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
- $9,974
- Average billed charge
- $57,943
- Hospitals reporting
- 2,098
Compare hospitals
Narrow by a state, city or ZIP code (optionally a distance around it), and/or pick specific hospitals. With both, your picks are added to the area’s hospitals.
2,098 hospitals reported at least 11 Medicare stays for this in 2024; showing 751–800. Download as CSV
| Hospital | Cases | Average payment | vs national average | Medicare paid | Billed charge |
|---|---|---|---|---|---|
| Harlan ARH Hospital | 15 | $10,109 | 17% below the national average | $9,222 | $25,704 |
| Jefferson Abington Hospital | 54 | $10,112 | 17% below the national average | $8,312 | $40,975 |
| UT Health East Texas Tyler Regional Hospital | 48 | $10,113 | 17% below the national average | $9,062 | $77,716 |
| Elmhurst Memorial Hospital | 94 | $10,116 | 17% below the national average | $7,815 | $57,243 |
| HCA Healthone Presbyterian St. Lukes | 11 | $10,117 | 17% below the national average | $8,478 | $109,981 |
| Methodist Hospitals Inc | 38 | $10,120 | 17% below the national average | $9,121 | $50,244 |
| Natchitoches Regional Medical Center | 18 | $10,120 | 17% below the national average | $9,213 | $22,615 |
| Uchicago Medicine AdventHealth Hinsdale | 29 | $10,120 | 17% below the national average | $8,186 | $30,571 |
| Dickinson County Memorial Hospital | 15 | $10,121 | 17% below the national average | $9,255 | $34,393 |
| Bethesda North | 130 | $10,122 | 17% below the national average | $7,163 | $25,898 |
| Westside Regional Medical Center | 21 | $10,122 | 17% below the national average | $8,688 | $116,485 |
| Ascension St Vincent's Riverside | 35 | $10,123 | 17% below the national average | $8,035 | $36,960 |
| Hancock Regional Hospital | 65 | $10,125 | 17% below the national average | $8,602 | $34,555 |
| Hillcrest Hospital | 66 | $10,128 | 17% below the national average | $6,645 | $47,241 |
| Ascension St Vincent Kokomo | 20 | $10,131 | 17% below the national average | $8,116 | $39,449 |
| Billings Clinic Hospital | 30 | $10,133 | 17% below the national average | $8,829 | $23,051 |
| M Health Fairview Ridges Hospital | 31 | $10,134 | 17% below the national average | $8,124 | $45,859 |
| Sanford Medical Center Bismarck | 56 | $10,140 | 17% below the national average | $8,087 | $32,345 |
| Spencer Municipal Hospital | 14 | $10,141 | 17% below the national average | $8,858 | $26,555 |
| Carolina Pines Regional Medical Center | 17 | $10,151 | 17% below the national average | $7,426 | $70,479 |
| CHI St Joseph Health Regional Hospital | 61 | $10,157 | 17% below the national average | $8,488 | $53,448 |
| UNC Health Care Wayne | 26 | $10,157 | 17% below the national average | $9,327 | $23,751 |
| Medical City Alliance | 14 | $10,157 | 17% below the national average | $8,924 | $90,155 |
| Norton-King's Daughters' Health | 14 | $10,159 | 17% below the national average | $9,219 | $29,538 |
| Texas Health Presbyterian Hospital Plano | 36 | $10,164 | 17% below the national average | $8,450 | $47,499 |
| Kootenai Health | 126 | $10,171 | 17% below the national average | $8,020 | $30,497 |
| Tucson Medical Center | 90 | $10,171 | 17% below the national average | $8,845 | $43,363 |
| Marion Communtiy Hospital | 109 | $10,175 | 17% below the national average | $8,930 | $58,620 |
| Lancaster General Hospital | 141 | $10,179 | 17% below the national average | $8,307 | $39,635 |
| Community Hospital North | 69 | $10,180 | 17% below the national average | $8,980 | $54,578 |
| Stafford Hospital, LLC | 11 | $10,180 | 17% below the national average | $7,966 | $27,167 |
| Wellspan Good Samaritan Hospital | 20 | $10,180 | 17% below the national average | $8,967 | $41,752 |
| Grand Lake Health System | 17 | $10,181 | 17% below the national average | $9,031 | $21,444 |
| Banner Desert Medical Center | 31 | $10,182 | 17% below the national average | $9,065 | $57,970 |
| Ottumwa Regional Health Center | 12 | $10,185 | 17% below the national average | $9,233 | $49,819 |
| Magnolia Hospital | 14 | $10,189 | 16% below the national average | $8,878 | $25,830 |
| Nacogdoches Memorial Hospital | 15 | $10,193 | 16% below the national average | $8,133 | $40,770 |
| Genesis Hospital | 38 | $10,193 | 16% below the national average | $9,066 | $28,126 |
| Providence Holy Family Hospital | 38 | $10,197 | 16% below the national average | $9,145 | $60,326 |
| Taylor Regional Hospital | 16 | $10,201 | 16% below the national average | $8,977 | $27,288 |
| Ascension All Saints Hospital | 39 | $10,201 | 16% below the national average | $8,772 | $30,054 |
| St Mary Medical Center | 41 | $10,204 | 16% below the national average | $8,297 | $34,773 |
| Rutherford Regional Medical Center | 11 | $10,209 | 16% below the national average | $9,022 | $31,635 |
| Avera McKennan Hospital & University Health Center | 116 | $10,209 | 16% below the national average | $8,333 | $51,451 |
| Twin County Regional Hospital | 18 | $10,209 | 16% below the national average | $8,849 | $56,599 |
| Banner Thunderbird Medical Center | 40 | $10,215 | 16% below the national average | $9,032 | $54,439 |
| St Francis Regional Medical Center | 27 | $10,217 | 16% below the national average | $8,292 | $29,883 |
| Phoenixville Hospital | 37 | $10,221 | 16% below the national average | $8,352 | $65,018 |
| Russell County Hospital | 11 | $10,223 | 16% below the national average | $8,548 | $44,292 |
| Geisinger-Lewistown Hospital | 38 | $10,223 | 16% below the national average | $8,103 | $53,329 |
National trend
Average payment and billed charge per stay, and how many Medicare stays were reported each year.
- Average payment
- Average billed charge
View data as a table
| 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
| 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.