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 701–750. 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
Loyola Gottlieb Memorial HospitalMelrose Park, IL · CCN 140008	25	$10,022	18% below the national average	$7,766	$58,501
St John OwassoOwasso, OK · CCN 370227	13	$10,023	18% below the national average	$9,270	$22,960
St Lukes Magic Valley Medical CenterTwin Falls, ID · CCN 130002	36	$10,025	18% below the national average	$8,744	$35,652
Hannibal Regional HospitalHannibal, MO · CCN 260025	58	$10,025	18% below the national average	$8,883	$30,539
St Luke's Regional Medical CenterBoise, ID · CCN 130006	90	$10,026	18% below the national average	$8,866	$61,801
Southern NH Medical CenterNashua, NH · CCN 300020	36	$10,028	18% below the national average	$8,500	$22,572
Berkeley Medical CenterMartinsburg, WV · CCN 510008	43	$10,028	18% below the national average	$7,551	$27,138
Christus Santa Rosa Medical CenterSan Antonio, TX · CCN 450237	70	$10,029	18% below the national average	$8,675	$48,215
Froedtert South Inc.Kenosha, WI · CCN 520021	46	$10,029	18% below the national average	$8,493	$45,153
Northside Hospital CherokeeCanton, GA · CCN 110008	99	$10,029	18% below the national average	$8,834	$62,431
Fort Memorial HospitalFort Atkinson, WI · CCN 520071	38	$10,033	18% below the national average	$7,974	$40,475
Intermountain Health Alta View HospitalSandy, UT · CCN 460044	14	$10,035	18% below the national average	$8,233	$28,855
Mercy Health - Tiffin HospitalTiffin, OH · CCN 360089	17	$10,035	18% below the national average	$8,981	$42,105
Centura Health-St Anthony HospitalLakewood, CO · CCN 060015	36	$10,038	18% below the national average	$8,379	$66,069
Crossgates River Oaks HospitalBrandon, MS · CCN 250096	11	$10,043	18% below the national average	$7,921	$82,131
HonorHealth Scottsdale Osborn Medical CenterScottsdale, AZ · CCN 030038	41	$10,051	18% below the national average	$8,612	$80,092
Reid HealthRichmond, IN · CCN 150048	58	$10,051	18% below the national average	$8,909	$33,782
Ascension Providence Rochester HospitalRochester, MI · CCN 230254	33	$10,052	18% below the national average	$8,425	$31,692
Flagler HospitalSaint Augustine, FL · CCN 100090	82	$10,053	18% below the national average	$8,858	$55,697
Wilson Medical CenterWilson, NC · CCN 340126	37	$10,053	18% below the national average	$9,051	$73,928
Beebe Medical CenterLewes, DE · CCN 080007	43	$10,054	18% below the national average	$8,526	$41,987
Essentia Health St Joseph's Medical CenterBrainerd, MN · CCN 240075	42	$10,054	18% below the national average	$8,966	$26,461
Honor Health John C. Lincoln Medical CenterPhoenix, AZ · CCN 030014	28	$10,055	18% below the national average	$8,936	$101,632
Virtua Mount Holly HospitalMount Holly, NJ · CCN 310057	35	$10,056	18% below the national average	$9,297	$100,582
Parkview Regional Medical CenterFort Wayne, IN · CCN 150021	132	$10,059	18% below the national average	$8,113	$41,045
Christus Ochsner St Patrick HospitalLake Charles, LA · CCN 190027	28	$10,060	18% below the national average	$8,925	$41,240
Wellmont Holston Valley Medical CenterKingsport, TN · CCN 440017	43	$10,060	18% below the national average	$8,051	$48,625
Archbold Memorial HospitalThomasville, GA · CCN 110038	15	$10,065	17% below the national average	$9,300	$30,909
Gettysburg HospitalGettysburg, PA · CCN 390065	24	$10,066	17% below the national average	$7,855	$43,710
HCA Florida Lehigh HospitalLehigh Acres, FL · CCN 100107	14	$10,069	17% below the national average	$9,137	$34,378
Baptist Medical CenterSan Antonio, TX · CCN 450058	66	$10,069	17% below the national average	$8,372	$104,345
Northwestern Medicine Delnor Community HospitalGeneva, IL · CCN 140211	35	$10,073	17% below the national average	$8,662	$53,174
Franciscan Health LafayetteLafayette, IN · CCN 150109	57	$10,073	17% below the national average	$8,415	$37,905
UT Health East Texas Athens HospitalAthens, TX · CCN 450389	18	$10,074	17% below the national average	$9,144	$99,162
Goshen HospitalGoshen, IN · CCN 150026	12	$10,078	17% below the national average	$9,360	$35,936
Hutchinson Regional Medical Center IncHutchinson, KS · CCN 170020	35	$10,083	17% below the national average	$8,339	$26,669
Johnson City Medical CenterJohnson City, TN · CCN 440063	39	$10,083	17% below the national average	$8,381	$39,670
Novant Health Forsyth Medical CenterWinston-Salem, NC · CCN 340014	98	$10,088	17% below the national average	$8,619	$38,342
UPMC PassavantPittsburgh, PA · CCN 390107	25	$10,089	17% below the national average	$6,193	$67,063
Memorial HospitalMarysville, OH · CCN 360092	14	$10,092	17% below the national average	$9,162	$25,377
HSHS St Elizabeth's HospitalO Fallon, IL · CCN 140187	59	$10,096	17% below the national average	$7,931	$51,690
Candler HospitalSavannah, GA · CCN 110024	49	$10,098	17% below the national average	$8,745	$38,339
The Cooley Dickinson Hospital IncNorthampton, MA · CCN 220015	37	$10,101	17% below the national average	$9,132	$23,136
Bethesda Hospital EastBoynton Beach, FL · CCN 100002	56	$10,102	17% below the national average	$9,001	$63,065
Munson Healthcare Cadillac HospitalCadillac, MI · CCN 230081	14	$10,102	17% below the national average	$8,589	$21,078
Mcalester Regional Health CenterMcalester, OK · CCN 370034	34	$10,103	17% below the national average	$8,741	$20,168
Lee Memorial HospitalFort Myers, FL · CCN 100012	151	$10,105	17% below the national average	$8,835	$54,954
Advocate Trinity HospitalChicago, IL · CCN 140048	50	$10,105	17% below the national average	$8,567	$39,995
McLeod Health CherawCheraw, SC · CCN 420107	18	$10,106	17% below the national average	$9,199	$50,474
HCA Florida Raulerson HospitalOkeechobee, FL · CCN 100252	12	$10,107	17% below the national average	$8,889	$73,697

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.