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

Hospitals in Pennsylvania

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.

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Average payment across these 98 hospitals: $11,304National $12,197 · Pennsylvania $11,304
Median hospital: $10,234
Lowest to highest: $7,976–$22,112
Medicare stays: 4,123

98 hospitals reported at least 11 Medicare stays for this in 2024; showing 51–98. 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
Lehigh Valley Hospital - PoconoEast Stroudsburg, PA · CCN 390201	20	$10,410	15% below the national average	$8,151	$65,109
Wayne Memorial HospitalHonesdale, PA · CCN 390125	22	$10,544	14% below the national average	$9,432	$35,783
Penn State Health St. JosephReading, PA · CCN 390096	37	$10,609	13% below the national average	$8,450	$51,639
UPMC Pinnacle HospitalsHarrisburg, PA · CCN 390067	41	$10,626	13% below the national average	$8,636	$57,822
St Luke's Hospital - Carbon CampusLehighton, PA · CCN 390335	39	$10,796	11% below the national average	$6,499	$72,705
Geisinger-Bloomsburg HospitalBloomsburg, PA · CCN 390003	23	$10,841	11% below the national average	$8,825	$48,142
UPMC St MargaretPittsburgh, PA · CCN 390102	27	$10,903	11% below the national average	$7,513	$51,986
Wellspan York HospitalYork, PA · CCN 390046	53	$10,920	10% below the national average	$9,473	$46,324
St Luke's Hospital - Upper Bucks CampusQuakertown, PA · CCN 390035	42	$10,943	10% below the national average	$8,902	$96,343
Saint Vincent HospitalErie, PA · CCN 390009	25	$11,005	About average	$9,534	$64,516
Jefferson Health- NortheastPhiladelphia, PA · CCN 390115	88	$11,085	About average	$8,687	$38,304
Geisinger Wyoming Valley Medical CenterWilkes Barre, PA · CCN 390270	128	$11,097	About average	$8,932	$101,285
Lehigh Valley HospitalAllentown, PA · CCN 390133	193	$11,185	About average	$9,200	$77,775
UPMC HamotErie, PA · CCN 390063	65	$11,255	About average	$9,584	$87,449
Penn State Health Hampden Medical CenterEnola, PA · CCN 390336	26	$11,255	About average	$7,662	$43,375
UPMC McKeesport HospitalMc Keesport, PA · CCN 390002	12	$11,273	About average	$9,656	$38,109
Warren General HospitalWarren, PA · CCN 390146	29	$11,277	About average	$10,546	$20,270
St Luke's Miners Memorial HospitalCoaldale, PA · CCN 390183	36	$11,278	About average	$8,910	$51,664
Reading HospitalWest Reading, PA · CCN 390044	86	$11,363	About average	$9,292	$54,241
Main Line Hospital LankenauWynnewood, PA · CCN 390195	47	$11,456	About average	$9,846	$85,635
Robert Packer HospitalSayre, PA · CCN 390079	65	$11,458	About average	$9,206	$39,563
Mount Nittany Medical CenterState College, PA · CCN 390268	42	$11,481	About average	$9,509	$43,251
Conemaugh Memorial Medical CenterJohnstown, PA · CCN 390110	20	$11,756	About average	$9,882	$30,184
Penn State Health Lancaster Medical CenterLancaster, PA · CCN 390339	48	$11,788	About average	$6,351	$50,975
St Luke's Hospital - Easton CampusEaston, PA · CCN 390162	15	$11,825	About average	$8,971	$64,071
UPMC MemorialYork, PA · CCN 390101	36	$11,847	About average	$5,497	$55,406
UPMC HanoverHanover, PA · CCN 390233	44	$11,919	About average	$8,623	$67,729
Suburban Community HospitalNorristown, PA · CCN 390116	13	$11,942	About average	$10,192	$61,016
Wellspan Waynesboro HospitalWaynesboro, PA · CCN 390138	30	$11,985	About average	$9,272	$35,102
Jefferson Einstein Montgomery HospitalEast Norriton, PA · CCN 390329	74	$12,045	About average	$9,695	$41,116
Roxborough Memorial HospitalPhiladelphia, PA · CCN 390304	18	$12,139	About average	$8,980	$66,963
Crozer Chester Medical CenterUpland, PA · CCN 390180	54	$12,176	About average	$9,991	$98,231
UPMC MercyPittsburgh, PA · CCN 390028	12	$12,224	About average	$9,587	$62,004
Temple Health - Chestnut Hill HospitalPhiladelphia, PA · CCN 390026	56	$12,375	About average	$9,645	$137,225
St Lukes HospitalBethlehem, PA · CCN 390049	89	$12,589	About average	$9,724	$85,190
Nazareth HospitalPhiladelphia, PA · CCN 390204	38	$13,139	About average	$10,545	$49,661
UPMC Presbyterian ShadysidePittsburgh, PA · CCN 390164	64	$13,336	About average	$9,009	$157,287
Penn Presbyterian Medical CenterPhiladelphia, PA · CCN 390223	20	$13,635	12% above the national average	$11,759	$106,038
Geisinger Medical CenterDanville, PA · CCN 390006	130	$13,665	12% above the national average	$9,993	$104,717
Allegheny General HospitalPittsburgh, PA · CCN 390050	44	$13,732	13% above the national average	$9,938	$64,063
Milton S Hershey Medical CenterHershey, PA · CCN 390256	103	$13,942	14% above the national average	$11,282	$61,665
St Luke's Hospital - Anderson CampusEaston, PA · CCN 390326	64	$14,240	17% above the national average	$10,518	$79,824
Pennsylvania HospitalPhiladelphia, PA · CCN 390226	14	$14,627	20% above the national average	$12,911	$100,530
Mercy Catholic Medical Center- Mercy FitzgeraldDarby, PA · CCN 390156	35	$15,587	28% above the national average	$12,112	$55,077
Temple University HospitalPhiladelphia, PA · CCN 390027	77	$15,876	30% above the national average	$12,180	$127,947
Thomas Jefferson University HospitalPhiladelphia, PA · CCN 390174	67	$16,083	32% above the national average	$11,384	$65,685
Jefferson Einstein Philadelphia HospitalPhiladelphia, PA · CCN 390142	26	$16,490	35% above the national average	$12,499	$56,941
Hospital Of University Of PennsylvaniaPhiladelphia, PA · CCN 390111	76	$22,112	81% above the national average	$14,301	$202,925

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.