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 801–850. 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
White County Medical CenterSearcy, AR · CCN 040014	48	$10,227	16% below the national average	$8,999	$19,043
Havasu Regional Medical CenterLake Havasu City, AZ · CCN 030069	107	$10,227	16% below the national average	$8,662	$98,496
Overlake Hospital Medical Center & ClinicsBellevue, WA · CCN 500051	52	$10,232	16% below the national average	$8,800	$51,902
Northern Light Mercy HospitalPortland, ME · CCN 200008	17	$10,233	16% below the national average	$9,273	$37,575
St Johns HospitalSpringfield, IL · CCN 140053	100	$10,233	16% below the national average	$8,596	$57,284
Beaufort County Memorial HospitalBeaufort, SC · CCN 420067	35	$10,234	16% below the national average	$8,477	$26,455
Ascension Sacred Heart BayPanama City, FL · CCN 100026	28	$10,235	16% below the national average	$8,671	$45,012
Wellmont Bristol Regional Medical CenterBristol, TN · CCN 440012	32	$10,235	16% below the national average	$7,220	$33,058
North Austin Medical CenterAustin, TX · CCN 450809	51	$10,240	16% below the national average	$8,595	$75,980
Corning HospitalCorning, NY · CCN 330277	23	$10,240	16% below the national average	$9,157	$27,806
Navicent Health BaldwinMilledgeville, GA · CCN 110150	11	$10,240	16% below the national average	$9,205	$24,695
Penn State Health Holy Spirit Medical CenterCamp Hill, PA · CCN 390004	42	$10,245	16% below the national average	$6,972	$56,234
Wesley Medical CenterWichita, KS · CCN 170123	121	$10,246	16% below the national average	$8,153	$100,761
SSM St Joseph Health CenterSaint Charles, MO · CCN 260005	28	$10,246	16% below the national average	$6,885	$40,239
Southern Ohio Medical CenterPortsmouth, OH · CCN 360008	32	$10,248	16% below the national average	$9,018	$25,328
MercyOne North Iowa Medical CenterMason City, IA · CCN 160064	40	$10,249	16% below the national average	$8,306	$47,431
Castleview HospitalPrice, UT · CCN 460011	11	$10,249	16% below the national average	$9,359	$31,833
Baystate Noble HospitalWestfield, MA · CCN 220065	44	$10,250	16% below the national average	$8,483	$17,289
Parkridge Medical CenterChattanooga, TN · CCN 440156	49	$10,254	16% below the national average	$7,761	$66,966
SSM Health St Anthony Hospital - Oklahoma CityOklahoma City, OK · CCN 370037	51	$10,258	16% below the national average	$8,914	$56,263
Texas Health Harris Methodist Hurst-Euless-BedfordBedford, TX · CCN 450639	41	$10,258	16% below the national average	$8,641	$45,103
Methodist HospitalSan Antonio, TX · CCN 450388	157	$10,259	16% below the national average	$8,074	$110,331
Freeman Health System - Freeman WestJoplin, MO · CCN 260137	37	$10,262	16% below the national average	$8,069	$54,234
Trident Medical CenterCharleston, SC · CCN 420079	68	$10,263	16% below the national average	$8,163	$96,002
Trinity Health Muskegon HospitalMuskegon, MI · CCN 230066	47	$10,265	16% below the national average	$8,741	$34,081
St Anthony HospitalGig Harbor, WA · CCN 500151	62	$10,269	16% below the national average	$8,667	$87,016
Hunt Regional Medical CenterGreenville, TX · CCN 450352	30	$10,270	16% below the national average	$9,249	$35,886
Upson Regional Medical CenterThomaston, GA · CCN 110002	14	$10,270	16% below the national average	$9,105	$38,292
Indiana University Health Ball Memorial HospitalMuncie, IN · CCN 150089	13	$10,270	16% below the national average	$8,768	$55,350
Winchester Medical CenterWinchester, VA · CCN 490005	92	$10,271	16% below the national average	$8,512	$25,180
Piedmont Newton HospitalCovington, GA · CCN 110018	24	$10,278	16% below the national average	$9,088	$50,738
Cleveland Clinic HospitalWeston, FL · CCN 100289	14	$10,281	16% below the national average	$8,208	$37,777
Banner Boswell Medical CenterSun City, AZ · CCN 030061	41	$10,286	16% below the national average	$7,583	$40,871
Clifton Springs Hospital And ClinicClifton Springs, NY · CCN 330265	14	$10,288	16% below the national average	$9,297	$21,899
St Luke's The Woodlands HospitalThe Woodlands, TX · CCN 450862	34	$10,288	16% below the national average	$8,734	$60,539
Baptist HospitalPensacola, FL · CCN 100093	65	$10,291	16% below the national average	$8,611	$45,230
Texas Health Presbyterian Hospital DallasDallas, TX · CCN 450462	76	$10,292	16% below the national average	$8,730	$48,021
Novant Health Presbyterian Medical CenterCharlotte, NC · CCN 340053	30	$10,296	16% below the national average	$8,480	$46,414
Memorial Hospital Of South BendSouth Bend, IN · CCN 150058	95	$10,297	16% below the national average	$8,946	$53,598
Sentara Careplex HospitalHampton, VA · CCN 490093	28	$10,300	16% below the national average	$8,302	$39,695
Ascension ProvidenceWaco, TX · CCN 450042	61	$10,302	16% below the national average	$8,734	$30,285
University Hospital And Medical CenterTamarac, FL · CCN 100224	11	$10,303	16% below the national average	$9,088	$131,079
UnityPoint Health - MeriterMadison, WI · CCN 520089	76	$10,303	16% below the national average	$8,750	$65,873
Columbus Regional HospitalColumbus, IN · CCN 150112	42	$10,306	16% below the national average	$8,230	$33,698
Hendricks Regional HealthDanville, IN · CCN 150005	34	$10,306	16% below the national average	$7,973	$35,046
Beaumont Hospital - TaylorTaylor, MI · CCN 230270	24	$10,312	15% below the national average	$8,358	$42,680
Lexington Memorial Hospital IncLexington, NC · CCN 340096	13	$10,313	15% below the national average	$9,654	$26,320
Christian Hospital NortheastSaint Louis, MO · CCN 260180	29	$10,314	15% below the national average	$9,301	$51,295
South Shore HospitalSouth Weymouth, MA · CCN 220100	153	$10,317	15% below the national average	$9,108	$20,623
Bon Secours St Marys HospitalRichmond, VA · CCN 490059	30	$10,321	15% below the national average	$8,311	$55,248

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.