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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 1,551–1,600. Download as CSV

Medicare payments per case for Pulmonary edema and respiratory failure by hospital, 2024
HospitalCasesAverage paymentvs national averageMedicare paidBilled charge
Providence Cedars Sinai Tarzana Medical CenterTarzana, CA · CCN 05076183$12,640About average$11,343$99,061
Bakersfield Memorial HospitalBakersfield, CA · CCN 05003625$12,650About average$11,598$95,565
St James HospitalButte, MT · CCN 27001715$12,656About average$9,754$39,123
Cape Cod HospitalHyannis, MA · CCN 220012174$12,657About average$11,393$24,380
AdventHealthmanchesterManchester, KY · CCN 18004312$12,664About average$9,142$39,066
Banner North Colorado Medical CenterGreeley, CO · CCN 06000113$12,682About average$8,911$28,760
Parkview Noble HospitalKendallville, IN · CCN 15014611$12,687About average$11,351$27,566
Virtua Our Lady Of Lourdes HospitalCamden, NJ · CCN 31002949$12,687About average$10,105$107,498
Northern Dutchess HospitalRhinebeck, NY · CCN 33004921$12,687About average$10,794$33,164
Memorial Hospital WestPembroke Pines, FL · CCN 10028132$12,688About average$11,338$163,575
Doctors HospitalColumbus, OH · CCN 36015245$12,689About average$10,537$44,740
Trinity MuscatineMuscatine, IA · CCN 16001325$12,690About average$11,904$17,062
Beaumont Hospital - Farmington HillsFarmington Hills, MI · CCN 23015133$12,707About average$9,204$37,857
Hamilton Medical CenterDalton, GA · CCN 11000157$12,708About average$10,311$64,071
HCA Houston Healthcare WestHouston, TX · CCN 45064412$12,725About average$11,582$107,343
Northwell Hospital Glen CoveGlen Cove, NY · CCN 33018124$12,726About average$11,057$100,018
West Kendall Baptist HospitalMiami, FL · CCN 10031444$12,736About average$11,408$100,980
JFK University Medical CenterEdison, NJ · CCN 31010845$12,736About average$9,730$97,187
Adventist Health Lodi MemorialLodi, CA · CCN 05033636$12,754About average$11,612$158,630
La Palma Intercommunity HospitalLa Palma, CA · CCN 05058015$12,755About average$11,095$57,109
Phelps HospitalSleepy Hollow, NY · CCN 33026118$12,780About average$11,178$84,470
St Mary Medical CenterGalesburg, IL · CCN 14006423$12,791About average$11,763$57,054
Mercy General HospitalSacramento, CA · CCN 05001728$12,791About average$11,980$89,327
Betsy Johnson Regional HospitalDunn, NC · CCN 34007132$12,793About average$10,077$29,330
Scripps Memorial Hospital - EncinitasEncinitas, CA · CCN 05050376$12,794About average$10,110$65,704
Asante Rogue Regional Medical CenterMedford, OR · CCN 38001847$12,794About average$11,486$60,545
Maine General Medical CenterAugusta, ME · CCN 20003928$12,800About average$11,265$45,601
Sherman Oaks HospitalSherman Oaks, CA · CCN 05075528$12,816About average$11,942$48,109
Swedish Edmonds HospitalEdmonds, WA · CCN 50002655$12,819About average$9,482$82,789
Prisma Health Richland HospitalColumbia, SC · CCN 42001853$12,819About average$10,033$49,202
Baylor Scott & White Medical Center - CentennialFrisco, TX · CCN 45088554$12,820About average$8,253$58,894
Huntington HospitalHuntington, NY · CCN 33004582$12,820About average$10,398$77,618
Ecu Health Medical CenterGreenville, NC · CCN 34004067$12,823About average$8,931$37,999
William W Backus HospitalNorwich, CT · CCN 07002456$12,825About average$8,770$52,445
Good Samaritan Regional Medical CenterCorvallis, OR · CCN 38001418$12,838About average$10,513$39,283
St Marys HealthcareAmsterdam, NY · CCN 33004716$12,841About average$9,810$52,362
Adventist Health HanfordHanford, CA · CCN 05012134$12,842About average$11,425$61,506
St Charles Medical Center - BendBend, OR · CCN 38004762$12,843About average$11,636$38,532
Intermountain Health McKay-Dee HospitalOgden, UT · CCN 46000429$12,853About average$8,728$58,989
Peconic Bay Medical CenterRiverhead, NY · CCN 33010733$12,859About average$10,887$79,756
The Miriam HospitalProvidence, RI · CCN 41001233$12,861About average$9,152$29,442
Danbury HospitalDanbury, CT · CCN 07003341$12,872About average$11,297$29,344
Emanate Health Foothill Presbyterian HospitalGlendora, CA · CCN 05059716$12,892About average$10,821$57,105
Grant Medical CenterColumbus, OH · CCN 36001748$12,892About average$10,114$35,065
Mercy Medical Center ReddingRedding, CA · CCN 050280113$12,904About average$11,652$90,761
Princeton Baptist Medical CenterBirmingham, AL · CCN 01010320$12,906About average$7,194$64,608
Southside HospitalBay Shore, NY · CCN 33004362$12,907About average$11,444$105,562
El Centro Regional Medical CenterEl Centro, CA · CCN 05004523$12,907About average$11,914$77,277
Emanuel Medical CenterTurlock, CA · CCN 05017924$12,909About average$11,754$181,856
Ohio State University State Health SystemColumbus, OH · CCN 36008555$12,913About average$9,806$43,485

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.