  6. 6

    Umass Memorial Health - Harrington Hospital

    Southbridge, MA

    34 Medicare stays/yr
    Gross charge $22,854
    Medicare pays (avg) $5,843
  7. 7

    Umass Memorial Medical Center/University Campus

    Worcester, MA

    57 Medicare stays/yr
    Gross charge $22,854
    Medicare pays (avg) $8,470
  8. 8

    Mercy Medical Center

    Springfield, MA

    18 Medicare stays/yr
    Gross charge $30,067
    Cash pay $16,537
    Medicare pays (avg) $5,945
  9. 9

    Martha's Vineyard Hospital

    Oak Bluffs, MA

    Gross charge $39,630
  10. 10

    Tufts Medical Center

    Boston, MA

    26 Medicare stays/yr
    Gross charge $53,451
    Cash pay $6,530
    Medicare pays (avg) $8,104
  11. 11

    Newton-Wellesley Hospital

    Newton, MA

    68 Medicare stays/yr
    Gross charge $60,003
    Medicare pays (avg) $5,507
  12. 12

    Cooley Dickinson Hospital

    Northampton, MA

    22 Medicare stays/yr
    Gross charge $60,684
    Medicare pays (avg) $5,039
  13. 13

    Southcoast Hospitals Group

    Fall River, MA

    147 Medicare stays/yr
    Gross charge $84,965
    Cash pay $7,315
    Medicare pays (avg) $5,585
  14. 14

    Massachusetts General Hospital

    Boston, MA

    89 Medicare stays/yr
    Gross charge $111,636
    Cash pay $28,268
    Medicare pays (avg) $7,502
  15. 15

    Brigham and Women's Hospital

    Boston, MA

    44 Medicare stays/yr
    Gross charge $120,625
    Medicare pays (avg) $7,188
  16. 16

    Brigham and Women's Faulkner Hospital

    Jamaica Plain, MA

    17 Medicare stays/yr
    Gross charge $120,625
    Medicare pays (avg) $6,408
  17. 17

    Saint Anne's Hospital

    Fall River, MA

    22 Medicare stays/yr
    Gross charge
    Medicare pays (avg) $4,985
  18. 18

    Holyoke Medical Center

    Holyoke, MA

    Gross charge
  19. 19

    Berkshire Medical Center (Acute Care)

    Pittsfield, MA

    33 Medicare stays/yr
    Gross charge
    Medicare pays (avg) $7,297
  20. 20

    Heywood Hospital

    Gardner, MA

    21 Medicare stays/yr
    Gross charge
    Medicare pays (avg) $5,897
  21. 21

    Falmouth Hospital

    Falmouth, MA

    37 Medicare stays/yr
    Gross charge
    Medicare pays (avg) $5,230
  22. 22

    Fairview Hospital

    Great Barrington, MA

    Gross charge
  23. 23

    Athol Hospital

    Athol, MA

    Gross charge
  24. 24

    Mount Auburn Hospital

    Cambridge, MA

    17 Medicare stays/yr
    Gross charge
    Medicare pays (avg) $7,098
  25. 25

    Baystate Franklin Medical Center

    Greenfield, MA

    23 Medicare stays/yr
    Gross charge
    Medicare pays (avg) $5,427
  26. 26

    Anna Jaques Hospital

    Newburyport, MA

    31 Medicare stays/yr
    Gross charge
    Medicare pays (avg) $5,118
  27. 27

    Beth Israel Deaconess Hospital - Needham

    Needham, MA

    29 Medicare stays/yr
    Gross charge
    Medicare pays (avg) $5,275
  28. 28

    Beth Israel Deaconess Medical Center

    Boston, MA

    27 Medicare stays/yr
    Gross charge
    Medicare pays (avg) $8,644
  29. 29

    New England Baptist Hospital

    Boston, MA

    Gross charge
  30. 30

    Winchester Hospital

    Winchester, MA

    68 Medicare stays/yr
    Gross charge
    Medicare pays (avg) $4,986
  31. 31

    Beth Israel Deaconess Hospital - Milton

    Milton, MA

    12 Medicare stays/yr
    Gross charge
    Medicare pays (avg) $5,522
  32. 32

    Lahey Hospital & Medical Center, Burlington

    Burlington, MA

    38 Medicare stays/yr
    Gross charge
    Medicare pays (avg) $6,569

Compare pneumonia pricing in nearby states