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 1,101–1,150. 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
St Anthonys Memorial HospitalEffingham, IL · CCN 140032	63	$10,897	11% below the national average	$9,261	$26,157
Riverside Medical CenterKankakee, IL · CCN 140186	46	$10,902	11% below the national average	$8,583	$32,180
Dallas Regional Medical CenterMesquite, TX · CCN 450688	28	$10,903	11% below the national average	$8,979	$52,023
UPMC St MargaretPittsburgh, PA · CCN 390102	27	$10,903	11% below the national average	$7,513	$51,986
Guadalupe Regional Medical CenterSeguin, TX · CCN 450104	23	$10,905	11% below the national average	$7,942	$35,650
MultiCare Covington Medical CenterCovington, WA · CCN 500154	20	$10,905	11% below the national average	$8,341	$28,534
Yakima Valley MemorialYakima, WA · CCN 500036	54	$10,905	11% below the national average	$8,654	$39,498
Blue Ridge Healthcare Hospitals, IncMorganton, NC · CCN 340075	30	$10,905	11% below the national average	$9,091	$42,713
Legacy Meridian Park Medical CenterTualatin, OR · CCN 380089	25	$10,908	11% below the national average	$8,572	$33,715
Intermountain Health Riverton HospitalRiverton, UT · CCN 460058	17	$10,913	11% below the national average	$8,212	$35,838
Seton Medical Center Harker HeightsHarker Heights, TX · CCN 670080	20	$10,914	11% below the national average	$9,376	$34,372
Centennial Hills Hospital Medical CenterLas Vegas, NV · CCN 290054	30	$10,914	11% below the national average	$9,634	$191,942
The Hospitals Of Providence Transmountain CampusEl Paso, TX · CCN 670120	14	$10,918	10% below the national average	$9,314	$74,306
Wellspan York HospitalYork, PA · CCN 390046	53	$10,920	10% below the national average	$9,473	$46,324
Olympic Medical CenterPort Angeles, WA · CCN 500072	26	$10,921	10% below the national average	$8,718	$27,662
Tallahassee Memorial HealthcareTallahassee, FL · CCN 100135	50	$10,922	10% below the national average	$8,981	$70,541
Northwestern Lake Forest HospitalLake Forest, IL · CCN 140130	15	$10,922	10% below the national average	$9,272	$79,652
Midland Memorial HospitalMidland, TX · CCN 450133	44	$10,922	10% below the national average	$9,360	$58,131
Mercy Medical CenterSpringfield, MA · CCN 220066	29	$10,922	10% below the national average	$9,854	$20,888
Hackensack Meridian Health Pascack Valley MedicalWestwood, NJ · CCN 310130	11	$10,924	10% below the national average	$9,885	$87,321
Holy Family HospitalMethuen, MA · CCN 220080	26	$10,925	10% below the national average	$9,663	$20,797
Piedmont Cartersville Medical CenterCartersville, GA · CCN 110030	23	$10,926	10% below the national average	$8,558	$74,347
Poudre Valley HospitalFort Collins, CO · CCN 060010	28	$10,930	10% below the national average	$9,402	$65,158
Edward HospitalNaperville, IL · CCN 140231	109	$10,939	10% below the national average	$7,443	$63,208
Wayne Memorial HospitalJesup, GA · CCN 110124	11	$10,941	10% below the national average	$9,902	$39,946
Wythe County Community HospitalWytheville, VA · CCN 490111	11	$10,941	10% below the national average	$8,689	$39,631
St Luke's Hospital - Upper Bucks CampusQuakertown, PA · CCN 390035	42	$10,943	10% below the national average	$8,902	$96,343
HCA Florida Bayonet Point HospitalHudson, FL · CCN 100256	42	$10,949	10% below the national average	$9,514	$107,926
Medical City Dallas HospitalDallas, TX · CCN 450647	60	$10,950	10% below the national average	$8,766	$128,733
Carlsbad Medical CenterCarlsbad, NM · CCN 320063	18	$10,952	10% below the national average	$10,136	$59,759
UnityPoint Health - MarshalltownMarshalltown, IA · CCN 160001	15	$10,955	10% below the national average	$9,429	$20,137
Hunterdon Medical CenterFlemington, NJ · CCN 310005	36	$10,960	10% below the national average	$9,572	$69,446
Memorial Hermann Sugar Land HospitalSugar Land, TX · CCN 450848	21	$10,960	10% below the national average	$8,827	$50,156
Cox Medical CentersSpringfield, MO · CCN 260040	40	$10,961	10% below the national average	$8,203	$57,018
Kingman Regional Medical CenterKingman, AZ · CCN 030055	62	$10,966	10% below the national average	$9,149	$58,217
Prisma Health BaptistColumbia, SC · CCN 420086	12	$10,976	10% below the national average	$8,655	$59,096
Kettering Health Main CampusKettering, OH · CCN 360079	75	$10,977	10% below the national average	$7,749	$49,124
Sanford Medical Center FargoFargo, ND · CCN 350011	94	$10,978	About average	$9,152	$38,054
Texas Health Huguley Hospital Fort Worth SouthFort Worth, TX · CCN 450677	28	$10,978	About average	$7,696	$59,236
Broward Health NorthDeerfield Beach, FL · CCN 100086	25	$10,978	About average	$8,906	$41,715
Piedmont Henry HospitalStockbridge, GA · CCN 110191	25	$10,979	About average	$8,716	$54,728
Major HospitalShelbyville, IN · CCN 150097	19	$10,981	About average	$8,833	$35,852
Las Palmas Medical Center A Campus Of Lpds HealthcEl Paso, TX · CCN 450107	27	$10,983	About average	$8,522	$174,094
Broward Health Coral SpringsCoral Springs, FL · CCN 100276	17	$10,985	About average	$8,823	$55,761
Sacred Heart HospitalPensacola, FL · CCN 100025	46	$10,990	About average	$9,629	$49,378
Halifax Health Medical CenterDaytona Beach, FL · CCN 100017	41	$10,992	About average	$9,715	$44,721
St Josephs Community Hospital West BendWest Bend, WI · CCN 520063	27	$10,992	About average	$6,582	$44,592
Regional West Medical CenterScottsbluff, NE · CCN 280061	36	$10,992	About average	$9,838	$45,370
University Medical Center Of Princeton At PlainsboroPlainsboro, NJ · CCN 310010	23	$10,995	About average	$9,725	$97,898
Advocate Good Samaritan HospitalDowners Grove, IL · CCN 140288	85	$11,001	About average	$7,628	$47,895

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.