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 1,751–1,800. 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
Saint Francis Medical CenterLynwood, CA · CCN 050104	21	$13,965	14% above the national average	$13,032	$61,880
Emory Decatur HospitalDecatur, GA · CCN 110076	56	$13,998	15% above the national average	$11,947	$54,008
Baylor Scott & White Medical Center - TempleTemple, TX · CCN 450054	301	$14,035	15% above the national average	$9,993	$58,347
Peninsula Medical CenterBurlingame, CA · CCN 050007	44	$14,058	15% above the national average	$12,895	$66,451
Chino Valley Medical CenterChino, CA · CCN 050586	12	$14,069	15% above the national average	$13,251	$40,235
Providence Mission HospitalMission Viejo, CA · CCN 050567	42	$14,080	15% above the national average	$11,907	$82,297
Mercy Hospital LebanonLebanon, MO · CCN 260059	12	$14,088	15% above the national average	$10,970	$19,627
Baylor University Medical CenterDallas, TX · CCN 450021	212	$14,092	16% above the national average	$9,677	$63,746
Verde Valley Medical CenterCottonwood, AZ · CCN 030007	27	$14,104	16% above the national average	$12,658	$58,949
Saint Joseph HospitalDenver, CO · CCN 060028	14	$14,136	16% above the national average	$12,021	$118,918
University Of Utah Hospital And ClinicsSalt Lake City, UT · CCN 460009	28	$14,136	16% above the national average	$11,698	$33,847
Fort Defiance Indian HospitalFt. Defiance, AZ · CCN 030071	25	$14,160	16% above the national average	$12,887	$18,352
Baystate Medical CenterSpringfield, MA · CCN 220077	175	$14,174	16% above the national average	$11,684	$27,323
Scripps Mercy HospitalSan Diego, CA · CCN 050077	86	$14,192	16% above the national average	$12,828	$90,705
University Of Mississippi Medical CenterJackson, MS · CCN 250001	86	$14,202	16% above the national average	$11,347	$45,457
Loma Linda University Medical Center-MurrietaMurrieta, CA · CCN 050770	30	$14,211	17% above the national average	$12,889	$75,903
MarinHealth Medical CenterGreenbrae, CA · CCN 050360	46	$14,215	17% above the national average	$13,150	$132,518
Adventist Health CastleKailua, HI · CCN 120006	17	$14,216	17% above the national average	$9,800	$37,109
USA Health University HospitalMobile, AL · CCN 010087	18	$14,217	17% above the national average	$8,543	$30,988
The Nebraska Medical CenterOmaha, NE · CCN 280013	129	$14,218	17% above the national average	$9,714	$52,800
St Luke's Hospital - Anderson CampusEaston, PA · CCN 390326	64	$14,240	17% above the national average	$10,518	$79,824
Samaritan Medical CenterWatertown, NY · CCN 330157	36	$14,241	17% above the national average	$13,204	$38,636
Providence Centralia HospitalCentralia, WA · CCN 500019	19	$14,242	17% above the national average	$9,130	$92,943
Northern Maine Medical CenterFort Kent, ME · CCN 200052	20	$14,252	17% above the national average	$13,191	$16,420
Sharp Chula Vista Medical CenterChula Vista, CA · CCN 050222	24	$14,265	17% above the national average	$12,990	$161,272
Saint Francis Medical CenterPeoria, IL · CCN 140067	66	$14,275	17% above the national average	$9,143	$63,458
Community Memorial Hospital - VenturaVentura, CA · CCN 050394	28	$14,287	17% above the national average	$11,620	$45,978
Ochsner LSU Health ShreveportShreveport, LA · CCN 190098	25	$14,365	18% above the national average	$11,108	$53,252
Providence Alaska Medical CenterAnchorage, AK · CCN 020001	118	$14,371	18% above the national average	$11,793	$111,316
Lompoc Valley Medical CenterLompoc, CA · CCN 050110	18	$14,376	18% above the national average	$13,470	$56,883
UH St John Medical CenterWestlake, OH · CCN 360123	36	$14,391	18% above the national average	$12,715	$33,157
United Medical CenterWashington, DC · CCN 090008	13	$14,407	18% above the national average	$13,246	$58,045
Methodist Dallas Medical CenterDallas, TX · CCN 450051	33	$14,438	18% above the national average	$12,183	$62,726
Humboldt Park HealthChicago, IL · CCN 140206	11	$14,441	18% above the national average	$12,915	$74,215
HCA Houston Healthcare SoutheastPasadena, TX · CCN 450097	19	$14,465	19% above the national average	$13,606	$113,564
John T Mather Memorial Hospital Of Port JeffersonPort Jefferson, NY · CCN 330185	47	$14,482	19% above the national average	$9,658	$65,373
Frederick Health HospitalFrederick, MD · CCN 210005	225	$14,486	19% above the national average	$12,996	$15,900
Gallup Indian Medical CenterGallup, NM · CCN 320061	21	$14,486	19% above the national average	$13,089	$22,030
MedStar Washington Hospital CenterWashington, DC · CCN 090011	58	$14,487	19% above the national average	$11,420	$54,368
University Of Toledo Medical CenterToledo, OH · CCN 360048	18	$14,493	19% above the national average	$9,260	$65,020
Oakbend Medical CenterRichmond, TX · CCN 450330	12	$14,498	19% above the national average	$13,342	$41,639
Sentara Norfolk General HospitalNorfolk, VA · CCN 490007	37	$14,500	19% above the national average	$8,817	$60,757
Banner-University Medical Center South CampusTucson, AZ · CCN 030111	11	$14,504	19% above the national average	$12,543	$40,368
Alta Bates Summit Medical CenterOakland, CA · CCN 050043	63	$14,505	19% above the national average	$12,767	$76,078
Kaleida HealthBuffalo, NY · CCN 330005	153	$14,509	19% above the national average	$11,816	$40,286
Salinas Valley Health Medical CenterSalinas, CA · CCN 050334	57	$14,514	19% above the national average	$13,484	$117,431
Monmouth Medical CenterLong Branch, NJ · CCN 310075	11	$14,531	19% above the national average	$12,697	$90,680
Methodist Hospital Of SacramentoSacramento, CA · CCN 050590	15	$14,538	19% above the national average	$13,270	$86,146
Providence Santa Rosa Memorial HospitalSanta Rosa, CA · CCN 050174	43	$14,544	19% above the national average	$13,349	$80,391
Providence Little Company Of Mary Medical Center TorranceTorrance, CA · CCN 050353	42	$14,550	19% above the national average	$11,177	$107,940

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.