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 851–900. 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
Colleton Medical CenterWalterboro, SC · CCN 420030	20	$10,322	15% below the national average	$8,764	$49,065
CHI Health Mercy Council BluffsCouncil Bluffs, IA · CCN 160028	22	$10,324	15% below the national average	$7,721	$30,786
AdventHealth Central TexasKilleen, TX · CCN 450152	21	$10,329	15% below the national average	$9,167	$30,708
HCA Florida Northside HospitalSaint Petersburg, FL · CCN 100238	36	$10,331	15% below the national average	$8,791	$109,059
The Hospitals Of Providence - East CampusEl Paso, TX · CCN 670047	18	$10,332	15% below the national average	$9,062	$93,924
Ascension St Vincent CarmelCarmel, IN · CCN 150157	13	$10,333	15% below the national average	$7,255	$36,320
AdventHealth Palm CoastPalm Coast, FL · CCN 100118	24	$10,340	15% below the national average	$8,680	$46,671
Vaughan Regional Medical Center Parkway CampusSelma, AL · CCN 010118	16	$10,341	15% below the national average	$8,824	$73,359
Memorial Hospital Of CarbondaleCarbondale, IL · CCN 140164	79	$10,342	15% below the national average	$8,572	$43,618
Anna Jaques HospitalNewburyport, MA · CCN 220029	19	$10,342	15% below the national average	$9,311	$22,594
Houston Methodist West HospitalHouston, TX · CCN 670077	62	$10,343	15% below the national average	$8,787	$66,877
Southeast Iowa Regional Medical CenterWest Burlington, IA · CCN 160057	56	$10,344	15% below the national average	$9,266	$26,408
Northeast Hospital CorporationBeverly, MA · CCN 220033	85	$10,345	15% below the national average	$9,036	$21,413
Saint Joseph EastLexington, KY · CCN 180143	15	$10,348	15% below the national average	$7,609	$19,820
McLaren Northern MichiganPetoskey, MI · CCN 230105	30	$10,350	15% below the national average	$8,502	$25,098
West Jersey HospitalVoorhees, NJ · CCN 310022	123	$10,351	15% below the national average	$8,723	$111,196
Bon Secours Memorial Regional Medical CenterMechanicsville, VA · CCN 490069	42	$10,358	15% below the national average	$7,103	$56,912
Mercy Health System CorpJanesville, WI · CCN 520066	60	$10,360	15% below the national average	$7,787	$50,313
Jackson HospitalMarianna, FL · CCN 100142	14	$10,365	15% below the national average	$9,666	$15,361
Wellstar North Fulton Medical CenterRoswell, GA · CCN 110198	25	$10,365	15% below the national average	$9,247	$78,801
Northside Hospital DuluthDuluth, GA · CCN 110252	28	$10,371	15% below the national average	$8,260	$52,571
F F Thompson HospitalCanandaigua, NY · CCN 330074	25	$10,378	15% below the national average	$8,407	$21,744
McLaren Central MichiganMount Pleasant, MI · CCN 230080	16	$10,386	15% below the national average	$9,266	$28,675
Deaconess Medical CenterSpokane, WA · CCN 500044	36	$10,387	15% below the national average	$9,066	$33,696
Manatee Memorial HospitalBradenton, FL · CCN 100035	48	$10,391	15% below the national average	$9,181	$83,445
Mary Lanning HealthcareHastings, NE · CCN 280032	47	$10,392	15% below the national average	$8,514	$41,988
Prisma Health Oconee Memorial HospitalSeneca, SC · CCN 420009	30	$10,392	15% below the national average	$8,300	$38,641
Memorial Mission Hospital And Asheville Surgery CeAsheville, NC · CCN 340002	119	$10,395	15% below the national average	$8,308	$49,149
Concord HospitalConcord, NH · CCN 300001	75	$10,395	15% below the national average	$8,712	$29,544
The Jewish Hospital-Mercy HealthCincinnati, OH · CCN 360016	16	$10,397	15% below the national average	$8,757	$44,790
Lake Regional Health SystemOsage Beach, MO · CCN 260186	28	$10,401	15% below the national average	$9,423	$30,823
OSF Saint Katharine Medical CenterDixon, IL · CCN 140012	15	$10,402	15% below the national average	$9,016	$40,451
Plains Regional Medical CenterClovis, NM · CCN 320022	32	$10,406	15% below the national average	$9,234	$26,475
St. George Regional HospitalSt George, UT · CCN 460021	71	$10,407	15% below the national average	$9,190	$45,448
Evergreenhealth Medical CenterKirkland, WA · CCN 500124	40	$10,410	15% below the national average	$8,754	$52,375
Lehigh Valley Hospital - PoconoEast Stroudsburg, PA · CCN 390201	20	$10,410	15% below the national average	$8,151	$65,109
Insight Hospital And Medical Center TrumbullWarren, OH · CCN 360055	12	$10,414	15% below the national average	$7,804	$63,016
St Joseph HospitalBethpage, NY · CCN 330332	50	$10,418	15% below the national average	$9,513	$86,974
Kettering Health Greene MemorialXenia, OH · CCN 360026	13	$10,419	15% below the national average	$7,900	$31,527
Palestine Regional Medical CenterPalestine, TX · CCN 450747	17	$10,420	15% below the national average	$8,756	$82,984
Saint Thomas Rutherford HospitalMurfreesboro, TN · CCN 440053	53	$10,420	15% below the national average	$8,236	$38,429
McLaren MacombMount Clemens, MI · CCN 230227	42	$10,424	15% below the national average	$8,711	$27,309
Baptist Medical Center SouthMontgomery, AL · CCN 010023	15	$10,426	15% below the national average	$8,905	$25,210
Lawrence & Memorial HospitalNew London, CT · CCN 070007	44	$10,433	14% below the national average	$9,531	$36,730
Capital Medical CenterOlympia, WA · CCN 500139	33	$10,435	14% below the national average	$8,503	$38,582
North Memorial Health HospitalRobbinsdale, MN · CCN 240001	46	$10,435	14% below the national average	$9,031	$33,784
Texas Health Presbyterian Hospital AllenAllen, TX · CCN 450840	11	$10,438	14% below the national average	$8,253	$38,038
Sibley Memorial HospitalWashington, DC · CCN 090005	26	$10,440	14% below the national average	$9,105	$62,074
Morton Plant North Bay HospitalNew Port Richey, FL · CCN 100063	50	$10,443	14% below the national average	$8,789	$48,493
HCA Florida Northwest HospitalMargate, FL · CCN 100189	23	$10,443	14% below the national average	$9,042	$121,532

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.