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

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2,098 hospitals reported at least 11 Medicare stays for this in 2024; showing 1,701–1,750. Download as CSV

Medicare payments per case for Pulmonary edema and respiratory failure by hospital, 2024
Hospital	Cases	Average payment	vs national average	Medicare paid	Billed charge
Southwest Healthcare Rancho Springs HospitalMurrieta, CA · CCN 050701	38	$13,504	11% above the national average	$12,232	$100,809
Grossmont HospitalLa Mesa, CA · CCN 050026	61	$13,513	11% above the national average	$11,837	$113,096
John F Kennedy Memorial HospitalIndio, CA · CCN 050534	15	$13,521	11% above the national average	$12,759	$135,908
Capital Health Medical Center - HopewellPennington, NJ · CCN 310044	32	$13,529	11% above the national average	$11,991	$455,479
Santa Barbara Cottage HospitalSanta Barbara, CA · CCN 050396	50	$13,549	11% above the national average	$11,857	$97,467
Mount Auburn HospitalCambridge, MA · CCN 220002	16	$13,561	11% above the national average	$11,414	$25,173
Wellstar Douglas Medical CenterDouglasville, GA · CCN 110184	21	$13,573	11% above the national average	$10,185	$98,782
Lahey Hospital & Medical Center, BurlingtonBurlington, MA · CCN 220171	126	$13,591	11% above the national average	$11,007	$22,943
Deborah Heart And Lung CenterBrowns Mills, NJ · CCN 310031	19	$13,594	11% above the national average	$11,907	$79,762
Cooper University HospitalCamden, NJ · CCN 310014	57	$13,595	11% above the national average	$11,184	$61,592
Essentia Health St Marys - Detroit LakesDetroit Lakes, MN · CCN 240101	37	$13,605	12% above the national average	$12,281	$25,612
St Vincent's Medical CenterBridgeport, CT · CCN 070028	52	$13,622	12% above the national average	$10,615	$62,364
Penn Presbyterian Medical CenterPhiladelphia, PA · CCN 390223	20	$13,635	12% above the national average	$11,759	$106,038
Broward Health Medical CenterFort Lauderdale, FL · CCN 100039	19	$13,649	12% above the national average	$12,439	$73,395
Geisinger Medical CenterDanville, PA · CCN 390006	130	$13,665	12% above the national average	$9,993	$104,717
Johns Hopkins Howard County Medical CenterColumbia, MD · CCN 210048	209	$13,665	12% above the national average	$12,329	$15,001
St Mary's HospitalAthens, GA · CCN 110006	12	$13,671	12% above the national average	$7,636	$33,388
Wellstar Kennestone Regional Medical CenterMarietta, GA · CCN 110035	97	$13,681	12% above the national average	$10,951	$85,587
Mission Community HospitalPanorama City, CA · CCN 050704	16	$13,684	12% above the national average	$12,198	$85,446
HCA Florida Brandon HospitalBrandon, FL · CCN 100243	40	$13,699	12% above the national average	$10,373	$111,096
HCA Florida Kendall HospitalMiami, FL · CCN 100209	18	$13,701	12% above the national average	$12,131	$106,718
Hackensack Meridian Mountainside MedicalMontclair, NJ · CCN 310054	22	$13,705	12% above the national average	$10,426	$75,400
Valley Presbyterian HospitalVan Nuys, CA · CCN 050126	23	$13,707	12% above the national average	$12,483	$66,657
Chickasaw Nation Medical CenterAda, OK · CCN 370180	19	$13,716	12% above the national average	$12,429	$18,994
Good Samaritan HospitalSan Jose, CA · CCN 050380	53	$13,719	12% above the national average	$12,664	$209,378
Allegheny General HospitalPittsburgh, PA · CCN 390050	44	$13,732	13% above the national average	$9,938	$64,063
Morristown Medical CenterMorristown, NJ · CCN 310015	115	$13,735	13% above the national average	$11,085	$114,860
Louis A Weiss Memorial HospitalChicago, IL · CCN 140082	22	$13,738	13% above the national average	$11,025	$38,032
Northside Hospital GwinnettLawrenceville, GA · CCN 110087	52	$13,762	13% above the national average	$11,176	$99,889
St Vincent HospitalWorcester, MA · CCN 220176	48	$13,764	13% above the national average	$11,569	$45,129
Glendale Adventist Medical CenterGlendale, CA · CCN 050239	23	$13,791	13% above the national average	$12,556	$101,103
University Of Missouri Health CareColumbia, MO · CCN 260141	99	$13,806	13% above the national average	$11,221	$88,159
Mercy HospitalBakersfield, CA · CCN 050295	44	$13,822	13% above the national average	$12,371	$106,075
Woodland Memorial HospitalWoodland, CA · CCN 050127	16	$13,823	13% above the national average	$11,618	$67,188
Inspira Medical Center VinelandVineland, NJ · CCN 310032	68	$13,832	13% above the national average	$11,694	$79,599
P H S Indian Hospital At Belcourt-Quentin N BurdickBelcourt, ND · CCN 350063	19	$13,836	13% above the national average	$13,149	$13,376
South Pointe HospitalWarrensville Heights, OH · CCN 360144	13	$13,845	14% above the national average	$11,988	$90,211
Bay Area HospitalCoos Bay, OR · CCN 380090	43	$13,854	14% above the national average	$12,770	$48,251
Trinity Health Livingston HospitalHowell, MI · CCN 230069	59	$13,865	14% above the national average	$9,938	$36,054
Eden Medical CenterCastro Valley, CA · CCN 050488	30	$13,867	14% above the national average	$13,205	$79,588
Tampa General HospitalTampa, FL · CCN 100128	42	$13,871	14% above the national average	$10,377	$88,533
Southern Regional Medical CenterRiverdale, GA · CCN 110165	14	$13,874	14% above the national average	$12,796	$34,791
St Bernardine Medical CenterSan Bernardino, CA · CCN 050129	24	$13,881	14% above the national average	$12,746	$93,232
Southeastern Regional Medical CenterLumberton, NC · CCN 340050	24	$13,903	14% above the national average	$10,516	$27,868
Eisenhower Medical CenterRancho Mirage, CA · CCN 050573	49	$13,905	14% above the national average	$12,521	$73,874
Detroit Receiving HospitalDetroit, MI · CCN 230273	24	$13,915	14% above the national average	$11,514	$64,779
Paradise Valley HospitalNational City, CA · CCN 050024	38	$13,916	14% above the national average	$13,100	$42,315
Milton S Hershey Medical CenterHershey, PA · CCN 390256	103	$13,942	14% above the national average	$11,282	$61,665
Mercy Health Saint Mary'sGrand Rapids, MI · CCN 230059	38	$13,957	14% above the national average	$9,726	$34,406
Desert Regional Medical CenterPalm Springs, CA · CCN 050243	25	$13,961	14% above the national average	$12,904	$173,653

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 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

Average payment by state for Pulmonary edema and respiratory failure, 2024
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.