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 1,651–1,700. Download as CSV
| Hospital | Cases | Average payment | vs national average | Medicare paid | Billed charge |
|---|---|---|---|---|---|
| St Luke's Warren Hospital | 42 | $13,232 | About average | $10,477 | $96,623 |
| Monument Health Rapid City Hospital | 150 | $13,237 | About average | $10,822 | $45,465 |
| Victor Valley Global Medical Center | 11 | $13,241 | About average | $12,203 | $36,894 |
| Mary Rutan Hospital | 12 | $13,244 | About average | $11,141 | $26,244 |
| Corona Regional Medical Center | 19 | $13,247 | About average | $11,322 | $84,738 |
| Kent County Memorial Hospital | 34 | $13,252 | About average | $10,011 | $46,520 |
| Saint Mary's Hospital | 27 | $13,253 | About average | $11,493 | $55,016 |
| Winona Health Services | 11 | $13,257 | About average | $12,073 | $26,647 |
| Doctors Medical Center | 24 | $13,261 | About average | $12,208 | $224,183 |
| Centinela Hospital Medical Center | 99 | $13,263 | About average | $12,406 | $53,043 |
| St. Catherine Hospital - Garden City | 18 | $13,264 | About average | $12,085 | $31,701 |
| St John's Riverside Hospital | 24 | $13,273 | About average | $11,658 | $58,155 |
| HCA Florida Orange Park Hospital | 29 | $13,277 | About average | $10,738 | $163,431 |
| Cherokee Nation W W Hastings Indian Hospital | 37 | $13,281 | About average | $12,355 | $19,255 |
| Pine Ridge IHS Hospital | 14 | $13,283 | About average | $12,234 | $15,612 |
| Sierra View Medical Center | 19 | $13,297 | About average | $11,624 | $76,254 |
| Providence Medford Medical Center | 28 | $13,298 | About average | $11,162 | $63,437 |
| Adventist Health And Rideout | 49 | $13,304 | About average | $12,222 | $98,747 |
| Sutter Auburn Faith Hospital | 32 | $13,311 | About average | $12,444 | $54,759 |
| French Hospital Medical Center | 38 | $13,311 | About average | $10,144 | $89,062 |
| Self Regional Healthcare | 42 | $13,314 | About average | $10,886 | $37,275 |
| Sutter Roseville Medical Center | 99 | $13,316 | About average | $11,197 | $81,849 |
| Providence Milwaukie Hospital | 12 | $13,322 | About average | $11,403 | $26,555 |
| St Elizabeth Community Hospital | 40 | $13,329 | About average | $12,107 | $80,192 |
| UPMC Presbyterian Shadyside | 64 | $13,336 | About average | $9,009 | $157,287 |
| Adventist Health Tulare | 17 | $13,345 | About average | $12,124 | $68,325 |
| Houston Methodist Hospital | 125 | $13,353 | About average | $9,587 | $108,148 |
| St Francis Hospital & Medical Center | 31 | $13,357 | About average | $11,729 | $42,986 |
| Greater El Monte Community Hospital | 14 | $13,360 | About average | $12,311 | $61,214 |
| Wellstar Paulding Medical Center | 30 | $13,372 | About average | $7,418 | $99,015 |
| PIH Health Downey Hospital | 20 | $13,373 | About average | $11,754 | $70,483 |
| Sinai-Grace Hospital | 38 | $13,385 | About average | $11,132 | $52,678 |
| Glendale Memorial Hospital & Health Center | 14 | $13,393 | About average | $12,463 | $82,090 |
| University Of Kansas Hospital | 79 | $13,396 | About average | $8,694 | $85,565 |
| Marian Regional Medical Center | 73 | $13,398 | About average | $11,806 | $68,684 |
| Mercy San Juan Medical Center | 56 | $13,404 | About average | $12,526 | $74,309 |
| University Of Arkansas Medical Sciences | 53 | $13,405 | About average | $10,007 | $38,392 |
| Novant Health Hilton Head Medical Center | 24 | $13,411 | About average | $10,253 | $56,376 |
| Sisters Of Charity Hospital | 13 | $13,424 | 10% above the national average | $11,673 | $42,410 |
| Aspirus Riverview Hospital & Clinics Inc | 30 | $13,427 | 10% above the national average | $7,792 | $27,603 |
| CentraState Medical Center | 23 | $13,432 | 10% above the national average | $8,967 | $74,775 |
| Torrance Memorial Medical Center | 31 | $13,444 | 10% above the national average | $10,626 | $100,467 |
| Bridgeport Hospital | 55 | $13,458 | 10% above the national average | $11,461 | $40,371 |
| Mountainview Hospital | 114 | $13,459 | 10% above the national average | $11,331 | $127,950 |
| Providence Saint Joseph Medical Center | 61 | $13,460 | 10% above the national average | $10,863 | $102,194 |
| Northridge Hospital Medical Center | 45 | $13,482 | 11% above the national average | $12,362 | $115,743 |
| PIH Health Good Samaritan Hospital | 35 | $13,484 | 11% above the national average | $12,641 | $60,408 |
| MelroseWakefield Healthcare | 13 | $13,485 | 11% above the national average | $10,307 | $23,711 |
| Adventist Health Sonora | 24 | $13,485 | 11% above the national average | $11,775 | $74,418 |
| Monterey Park Hospital | 17 | $13,500 | 11% above the national average | $12,062 | $134,679 |
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.