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

Hospitals in California

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Average payment across these 195 hospitals: $15,884National $12,197 · California $15,884
Median hospital: $13,965
Lowest to highest: $9,176–$39,004
Medicare stays: 7,155

195 hospitals reported at least 11 Medicare stays for this in 2024; showing 151–195. 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
Riverside University Health System-Medical CenterMoreno Valley, CA · CCN 050292	35	$16,706	37% above the national average	$15,617	$84,017
St Joseph's Medical Center Of StocktonStockton, CA · CCN 050084	23	$16,761	37% above the national average	$15,076	$102,941
Temecula Valley HospitalTemecula, CA · CCN 050775	18	$16,916	39% above the national average	$13,898	$92,245
Santa Monica - UCLA Medical Center & Orthopaedic HospitalSanta Monica, CA · CCN 050112	43	$17,102	40% above the national average	$15,495	$108,486
St Rose HospitalHayward, CA · CCN 050002	22	$17,112	40% above the national average	$16,019	$104,757
Kaiser Foundation Hospital - RosevilleRoseville, CA · CCN 050772	18	$17,239	41% above the national average	$12,878	$107,797
Adventist Health White MemorialLos Angeles, CA · CCN 050103	19	$17,299	42% above the national average	$15,675	$174,677
Watsonville Community HospitalWatsonville, CA · CCN 050194	21	$17,351	42% above the national average	$16,187	$136,731
Colusa Medical CenterColusa, CA · CCN 050783	13	$17,414	43% above the national average	$16,284	$38,214
Kaiser Foundation Hospital South SacramentoSacramento, CA · CCN 050674	30	$17,518	44% above the national average	$14,929	$115,013
UCSF Health St. Mary's HospitalSan Francisco, CA · CCN 050457	15	$17,716	45% above the national average	$16,382	$91,180
Kaiser Foundation Hospital And Rehab CenterVallejo, CA · CCN 050073	18	$17,917	47% above the national average	$13,876	$109,944
Kaiser Foundation Hospital - Los AngelesLos Angeles, CA · CCN 050138	18	$18,103	48% above the national average	$14,627	$75,348
Arrowhead Regional Medical CenterColton, CA · CCN 050245	18	$18,200	49% above the national average	$16,699	$142,849
Los Robles Hospital & Medical CenterThousand Oaks, CA · CCN 050549	89	$18,266	50% above the national average	$13,605	$267,668
Kaiser Foundation Hospital - FresnoFresno, CA · CCN 050710	12	$18,534	52% above the national average	$8,624	$87,781
Kaiser Foundation Hospital Fontana/OntarioFontana, CA · CCN 050140	42	$19,122	57% above the national average	$9,968	$72,247
Mercy Medical CenterMerced, CA · CCN 050444	36	$19,928	63% above the national average	$11,007	$99,920
Kaiser Foundation Hospital - Panorama CityPanorama City, CA · CCN 050137	18	$20,357	67% above the national average	$11,069	$53,778
Uci Health-OrangeOrange, CA · CCN 050348	32	$20,456	68% above the national average	$17,488	$97,425
Martin Luther King, Jr. Community HospitalLos Angeles, CA · CCN 050779	21	$20,744	70% above the national average	$19,626	$220,223
California Pacific Medical Center- Van Ness CampusSan Francisco, CA · CCN 050047	18	$21,052	73% above the national average	$16,242	$80,122
Kaiser Foundation Hospital - San DiegoSan Diego, CA · CCN 050515	21	$21,206	74% above the national average	$10,031	$60,010
Kaiser Foundation Hospital MantecaManteca, CA · CCN 050748	26	$21,741	78% above the national average	$8,655	$93,006
Highland HospitalOakland, CA · CCN 050320	71	$22,526	85% above the national average	$20,818	$96,246
Loma Linda University Medical CenterLoma Linda, CA · CCN 050327	114	$24,541	101% above the national average	$17,925	$148,637
UCSan Diego Health Hillcrest - Hillcrest Medical CenterSan Diego, CA · CCN 050025	65	$25,445	109% above the national average	$17,671	$118,952
Zuckerberg San Francisco General Hospital & Trauma CenterSan Francisco, CA · CCN 050228	26	$25,679	111% above the national average	$23,325	$138,238
Ronald Reagan UCLA Medical CenterLos Angeles, CA · CCN 050262	19	$26,244	115% above the national average	$19,355	$98,116
Santa Clara Valley Medical CenterSan Jose, CA · CCN 050038	72	$26,671	119% above the national average	$24,682	$164,856
Kaiser Foundation Hospital-Santa ClaraSanta Clara, CA · CCN 050071	26	$26,674	119% above the national average	$9,727	$77,169
Kaiser Foundation Hospital - AntiochAntioch, CA · CCN 050760	16	$27,160	123% above the national average	$20,495	$149,173
University Of California Davis Medical CenterSacramento, CA · CCN 050599	79	$27,263	124% above the national average	$16,750	$148,970
Cedars-Sinai Medical CenterLos Angeles, CA · CCN 050625	34	$27,973	129% above the national average	$21,199	$348,855
Kaiser Foundation Hospital - Oakland/RichmondOakland, CA · CCN 050075	33	$28,212	131% above the national average	$19,663	$131,516
Kaiser Foundation Hospital - SacramentoSacramento, CA · CCN 050425	26	$28,882	137% above the national average	$13,210	$97,619
Kaiser Foundation Hospital - South San FranciscoSouth San Francisco, CA · CCN 050070	14	$29,007	138% above the national average	$8,883	$70,313
Lac/Harbor-UCLA Medical CenterTorrance, CA · CCN 050376	55	$29,480	142% above the national average	$22,916	$97,697
Los Angeles General Medical CenterLos Angeles, CA · CCN 050373	15	$29,583	143% above the national average	$25,110	$65,704
UCSF Medical CenterSan Francisco, CA · CCN 050454	46	$30,286	148% above the national average	$22,172	$161,059
Kaiser Foundation Hospital - Walnut CreekWalnut Creek, CA · CCN 050072	13	$32,724	168% above the national average	$7,761	$81,881
Stanford Health CareStanford, CA · CCN 050441	100	$33,952	178% above the national average	$24,534	$369,459
Kaiser Foundation Hospital, RiversideRiverside, CA · CCN 050686	11	$35,044	187% above the national average	$7,581	$101,043
Kaiser Foundation Hospital-San JoseSan Jose, CA · CCN 050604	13	$37,723	209% above the national average	$7,666	$56,036
Lac/Olive View-UCLA Medical CenterSylmar, CA · CCN 050040	43	$39,004	220% above the national average	$32,841	$124,240

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.