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 951–1,000. 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
Baptist Medical Center BeachesJacksonville Beach, FL · CCN 100117	30	$10,548	14% below the national average	$9,270	$98,105
Integris Health Ponca CityPonca City, OK · CCN 370006	12	$10,549	14% below the national average	$9,665	$93,184
MercyOne Clinton Medical CenterClinton, IA · CCN 160080	32	$10,549	14% below the national average	$9,681	$42,783
Grand Strand Regional Medical CenterMyrtle Beach, SC · CCN 420085	57	$10,554	13% below the national average	$8,667	$72,294
Southern Ocean Medical CenterManahawkin, NJ · CCN 310113	53	$10,557	13% below the national average	$8,066	$65,035
Dignity Health Arizona General HospitalMesa, AZ · CCN 030139	12	$10,559	13% below the national average	$9,199	$66,339
Huntsville Memorial HospitalHuntsville, TX · CCN 450347	22	$10,567	13% below the national average	$9,603	$31,245
Sentara RMH Medical CenterHarrisonburg, VA · CCN 490004	29	$10,568	13% below the national average	$8,960	$26,230
Charlotte Hungerford HospitalTorrington, CT · CCN 070011	48	$10,568	13% below the national average	$9,711	$46,645
Edward W Sparrow HospitalLansing, MI · CCN 230230	21	$10,570	13% below the national average	$8,861	$54,808
Multicare Valley HospitalSpokane Valley, WA · CCN 500119	29	$10,572	13% below the national average	$8,799	$23,585
Mercy Hospital Pittsburg, IncPittsburg, KS · CCN 170006	17	$10,575	13% below the national average	$9,399	$28,032
Winchester HospitalWinchester, MA · CCN 220105	84	$10,577	13% below the national average	$8,618	$17,287
St Mark's HospitalSalt Lake City, UT · CCN 460047	41	$10,582	13% below the national average	$7,005	$56,698
Missouri Delta Medical CenterSikeston, MO · CCN 260113	41	$10,582	13% below the national average	$9,428	$43,829
Prisma Health Laurens County HospitalClinton, SC · CCN 420038	19	$10,583	13% below the national average	$9,466	$42,225
ProMedica Monroe Regional HospitalMonroe, MI · CCN 230099	58	$10,583	13% below the national average	$8,554	$30,950
HCA Florida Citrus HospitalInverness, FL · CCN 100023	57	$10,583	13% below the national average	$8,978	$96,580
Christ HospitalCincinnati, OH · CCN 360163	39	$10,586	13% below the national average	$7,871	$40,242
Methodist Charlton Medical CenterDallas, TX · CCN 450723	33	$10,586	13% below the national average	$8,649	$63,670
Onslow Memorial HospitalJacksonville, NC · CCN 340042	55	$10,590	13% below the national average	$8,497	$35,390
Saint Francis Hospital Vinita, IncVinita, OK · CCN 370237	15	$10,593	13% below the national average	$9,396	$19,752
Bon Secours Maryview Medical CenterPortsmouth, VA · CCN 490017	13	$10,594	13% below the national average	$9,284	$30,534
Munson Medical CenterTraverse City, MI · CCN 230097	36	$10,597	13% below the national average	$8,765	$37,645
Texas Health Harris Methodist Hospital CleburneCleburne, TX · CCN 450148	15	$10,598	13% below the national average	$9,510	$39,236
Medical City North HillsNorth Richland Hills, TX · CCN 450087	29	$10,598	13% below the national average	$9,351	$83,902
The East Alabama Healthcare AuthorityOpelika, AL · CCN 010029	34	$10,600	13% below the national average	$8,124	$35,163
Wellstar West Georgia Medical CenterLagrange, GA · CCN 110016	22	$10,600	13% below the national average	$9,858	$59,704
The Medical Center (Bowling Green)Bowling Green, KY · CCN 180013	59	$10,604	13% below the national average	$7,632	$43,084
Grand Itasca Clinic And HospitalGrand Rapids, MN · CCN 240064	26	$10,607	13% below the national average	$9,477	$53,689
Sturdy Memorial HospitalAttleboro, MA · CCN 220008	58	$10,607	13% below the national average	$9,623	$25,724
Penn State Health St. JosephReading, PA · CCN 390096	37	$10,609	13% below the national average	$8,450	$51,639
Texas Health Harris Methodist Fort WorthFort Worth, TX · CCN 450135	90	$10,610	13% below the national average	$8,752	$50,111
UMass Memorial Health - Harrington HospitalSouthbridge, MA · CCN 220019	12	$10,614	13% below the national average	$9,526	$20,162
Piedmont Fayette HospitalFayetteville, GA · CCN 110215	40	$10,616	13% below the national average	$8,188	$52,824
Ingalls Memorial HospitalHarvey, IL · CCN 140191	12	$10,621	13% below the national average	$9,901	$40,197
Canton-Potsdam HospitalPotsdam, NY · CCN 330197	31	$10,621	13% below the national average	$9,320	$34,966
Carle Health Methodist HospitalPeoria, IL · CCN 140209	46	$10,623	13% below the national average	$8,799	$54,507
Ascension Via Christi Hospitals Wichita, Inc.Wichita, KS · CCN 170122	81	$10,623	13% below the national average	$8,933	$47,245
UPMC Pinnacle HospitalsHarrisburg, PA · CCN 390067	41	$10,626	13% below the national average	$8,636	$57,822
Mymichigan Medical Center AlmaAlma, MI · CCN 230030	25	$10,635	13% below the national average	$8,829	$18,611
Mymichigan Medical Center MidlandMidland, MI · CCN 230222	41	$10,639	13% below the national average	$8,855	$27,008
Mission Regional Medical CenterMission, TX · CCN 450176	28	$10,642	13% below the national average	$9,476	$87,171
Piedmont Newnan Hospital, IncNewnan, GA · CCN 110229	38	$10,644	13% below the national average	$8,841	$49,461
De Tar Hospital NavarroVictoria, TX · CCN 450147	28	$10,647	13% below the national average	$8,403	$133,908
Tawas St Joseph HospitalTawas City, MI · CCN 230100	15	$10,649	13% below the national average	$9,452	$14,636
Novant Health New Hanover Regional Medical CenterWilmington, NC · CCN 340141	103	$10,652	13% below the national average	$8,701	$37,822
Park Nicollet Methodist HospitalSaint Louis Park, MN · CCN 240053	55	$10,653	13% below the national average	$8,531	$51,707
Adventist Health PortlandPortland, OR · CCN 380060	33	$10,655	13% below the national average	$9,514	$50,529
Akron General Medical CenterAkron, OH · CCN 360027	43	$10,659	13% below the national average	$7,862	$46,744

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.