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 1,951–2,000. 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
Mayo Clinic HospitalPhoenix, AZ · CCN 030103	49	$16,983	39% above the national average	$11,011	$64,455
Swedish Medical CenterSeattle, WA · CCN 500027	41	$17,074	40% above the national average	$13,345	$89,173
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
University Of Maryland St Joseph Medical CenterTowson, MD · CCN 210063	94	$17,141	41% above the national average	$15,907	$19,304
Wyckoff Heights Medical CenterBrooklyn, NY · CCN 330221	33	$17,188	41% above the national average	$14,433	$34,283
Eskenazi HealthIndianapolis, IN · CCN 150024	47	$17,193	41% above the national average	$15,779	$51,528
Kaiser Foundation Hospital - RosevilleRoseville, CA · CCN 050772	18	$17,239	41% above the national average	$12,878	$107,797
Southern Maine Health CareBiddeford, ME · CCN 200019	21	$17,287	42% above the national average	$6,670	$39,949
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
North Shore University HospitalManhasset, NY · CCN 330106	108	$17,357	42% above the national average	$13,370	$158,699
Mount Sinai Beth IsraelNew York, NY · CCN 330169	36	$17,381	42% above the national average	$13,513	$114,299
Luminis Health Anne Arundel Medical Center, IncAnnapolis, MD · CCN 210023	153	$17,393	43% above the national average	$15,956	$18,734
Stamford HospitalStamford, CT · CCN 070006	29	$17,405	43% above the national average	$13,127	$92,643
Colusa Medical CenterColusa, CA · CCN 050783	13	$17,414	43% above the national average	$16,284	$38,214
Duke University HospitalDurham, NC · CCN 340030	90	$17,418	43% above the national average	$11,252	$49,346
SUNY/Stony Brook University HospitalStony Brook, NY · CCN 330393	147	$17,452	43% above the national average	$13,151	$95,103
Legacy Emanuel Medical CenterPortland, OR · CCN 380007	31	$17,460	43% above the national average	$15,812	$58,714
Kaiser Foundation Hospital South SacramentoSacramento, CA · CCN 050674	30	$17,518	44% above the national average	$14,929	$115,013
Rhode Island HospitalProvidence, RI · CCN 410007	38	$17,521	44% above the national average	$12,407	$57,160
Strong Memorial HospitalRochester, NY · CCN 330285	49	$17,544	44% above the national average	$13,288	$43,604
Hennepin County Medical CenterMinneapolis, MN · CCN 240004	54	$17,550	44% above the national average	$13,624	$59,485
Henry Ford Health HospitalDetroit, MI · CCN 230053	71	$17,650	45% above the national average	$11,860	$49,913
UCSF Health St. Mary's HospitalSan Francisco, CA · CCN 050457	15	$17,716	45% above the national average	$16,382	$91,180
Loyola University Medical CenterMaywood, IL · CCN 140276	33	$17,759	46% above the national average	$11,830	$58,874
Beth Israel Deaconess Medical CenterBoston, MA · CCN 220086	63	$17,766	46% above the national average	$14,512	$38,624
Massachusetts General HospitalBoston, MA · CCN 220071	49	$17,800	46% above the national average	$12,148	$69,445
MedStar Georgetown University HospitalWashington, DC · CCN 090004	34	$17,859	46% above the national average	$11,230	$73,901
Alaska Native Medical CenterAnchorage, AK · CCN 020026	38	$17,875	47% above the national average	$16,834	$77,526
Kaiser Foundation Hospital And Rehab CenterVallejo, CA · CCN 050073	18	$17,917	47% above the national average	$13,876	$109,944
Westchester Medical CenterValhalla, NY · CCN 330234	27	$18,033	48% above the national average	$11,984	$171,896
Jamaica Hospital Medical CenterJamaica, NY · CCN 330014	13	$18,086	48% above the national average	$13,617	$42,341
Maimonides Medical CenterBrooklyn, NY · CCN 330194	97	$18,092	48% above the national average	$14,200	$77,896
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
UMD Upper Chesapeake Medical CenterBel Air, MD · CCN 210049	125	$18,237	50% above the national average	$17,058	$20,191
Los Alamos Medical CenterLos Alamos, NM · CCN 320033	18	$18,259	50% above the national average	$15,966	$44,868
Los Robles Hospital & Medical CenterThousand Oaks, CA · CCN 050549	89	$18,266	50% above the national average	$13,605	$267,668
Carroll Hospital CenterWestminster, MD · CCN 210033	138	$18,273	50% above the national average	$17,057	$20,685
Holy Cross HospitalSilver Spring, MD · CCN 210004	108	$18,278	50% above the national average	$16,736	$20,287
Mercy Medical Center IncBaltimore, MD · CCN 210008	12	$18,348	50% above the national average	$17,192	$21,163
Adventist Healthcare Shady Grove Medical CenterRockville, MD · CCN 210057	57	$18,388	51% above the national average	$15,721	$20,761
Medical College Of Virginia HospitalsRichmond, VA · CCN 490032	52	$18,392	51% above the national average	$9,939	$62,840
Denver Health & Hospital AuthorityDenver, CO · CCN 060011	21	$18,430	51% above the national average	$17,031	$28,693
University Of Maryland Shore Medical Center At EastonEaston, MD · CCN 210037	88	$18,485	52% above the national average	$17,299	$20,667
Union Hospital Of Cecil CountyElkton, MD · CCN 210032	96	$18,499	52% above the national average	$17,109	$20,942
Kaiser Foundation Hospital - FresnoFresno, CA · CCN 050710	12	$18,534	52% above the national average	$8,624	$87,781
Signature Healthcare Brockton HospitalBrockton, MA · CCN 220052	17	$18,586	52% above the national average	$15,189	$52,238
Wellstar McG Health, Affiliated With Medical ColAugusta, GA · CCN 110034	18	$18,601	52% above the national average	$11,607	$48,809

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.