Inpatient stay · MS-DRG 189

Pulmonary edema and respiratory failure

In 2024, Medicare and patients paid an average of $12,197 per stay at 2,098 hospitals. Half of hospitals averaged between $9,650 and $12,792.

National figures, 2024

Average payment per case: $12,197
Typical range (middle half of hospitals): $9,650–$12,792
Medicare’s share: $9,97482% of the payment
Average billed charge: $57,943
Hospitals reporting: 2,09889,991 stays

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2,098 hospitals reported at least 11 Medicare stays for this in 2024; showing 1–50. Download as CSV

Medicare payments per case for Pulmonary edema and respiratory failure by hospital, 2024
Hospital	Cases	Average payment	vs national average	Medicare paid	Billed charge
Central Vermont Medical CenterBarre, VT · CCN 470001	26	$5,128	58% below the national average	$3,998	$24,090
Memorial HospitalFremont, OH · CCN 360156	19	$5,460	55% below the national average	$4,772	$26,644
Marietta Memorial HospitalMarietta, OH · CCN 360147	47	$7,166	41% below the national average	$5,690	$22,478
Southwestern Vermont Medical CenterBennington, VT · CCN 470012	67	$7,220	41% below the national average	$6,057	$21,637
Baptist Neighborhood Hospital Thousand OaksSan Antonio, TX · CCN 670078	16	$7,340	40% below the national average	$6,626	$54,187
Rutland Regional Medical CenterRutland, VT · CCN 470005	135	$7,352	40% below the national average	$5,845	$36,303
The Hospitals Of Providence Horizon City CampusHorizon City, TX · CCN 670124	12	$7,515	38% below the national average	$6,427	$47,973
Piedmont Columbus Regional NorthsideColumbus, GA · CCN 110200	20	$7,532	38% below the national average	$6,797	$43,566
Kansas Medical Center LLCAndover, KS · CCN 170197	11	$7,644	37% below the national average	$6,605	$17,612
Saint Francis Bartlett Medical CenterBartlett, TN · CCN 440228	29	$7,657	37% below the national average	$6,869	$73,024
Highland Community HospitalPicayune, MS · CCN 250117	15	$7,662	37% below the national average	$6,683	$30,541
Boone Hospital CenterColumbia, MO · CCN 260068	31	$7,695	37% below the national average	$6,432	$42,149
Crestwood Medical CenterHuntsville, AL · CCN 010131	17	$7,725	37% below the national average	$6,671	$118,645
Via Christi Hospital Wichita St Teresa, IncWichita, KS · CCN 170200	24	$7,744	37% below the national average	$6,792	$29,515
Prisma Health Hillcrest HospitalSimpsonville, SC · CCN 420037	14	$7,792	36% below the national average	$6,308	$41,250
Shelby Baptist Medical CenterAlabaster, AL · CCN 010016	23	$7,815	36% below the national average	$5,849	$67,818
Saint John HospitalLeavenworth, KS · CCN 170009	23	$7,821	36% below the national average	$6,686	$25,852
Williamson Medical CenterFranklin, TN · CCN 440029	24	$7,823	36% below the national average	$6,644	$27,473
Parma Community General HospitalParma, OH · CCN 360041	18	$7,836	36% below the national average	$6,333	$42,960
Resolute Health HospitalNew Braunfels, TX · CCN 670098	16	$7,853	36% below the national average	$6,706	$114,186
West Boca Medical CenterBoca Raton, FL · CCN 100268	18	$7,856	36% below the national average	$6,554	$88,354
Saint Luke's East HospitalLees Summit, MO · CCN 260216	42	$7,877	35% below the national average	$6,789	$107,046
Mon Health Medical CenterMorgantown, WV · CCN 510024	36	$7,892	35% below the national average	$6,896	$34,806
Baxter HealthMountain Home, AR · CCN 040027	38	$7,903	35% below the national average	$6,818	$20,684
Pelham Medical CenterGreer, SC · CCN 420103	16	$7,925	35% below the national average	$6,701	$45,625
St Joseph Medical CenterKansas City, MO · CCN 260085	32	$7,967	35% below the national average	$6,745	$55,925
Canonsburg General HospitalCanonsburg, PA · CCN 390160	12	$7,976	35% below the national average	$7,024	$36,033
Thibodaux Regional Medical CenterThibodaux, LA · CCN 190004	20	$7,976	35% below the national average	$7,243	$50,699
University Of Vermont - Fletcher Allen Health CareBurlington, VT · CCN 470003	159	$7,980	35% below the national average	$4,213	$42,273
Medina HospitalMedina, OH · CCN 360091	62	$7,985	35% below the national average	$6,728	$41,814
Grinnell Regional Medical CenterGrinnell, IA · CCN 160147	12	$7,992	34% below the national average	$7,040	$26,542
Pardee Hospital Henderson CountyHendersonville, NC · CCN 340017	20	$8,029	34% below the national average	$7,050	$36,686
Riverview Regional Medical CenterGadsden, AL · CCN 010046	58	$8,038	34% below the national average	$6,481	$53,799
WakeMed, Cary HospitalCary, NC · CCN 340173	25	$8,050	34% below the national average	$7,071	$53,653
Mississippi Baptist Medical CenterJackson, MS · CCN 250102	96	$8,056	34% below the national average	$6,759	$49,922
Lovelace Medical CenterAlbuquerque, NM · CCN 320009	17	$8,069	34% below the national average	$6,885	$91,679
Delray Medical CenterDelray Beach, FL · CCN 100258	54	$8,074	34% below the national average	$7,047	$108,375
Kearney Regional Medical CenterKearney, NE · CCN 280134	15	$8,089	34% below the national average	$6,245	$43,809
Texas Health Hospital FriscoFrisco, TX · CCN 670260	26	$8,131	33% below the national average	$6,955	$36,017
Sentara Martha Jefferson HospitalCharlottesville, VA · CCN 490077	24	$8,140	33% below the national average	$7,136	$29,622
Northern Louisiana Medical CenterRuston, LA · CCN 190086	13	$8,141	33% below the national average	$7,137	$64,027
Georgetown Community HospitalGeorgetown, KY · CCN 180101	17	$8,143	33% below the national average	$6,799	$60,426
Sarasota Memorial Hospital - VeniceNorth Venice, FL · CCN 100359	40	$8,159	33% below the national average	$7,057	$50,857
St Clair HospitalPittsburgh, PA · CCN 390228	28	$8,161	33% below the national average	$6,702	$23,759
University Hospitals Portage Medical CenterRavenna, OH · CCN 360078	11	$8,162	33% below the national average	$6,867	$26,808
Jefferson HospitalJefferson Hills, PA · CCN 390265	35	$8,167	33% below the national average	$7,188	$43,072
Viera HospitalMelbourne, FL · CCN 100315	32	$8,167	33% below the national average	$7,058	$45,576
Novant Health Ballantyne Medical CenterCharlotte, NC · CCN 340195	18	$8,171	33% below the national average	$6,191	$31,088
Saint Luke's South HospitalOverland Park, KS · CCN 170185	16	$8,172	33% below the national average	$7,356	$111,790
Helen Keller HospitalSheffield, AL · CCN 010019	15	$8,172	33% below the national average	$6,867	$28,413

National trend

Average payment and billed charge per stay, and how many Medicare stays were reported each year.

Average payment
Average billed charge

2020: 92,757 stays at 2,131 hospitals · 2021: 80,185 stays at 2,040 hospitals · 2022: 83,197 stays at 2,060 hospitals · 2023: 90,117 stays at 2,130 hospitals · 2024: 89,991 stays at 2,098 hospitals

View data as a table

National average payment and billed charge for Pulmonary edema and respiratory failure
Year of care	Average payment	Average billed charge
2020	$11K	$45K
2021	$11K	$48K
2022	$11K	$52K
2023	$12K	$54K
2024	$12K	$58K

By state, 2024

Case-weighted average payment across each state’s reporting hospitals, lowest first.

Show all 51 states

Average payment by state for Pulmonary edema and respiratory failure, 2024
State	Hospitals	Cases	Average payment	Typical range
Vermont	5	424	$8,089	$7,220–$7,980
Arkansas	22	1,270	$9,183	$8,666–$9,611
Kentucky	42	1,753	$9,410	$8,642–$9,960
Mississippi	28	1,166	$9,491	$8,841–$9,859
Louisiana	32	1,125	$9,678	$8,503–$10,612
Montana	10	250	$9,987	$9,467–$10,067
Kansas	26	1,060	$10,043	$8,893–$11,299
Tennessee	48	1,926	$10,069	$8,862–$10,296
Alabama	37	1,022	$10,105	$8,566–$10,341
Iowa	28	1,215	$10,161	$8,837–$10,268
Oklahoma	33	1,541	$10,187	$9,151–$10,593
Indiana	60	2,399	$10,354	$9,529–$10,912
Ohio	93	3,385	$10,459	$9,153–$10,977
Idaho	12	474	$10,491	$10,135–$11,346
Florida	139	5,587	$10,618	$9,353–$11,085
Missouri	46	1,778	$10,660	$8,934–$10,568
West Virginia	15	914	$10,696	$8,699–$10,737
Virginia	60	2,193	$10,867	$9,392–$11,074
Wisconsin	45	1,552	$10,878	$9,393–$10,879
South Carolina	36	1,882	$10,957	$9,461–$11,163
North Dakota	7	339	$11,059	$9,941–$12,407
Colorado	31	997	$11,080	$9,710–$11,788
Nebraska	15	689	$11,127	$8,816–$11,926
New Hampshire	12	475	$11,285	$9,934–$12,183
Pennsylvania	98	4,123	$11,304	$9,349–$11,780
North Carolina	60	2,238	$11,396	$9,411–$11,328
Illinois	92	4,161	$11,432	$9,648–$12,384
South Dakota	10	502	$11,455	$9,976–$12,691
Arizona	37	1,401	$11,551	$10,055–$14,104
Michigan	70	2,978	$11,577	$10,157–$11,549
Minnesota	34	1,357	$11,677	$9,832–$11,546
New Mexico	15	441	$11,712	$9,947–$14,534
Georgia	67	2,326	$11,764	$10,019–$12,376
Washington	40	1,919	$11,824	$10,767–$12,246
Texas	144	7,359	$11,851	$9,829–$11,521
Nevada	18	1,006	$11,919	$11,009–$12,068
Delaware	6	438	$12,021	$10,293–$12,264
Utah	14	414	$12,043	$10,289–$12,061
Oregon	22	782	$12,399	$10,974–$13,228
Massachusetts	46	2,444	$12,470	$10,496–$13,542
New Jersey	46	2,268	$12,508	$10,933–$13,677
Rhode Island	6	200	$12,790	$10,844–$13,154
Wyoming	4	99	$13,156	$13,859–$15,194
Connecticut	22	985	$13,777	$12,004–$14,779
Maine	10	289	$14,774	$10,659–$13,889
New York	101	4,957	$14,981	$11,710–$15,733
District of Columbia	6	170	$15,386	$14,427–$17,551
California	195	7,155	$15,884	$13,073–$16,320
Alaska	6	317	$15,910	$14,671–$20,089
Hawaii	8	160	$16,251	$15,363–$16,132
Maryland	39	4,086	$20,991	$17,267–$23,101

About these numbers

Average payment is what Medicare paid plus the patient’s deductible and coinsurance (and any other insurer), averaged over the hospital’s Medicare cases. It covers the hospital’s part of the care; doctors bill separately. Billed charges are the hospital’s list prices, which few patients pay.

Medicare sets its payments by formula, adjusting for local wages, teaching programs, the share of low-income patients and unusually costly cases. Those adjustments drive most differences between hospitals, so a lower payment doesn’t mean better or worse care, and Medicare patients’ own costs usually vary much less than the totals. Private insurance pays different, usually higher, prices.

Source: CMS Medicare Inpatient Hospitals by Provider and Service (Medicare fee-for-service claims). CMS omits hospitals with fewer than 11 stays. More in the glossary.