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 1,601–1,650. Download as CSV
| Hospital | Cases | Average payment | vs national average | Medicare paid | Billed charge |
|---|---|---|---|---|---|
| Samaritan Hospital Of Troy, New York | 20 | $12,921 | About average | $9,534 | $29,088 |
| Garden Grove Hospital & Medical Center | 13 | $12,928 | About average | $11,673 | $51,740 |
| Franciscan Health Mooresville | 30 | $12,935 | About average | $9,247 | $33,597 |
| Parkview Medical Center, Inc | 53 | $12,936 | About average | $8,737 | $77,078 |
| Englewood Hospital And Medical Center | 36 | $12,938 | About average | $11,333 | $64,455 |
| PeaceHealth St Joseph Medical Center | 83 | $12,942 | About average | $9,825 | $65,195 |
| Research Medical Center | 37 | $12,943 | About average | $9,411 | $134,048 |
| University Of Kentucky Hospital | 63 | $12,946 | About average | $9,199 | $52,368 |
| Huntington Hospital | 31 | $12,948 | About average | $11,759 | $124,627 |
| Brigham And Women Faulkner Hospital | 14 | $12,950 | About average | $9,840 | $47,117 |
| Overlook Medical Center | 86 | $12,956 | About average | $10,307 | $88,161 |
| Palmdale Regional Medical Center | 34 | $12,961 | About average | $11,181 | $111,288 |
| Spectrum Health | 187 | $12,995 | About average | $9,067 | $38,774 |
| Beaumont Hospital - Dearborn | 24 | $12,998 | About average | $8,023 | $49,692 |
| Robert Wood Johnson University Hospital At Rahway | 20 | $13,004 | About average | $8,156 | $81,493 |
| San Gabriel Valley Medical Center | 14 | $13,007 | About average | $11,958 | $62,716 |
| Aurora St Lukes Medical Center | 88 | $13,010 | About average | $8,758 | $63,095 |
| Graham Hospital Association | 13 | $13,012 | About average | $9,898 | $33,969 |
| CHI Health Bergan Mercy | 27 | $13,013 | About average | $10,123 | $48,602 |
| Mid-Columbia Medical Center | 29 | $13,016 | About average | $11,890 | $25,950 |
| Mount Sinai South Nassau | 65 | $13,019 | About average | $11,033 | $115,118 |
| White Plains Hospital Center | 101 | $13,030 | About average | $9,292 | $79,297 |
| Hollywood Presbyterian Medical Center | 13 | $13,042 | About average | $12,226 | $75,894 |
| Christus St Vincent Regional Medical Center | 29 | $13,045 | About average | $11,669 | $34,146 |
| Monument Health Spearfish Hospital | 14 | $13,070 | About average | $10,444 | $37,072 |
| Antelope Valley Hospital | 33 | $13,071 | About average | $12,124 | $59,191 |
| Memorial Medical Center | 106 | $13,075 | About average | $11,136 | $73,744 |
| Providence St Mary Medical Center | 20 | $13,077 | About average | $11,895 | $66,538 |
| Greenwich Hospital Association - | 37 | $13,080 | About average | $9,331 | $42,126 |
| Prisma Health Greer Memorial Hospital | 33 | $13,086 | About average | $9,160 | $43,889 |
| Suburban Hospital | 95 | $13,098 | About average | $11,775 | $14,698 |
| Petaluma Valley Hospital | 20 | $13,107 | About average | $12,222 | $105,883 |
| Pioneers Memorial Healthcare District | 53 | $13,109 | About average | $11,985 | $52,473 |
| San Ramon Regional Medical Center | 13 | $13,115 | About average | $12,490 | $241,893 |
| AHMC Anaheim Regional Medical Center | 16 | $13,117 | About average | $12,199 | $43,942 |
| Nazareth Hospital | 38 | $13,139 | About average | $10,545 | $49,661 |
| AdventHealth North Pinellas | 11 | $13,163 | About average | $7,348 | $60,170 |
| West Anaheim Medical Center | 45 | $13,169 | About average | $12,117 | $43,619 |
| Garfield Medical Center | 13 | $13,170 | About average | $12,040 | $215,160 |
| Holy Cross Hospital | 13 | $13,172 | About average | $12,168 | $65,804 |
| Portsmouth Regional Hospital | 45 | $13,177 | About average | $9,116 | $58,503 |
| Whittier Hospital Medical Center | 14 | $13,180 | About average | $12,162 | $59,772 |
| Emanate Health Inter-Community Hospital | 37 | $13,183 | About average | $11,451 | $69,123 |
| SSM Health St Mary's Hospital - St Louis | 29 | $13,184 | About average | $10,824 | $35,019 |
| Pomona Valley Hospital Medical Center | 27 | $13,204 | About average | $12,024 | $123,149 |
| Garnet Health Medical Center | 192 | $13,205 | About average | $10,921 | $64,273 |
| United Health Services Hospitals, Inc | 50 | $13,205 | About average | $9,963 | $29,737 |
| Berkshire Medical Center | 56 | $13,213 | About average | $11,654 | $22,373 |
| Christus Southern New Mexico | 12 | $13,218 | About average | $12,011 | $92,569 |
| Emory University Hospital Midtown | 27 | $13,227 | About average | $10,658 | $64,385 |
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.