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 1,451–1,500. Download as CSV
| Hospital | Cases | Average payment | vs national average | Medicare paid | Billed charge |
|---|---|---|---|---|---|
| Valley View Hospital Association | 21 | $12,142 | About average | $10,745 | $48,354 |
| South Texas Health System | 13 | $12,150 | About average | $11,282 | $104,491 |
| Long Island Community Hospital | 64 | $12,150 | About average | $10,405 | $96,053 |
| Watauga Medical Center | 12 | $12,152 | About average | $10,087 | $36,319 |
| West Suburban Medical Center | 14 | $12,155 | About average | $10,036 | $48,458 |
| Valley Hospital Medical Center | 30 | $12,158 | About average | $10,666 | $193,948 |
| Adventist Health Sierra Vista | 19 | $12,164 | About average | $10,876 | $120,926 |
| Orlando Health Bayfront Hospital | 24 | $12,172 | About average | $10,939 | $95,443 |
| Crozer Chester Medical Center | 54 | $12,176 | About average | $9,991 | $98,231 |
| Presence Saints Mary And Elizabeth Medical Center | 21 | $12,178 | About average | $11,009 | $61,624 |
| Doctors Hosptal At Renaissance | 20 | $12,190 | About average | $10,493 | $54,871 |
| Spectrum Health United Hospital | 19 | $12,193 | About average | $8,690 | $25,112 |
| St Francis Community Hospital | 43 | $12,198 | About average | $9,696 | $74,432 |
| MetroWest Medical Center | 40 | $12,205 | About average | $10,291 | $51,158 |
| Good Samaritan Hospital Medical Center | 127 | $12,206 | About average | $10,004 | $75,687 |
| Swedish Hospital | 26 | $12,206 | About average | $10,481 | $51,579 |
| Christus Spohn Hospital Corpus Christi | 23 | $12,208 | About average | $10,828 | $56,037 |
| Ascension Seton Northwest | 12 | $12,210 | About average | $11,122 | $66,938 |
| Swedish Medical Center / Cherry Hill | 16 | $12,211 | About average | $8,474 | $66,633 |
| Erlanger Medical Center | 41 | $12,215 | About average | $9,383 | $47,355 |
| Tanner Medical Center - Carrollton | 25 | $12,222 | About average | $9,727 | $47,429 |
| St Joseph's Hospital Health Center | 28 | $12,223 | About average | $9,560 | $29,869 |
| Johnston Memorial Hospital | 15 | $12,223 | About average | $7,839 | $31,236 |
| UPMC Mercy | 12 | $12,224 | About average | $9,587 | $62,004 |
| UMass Memorial HealthAlliance Hospitals | 37 | $12,224 | About average | $10,539 | $42,261 |
| Mercy St Vincent Medical Center | 55 | $12,226 | About average | $9,102 | $92,698 |
| Baylor St Lukes Medical Center | 12 | $12,238 | About average | $9,736 | $64,556 |
| Good Samaritan Hospital | 49 | $12,258 | About average | $8,229 | $36,082 |
| Parkview Whitley Hospital | 23 | $12,269 | About average | $10,921 | $21,863 |
| MemorialCare Saddleback Medical Center | 43 | $12,291 | About average | $10,301 | $98,340 |
| San Juan Regional Medical Center Inc | 39 | $12,297 | About average | $10,501 | $37,286 |
| Tidalhealth Nanticoke, Inc. | 40 | $12,307 | About average | $11,287 | $20,792 |
| Exeter Hospital Inc | 36 | $12,314 | About average | $9,899 | $43,333 |
| HCA Florida St Petersburg Hospital | 17 | $12,318 | About average | $10,764 | $117,317 |
| Nicholas H Noyes Memorial Hospital | 22 | $12,325 | About average | $9,752 | $15,695 |
| Mercy Medical Center | 56 | $12,332 | About average | $10,210 | $38,297 |
| Baylor Scott And White All Saints Medical Center | 145 | $12,333 | About average | $8,505 | $62,692 |
| San Antonio Regional Hospital | 26 | $12,334 | About average | $10,561 | $87,889 |
| Tristar Southern Hills Medical Center | 20 | $12,342 | About average | $9,366 | $51,871 |
| Javon Bea Hospital | 96 | $12,346 | About average | $9,818 | $57,986 |
| Mayo Clinic Health System Eau Claire Hospital | 27 | $12,346 | About average | $9,190 | $41,278 |
| Highline Medical Center | 30 | $12,350 | About average | $9,040 | $54,216 |
| UT Of Texas Southwestern University Hospital - William P. Clements Jr. | 38 | $12,351 | About average | $7,963 | $51,409 |
| Decatur Memorial Hospital | 86 | $12,352 | About average | $8,606 | $55,165 |
| Providence St. Jude Medical Center | 71 | $12,355 | About average | $10,982 | $59,847 |
| The McDowell Hospital | 19 | $12,356 | About average | $11,068 | $22,548 |
| Ellis Hospital | 57 | $12,358 | About average | $9,796 | $32,832 |
| Saratoga Hospital | 27 | $12,361 | About average | $9,471 | $47,576 |
| Redlands Community Hospital | 45 | $12,362 | About average | $11,491 | $102,857 |
| Atrium Health Navicent The Medical Center | 51 | $12,366 | About average | $10,134 | $80,161 |
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.