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 1,901–1,950. 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
Kaiser Foundation HospitalHonolulu, HI · CCN 120011	21	$15,862	30% above the national average	$9,913	$43,502
Ivinson Memorial HospitalLaramie, WY · CCN 530025	11	$15,863	30% above the national average	$14,973	$35,804
Temple University HospitalPhiladelphia, PA · CCN 390027	77	$15,876	30% above the national average	$12,180	$127,947
The Queens Medical CenterHonolulu, HI · CCN 120001	46	$15,895	30% above the national average	$10,475	$61,565
Calverthealth Medical CenterPrince Frederick, MD · CCN 210039	56	$15,910	30% above the national average	$14,493	$17,715
Broadlawns Medical CenterDes Moines, IA · CCN 160101	11	$15,926	31% above the national average	$13,945	$29,298
Piedmont Hospital, IncAtlanta, GA · CCN 110083	33	$15,928	31% above the national average	$7,422	$61,577
Tidalhealth Peninsula Regional, IncSalisbury, MD · CCN 210019	223	$15,932	31% above the national average	$14,471	$17,714
Tuba City Regional Health Care CorporationTuba City, AZ · CCN 030073	18	$15,951	31% above the national average	$14,863	$8,930
Memorial Regional HospitalHollywood, FL · CCN 100038	21	$15,954	31% above the national average	$13,098	$168,565
Washington HospitalFremont, CA · CCN 050195	62	$15,958	31% above the national average	$14,976	$140,121
Intermountain Medical CenterMurray, UT · CCN 460010	70	$15,993	31% above the national average	$9,122	$62,030
Shands JacksonvilleJacksonville, FL · CCN 100001	67	$16,021	31% above the national average	$13,951	$59,857
Thomas Jefferson University HospitalPhiladelphia, PA · CCN 390174	67	$16,083	32% above the national average	$11,384	$65,685
UH Regional HospitalsChardon, OH · CCN 360075	20	$16,096	32% above the national average	$12,973	$40,243
Memorial Hermann - Texas Medical CenterHouston, TX · CCN 450068	47	$16,129	32% above the national average	$13,284	$72,018
OHSU Hospital And ClinicsPortland, OR · CCN 380009	18	$16,131	32% above the national average	$12,482	$41,644
Cleveland ClinicCleveland, OH · CCN 360180	65	$16,135	32% above the national average	$9,972	$73,531
Staten Island University HospitalStaten Island, NY · CCN 330160	95	$16,162	33% above the national average	$12,984	$89,681
Community Hospital Of The Monterey PeninsulaMonterey, CA · CCN 050145	48	$16,163	33% above the national average	$12,383	$94,214
Richmond University Medical CenterStaten Island, NY · CCN 330028	36	$16,166	33% above the national average	$14,204	$60,023
CHI Health ImmanuelOmaha, NE · CCN 280081	19	$16,234	33% above the national average	$8,144	$52,361
Yale-New Haven HospitalNew Haven, CT · CCN 070022	126	$16,254	33% above the national average	$13,326	$52,378
University Hospital S U N Y Health Science CenterSyracuse, NY · CCN 330241	95	$16,263	33% above the national average	$12,605	$112,755
Sutter Santa Rosa Regional HospitalSanta Rosa, CA · CCN 050291	24	$16,271	33% above the national average	$14,511	$74,465
Flagstaff Medical CenterFlagstaff, AZ · CCN 030023	59	$16,282	33% above the national average	$14,336	$50,394
Wellstar Cobb Medical CenterAustell, GA · CCN 110143	23	$16,339	34% above the national average	$10,264	$94,676
Hackensack University Medical CenterHackensack, NJ · CCN 310001	63	$16,350	34% above the national average	$12,522	$90,136
Carolinas Medical Center/Behavioral HealthCharlotte, NC · CCN 340113	45	$16,359	34% above the national average	$10,163	$52,021
Sutter Davis HospitalDavis, CA · CCN 050537	20	$16,370	34% above the national average	$11,567	$61,616
University Of Alabama HospitalBirmingham, AL · CCN 010033	88	$16,389	34% above the national average	$9,677	$88,602
Scripps Green HospitalLa Jolla, CA · CCN 050424	15	$16,397	34% above the national average	$11,528	$64,096
Mt Sinai Hospital Medical CenterChicago, IL · CCN 140018	12	$16,425	35% above the national average	$14,486	$44,043
Presence Mercy Medical CenterAurora, IL · CCN 140174	23	$16,462	35% above the national average	$8,802	$64,045
Capital Health Regional Medical CenterTrenton, NJ · CCN 310092	19	$16,468	35% above the national average	$13,614	$561,008
Jefferson Einstein Philadelphia HospitalPhiladelphia, PA · CCN 390142	26	$16,490	35% above the national average	$12,499	$56,941
Rush University Medical CenterChicago, IL · CCN 140119	52	$16,492	35% above the national average	$12,974	$41,125
Mayo ClinicJacksonville, FL · CCN 100151	45	$16,492	35% above the national average	$8,911	$51,098
PIH Health Hospital-WhittierWhittier, CA · CCN 050169	39	$16,503	35% above the national average	$15,255	$133,443
Long Island Jewish Medical CenterNew Hyde Park, NY · CCN 330195	132	$16,604	36% above the national average	$13,014	$126,069
George Washington University HospitalWashington, DC · CCN 090001	27	$16,627	36% above the national average	$12,538	$131,526
Kaiser Foundation Hospital - DowneyDowney, CA · CCN 050139	15	$16,702	37% above the national average	$10,317	$76,339
Riverside University Health System-Medical CenterMoreno Valley, CA · CCN 050292	35	$16,706	37% above the national average	$15,617	$84,017
UMass Memorial Medical Center/University CampusWorcester, MA · CCN 220163	139	$16,714	37% above the national average	$13,484	$55,370
St Joseph's Medical Center Of StocktonStockton, CA · CCN 050084	23	$16,761	37% above the national average	$15,076	$102,941
Hilo Benioff Medical CenterHilo, HI · CCN 120005	21	$16,844	38% above the national average	$13,567	$40,333
Lenox Hill HospitalNew York, NY · CCN 330119	25	$16,847	38% above the national average	$12,623	$82,546
Temecula Valley HospitalTemecula, CA · CCN 050775	18	$16,916	39% above the national average	$13,898	$92,245
Jersey City Medical CenterJersey City, NJ · CCN 310074	16	$16,949	39% above the national average	$14,923	$143,627
Brigham And Women's HospitalBoston, MA · CCN 220110	29	$16,974	39% above the national average	$13,127	$93,858

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.