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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

Compare hospitals

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.

Location
Specific hospitals up to 10

2,098 hospitals reported at least 11 Medicare stays for this in 2024; showing 1,251–1,300. Download as CSV

Medicare payments per case for Pulmonary edema and respiratory failure by hospital, 2024
HospitalCasesAverage paymentvs national averageMedicare paidBilled charge
Sanford USDMedical CenterSioux Falls, SD · CCN 430027106$11,296About average$8,587$58,600
Cayuga Medical Center At IthacaIthaca, NY · CCN 33030731$11,296About average$9,534$25,294
Northeast Georgia Medical Center LumpkinDahlonega, GA · CCN 11023717$11,304About average$9,960$36,738
Newton-Wellesley HospitalNewton, MA · CCN 22010113$11,314About average$9,899$42,023
HCA Healthone Mountain RidgeThornton, CO · CCN 06006538$11,314About average$9,638$109,796
Henry Ford Health St John HospitalDetroit, MI · CCN 23016568$11,320About average$9,609$24,896
Community Medical CenterToms River, NJ · CCN 31004177$11,321About average$9,226$78,814
Summerlin Hospital Medical CenterLas Vegas, NV · CCN 29004140$11,322About average$9,511$171,769
St Peter's HospitalAlbany, NY · CCN 33005743$11,323About average$8,929$44,923
Cape Fear Valley Medical CenterFayetteville, NC · CCN 340028130$11,325About average$9,180$32,382
Emory Hillandale HospitalLithonia, GA · CCN 11022612$11,329About average$10,550$45,664
Eastern Idaho Regional Medical CenterIdaho Falls, ID · CCN 13001831$11,330About average$8,489$53,437
Concord Hospital- LaconiaLaconia, NH · CCN 30000529$11,330About average$9,385$35,444
Coliseum Medical CentersMacon, GA · CCN 11016439$11,332About average$8,873$50,239
Catawba Valley Medical CenterHickory, NC · CCN 34014315$11,334About average$10,073$44,629
Broward Health Imperial PointFort Lauderdale, FL · CCN 10020015$11,350About average$10,526$29,282
Memorial Hermann Memorial City HospitalHouston, TX · CCN 45061030$11,351About average$10,301$47,557
Phelps County Regional Medical CenterRolla, MO · CCN 26001720$11,352About average$10,658$57,617
Ascension Genesys HospitalGrand Blanc, MI · CCN 23019774$11,354About average$9,448$37,072
Atrium Health University CityCharlotte, NC · CCN 34016613$11,355About average$10,225$43,389
Garden City HospitalGarden City, MI · CCN 23024429$11,357About average$8,393$31,698
NorthShore University HealthSystem - Evanston HospitalEvanston, IL · CCN 140010166$11,360About average$9,460$45,974
Reading HospitalWest Reading, PA · CCN 39004486$11,363About average$9,292$54,241
McPherson HospitalMcpherson, KS · CCN 17010529$11,383About average$10,201$31,467
Munson Healthcare Grayling HospitalGrayling, MI · CCN 23005820$11,383About average$10,485$24,333
Centura St. Catherine-Dodge CityDodge City, KS · CCN 17017512$11,386About average$10,165$60,643
Southeastern Ohio Regional Medical CenterCambridge, OH · CCN 36020314$11,387About average$10,222$31,156
Northeast Georgia Medical Center HabershamDemorest, GA · CCN 11004113$11,390About average$8,436$36,382
Mercy Hospital StoddardDexter, MO · CCN 26016017$11,392About average$9,856$19,006
Northwestern Medicine MCHenryMchenry, IL · CCN 140116115$11,397About average$8,368$50,675
Saint Alphonsus Medical Center - NampaNampa, ID · CCN 13001326$11,397About average$10,081$60,749
HCA Florida Oak Hill HospitalBrooksville, FL · CCN 10026437$11,411About average$8,825$106,495
Northwest Texas HospitalAmarillo, TX · CCN 45020921$11,415About average$9,474$115,778
WakeMed, Raleigh CampusRaleigh, NC · CCN 34006951$11,419About average$9,836$56,544
Methodist Fremont HealthFremont, NE · CCN 28007727$11,421About average$10,514$42,042
Swedish Medical CenterEnglewood, CO · CCN 06003439$11,422About average$8,482$136,205
Summa Health SystemAkron, OH · CCN 36002042$11,429About average$9,477$105,170
Banner Wyoming Medical CenterCasper, WY · CCN 53001252$11,431About average$10,009$27,119
AtlantiCare Regional Medical Center - City CampusAtlantic City, NJ · CCN 31006494$11,432About average$9,692$72,710
Kettering Health DaytonDayton, OH · CCN 36013360$11,439About average$9,454$66,345
Our Lady Of Lourdes Memorial Hospital, IncBinghamton, NY · CCN 33001123$11,444About average$9,730$35,295
Logan Regional Medical CenterLogan, WV · CCN 51004828$11,445About average$8,596$58,355
Holy Name Medical CenterTeaneck, NJ · CCN 31000815$11,454About average$9,821$54,097
Main Line Hospital LankenauWynnewood, PA · CCN 39019547$11,456About average$9,846$85,635
Saint Rose Dominican Hospitals - Siena CampusHenderson, NV · CCN 29004565$11,456About average$9,295$77,202
Robert Packer HospitalSayre, PA · CCN 39007965$11,458About average$9,206$39,563
St Joseph Regional Medical CenterLewiston, ID · CCN 13000318$11,465About average$10,286$29,985
United Memorial Medical CenterBatavia, NY · CCN 33007319$11,468About average$9,812$19,486
Saint Rose Dominican Hospitals - San Martin CampusLas Vegas, NV · CCN 29005311$11,472About average$7,906$106,807
Mount Nittany Medical CenterState College, PA · CCN 39026842$11,481About average$9,509$43,251

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 careAverage paymentAverage 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
StateHospitalsCasesAverage paymentTypical range
Vermont5424$8,089$7,220–$7,980
Arkansas221,270$9,183$8,666–$9,611
Kentucky421,753$9,410$8,642–$9,960
Mississippi281,166$9,491$8,841–$9,859
Louisiana321,125$9,678$8,503–$10,612
Montana10250$9,987$9,467–$10,067
Kansas261,060$10,043$8,893–$11,299
Tennessee481,926$10,069$8,862–$10,296
Alabama371,022$10,105$8,566–$10,341
Iowa281,215$10,161$8,837–$10,268
Oklahoma331,541$10,187$9,151–$10,593
Indiana602,399$10,354$9,529–$10,912
Ohio933,385$10,459$9,153–$10,977
Idaho12474$10,491$10,135–$11,346
Florida1395,587$10,618$9,353–$11,085
Missouri461,778$10,660$8,934–$10,568
West Virginia15914$10,696$8,699–$10,737
Virginia602,193$10,867$9,392–$11,074
Wisconsin451,552$10,878$9,393–$10,879
South Carolina361,882$10,957$9,461–$11,163
North Dakota7339$11,059$9,941–$12,407
Colorado31997$11,080$9,710–$11,788
Nebraska15689$11,127$8,816–$11,926
New Hampshire12475$11,285$9,934–$12,183
Pennsylvania984,123$11,304$9,349–$11,780
North Carolina602,238$11,396$9,411–$11,328
Illinois924,161$11,432$9,648–$12,384
South Dakota10502$11,455$9,976–$12,691
Arizona371,401$11,551$10,055–$14,104
Michigan702,978$11,577$10,157–$11,549
Minnesota341,357$11,677$9,832–$11,546
New Mexico15441$11,712$9,947–$14,534
Georgia672,326$11,764$10,019–$12,376
Washington401,919$11,824$10,767–$12,246
Texas1447,359$11,851$9,829–$11,521
Nevada181,006$11,919$11,009–$12,068
Delaware6438$12,021$10,293–$12,264
Utah14414$12,043$10,289–$12,061
Oregon22782$12,399$10,974–$13,228
Massachusetts462,444$12,470$10,496–$13,542
New Jersey462,268$12,508$10,933–$13,677
Rhode Island6200$12,790$10,844–$13,154
Wyoming499$13,156$13,859–$15,194
Connecticut22985$13,777$12,004–$14,779
Maine10289$14,774$10,659–$13,889
New York1014,957$14,981$11,710–$15,733
District of Columbia6170$15,386$14,427–$17,551
California1957,155$15,884$13,073–$16,320
Alaska6317$15,910$14,671–$20,089
Hawaii8160$16,251$15,363–$16,132
Maryland394,086$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.