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
- $9,974
- Average billed charge
- $57,943
- Hospitals reporting
- 2,098
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.
2,098 hospitals reported at least 11 Medicare stays for this in 2024; showing 1,351–1,400. Download as CSV
| Hospital | Cases | Average payment | vs national average | Medicare paid | Billed charge |
|---|---|---|---|---|---|
| Merit Health Madison | 11 | $11,744 | About average | $8,178 | $94,391 |
| Carson Tahoe Regional Medical Center | 99 | $11,745 | About average | $10,286 | $44,994 |
| HCA Houston Healthcare Conroe | 25 | $11,751 | About average | $10,035 | $108,299 |
| Mercy Hospital Of Buffalo | 45 | $11,755 | About average | $8,824 | $30,526 |
| Conemaugh Memorial Medical Center | 20 | $11,756 | About average | $9,882 | $30,184 |
| Medical City Arlington | 40 | $11,759 | About average | $10,253 | $99,694 |
| MetroHealth System | 52 | $11,772 | About average | $8,541 | $48,246 |
| Garnet Health Medical Center Catskills | 86 | $11,784 | About average | $10,656 | $77,007 |
| Penn State Health Lancaster Medical Center | 48 | $11,788 | About average | $6,351 | $50,975 |
| New York Community Hospital Of Brooklyn, Inc. | 49 | $11,794 | About average | $10,895 | $59,545 |
| Unity Hospital | 49 | $11,795 | About average | $10,136 | $24,015 |
| Mayo Clinic Health System-Franciscan Medical Center Inc | 33 | $11,797 | About average | $8,775 | $33,359 |
| Harrisburg Medical Center | 16 | $11,797 | About average | $10,879 | $28,734 |
| University Of Michigan Health - West | 68 | $11,800 | About average | $8,467 | $29,060 |
| Providence Sacred Heart Medical Center & Childrens Hospital | 36 | $11,812 | About average | $9,124 | $46,079 |
| Swedish Issaquah | 34 | $11,814 | About average | $10,451 | $79,076 |
| Northern Nevada Medical Center | 28 | $11,816 | About average | $10,825 | $92,069 |
| Ascension St Vincent Hospital | 43 | $11,817 | About average | $9,372 | $49,383 |
| Carilion Medical Center | 78 | $11,817 | About average | $8,396 | $48,452 |
| St Luke's Hospital - Easton Campus | 15 | $11,825 | About average | $8,971 | $64,071 |
| HCA Florida Aventura Hospital | 28 | $11,825 | About average | $10,125 | $105,550 |
| Carilion New River Valley Medical Center | 30 | $11,827 | About average | $7,511 | $42,511 |
| Middlesex Hospital | 31 | $11,832 | About average | $10,135 | $52,170 |
| HealthAlliance Hospital Marys Avenue Campus | 40 | $11,842 | About average | $10,202 | $94,525 |
| UPMC Memorial | 36 | $11,847 | About average | $5,497 | $55,406 |
| Memorial Hermann Northeast Hospital | 68 | $11,847 | About average | $10,254 | $45,704 |
| North Shore Medical Center - | 64 | $11,856 | About average | $9,615 | $31,808 |
| North Vista Hospital | 120 | $11,856 | About average | $10,969 | $55,147 |
| Montefiore St Luke's Cornwall | 45 | $11,858 | About average | $10,524 | $94,514 |
| St Catherine Of Siena Hospital | 44 | $11,861 | About average | $8,637 | $86,324 |
| AdventHealth Orlando | 169 | $11,863 | About average | $8,312 | $82,197 |
| Tacoma General Allenmore Hospital | 76 | $11,865 | About average | $9,670 | $34,393 |
| Shasta Regional Medical Center | 71 | $11,866 | About average | $10,943 | $46,814 |
| Augusta Health | 40 | $11,867 | About average | $7,206 | $27,921 |
| LDS Hospital | 20 | $11,879 | About average | $10,805 | $42,942 |
| Uchicago Medicine AdventHealth Glenoaks | 18 | $11,884 | About average | $8,263 | $38,010 |
| PeaceHealth Southwest Medical Cente | 88 | $11,884 | About average | $9,634 | $54,583 |
| Hoag Memorial Hospital Presbyterian | 79 | $11,893 | About average | $10,852 | $56,095 |
| Baylor Scott & White Medical Center At Irving | 122 | $11,899 | About average | $9,656 | $45,445 |
| Legacy Mount Hood Medical Center | 16 | $11,900 | About average | $10,281 | $37,276 |
| Fisher-Titus Hospital | 46 | $11,909 | About average | $11,023 | $27,582 |
| Enloe Health | 151 | $11,912 | About average | $10,950 | $89,080 |
| Inspira Medical Center Mullica Hill | 75 | $11,918 | About average | $10,085 | $67,903 |
| UPMC Hanover | 44 | $11,919 | About average | $8,623 | $67,729 |
| Adventist Health Twin Cities | 25 | $11,920 | About average | $10,085 | $140,852 |
| Integris Miami Hospital | 16 | $11,926 | About average | $10,906 | $41,709 |
| AdventHealth Ottawa | 11 | $11,928 | About average | $11,029 | $30,400 |
| Ascension Seton Medical Center Austin | 33 | $11,928 | About average | $10,691 | $73,560 |
| Moses H. Cone The Memorial Hospital | 71 | $11,929 | About average | $9,361 | $34,563 |
| Parkview Huntington Hospital | 23 | $11,933 | About average | $10,797 | $30,137 |
National trend
Average payment and billed charge per stay, and how many Medicare stays were reported each year.
- Average payment
- Average billed charge
View data as a table
| 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
| 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.