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 2,001–2,050. 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
Mount Sinai WestNew York, NY · CCN 330046	32	$18,633	53% above the national average	$14,508	$109,858
CHI St Alexius HealthBismarck, ND · CCN 350002	24	$18,641	53% above the national average	$16,395	$67,671
MUSC Medical CenterCharleston, SC · CCN 420004	132	$18,725	54% above the national average	$11,502	$59,995
The University Of Chicago Medical CenterChicago, IL · CCN 140088	51	$18,744	54% above the national average	$13,799	$104,906
MedStar Harbor HospitalBaltimore, MD · CCN 210034	83	$18,782	54% above the national average	$16,939	$20,776
University Of Maryland Baltimore Washington Medical CenterGlen Burnie, MD · CCN 210043	127	$18,789	54% above the national average	$17,858	$20,311
MedStar Saint Mary's HospitalLeonardtown, MD · CCN 210028	84	$18,870	55% above the national average	$17,513	$19,740
MedStar Southern Maryland Hospital CenterClinton, MD · CCN 210062	86	$18,928	55% above the national average	$15,489	$20,143
Nyu Langone HospitalsNew York, NY · CCN 330214	228	$18,935	55% above the national average	$14,353	$131,558
University Of Michigan Health SystemAnn Arbor, MI · CCN 230046	127	$19,051	56% above the national average	$12,640	$78,494
Kaiser Foundation Hospital Fontana/OntarioFontana, CA · CCN 050140	42	$19,122	57% above the national average	$9,968	$72,247
MedStar Franklin Square Medical CenterRosedale, MD · CCN 210015	258	$19,162	57% above the national average	$17,419	$21,263
Mainehealth Maine Medical CenterPortland, ME · CCN 200009	106	$19,171	57% above the national average	$13,268	$63,860
University Of Virginia Medical CenterCharlottesville, VA · CCN 490009	62	$19,671	61% above the national average	$12,828	$73,605
Luminis Health Doctors Community Medical Center, IncLanham, MD · CCN 210051	62	$19,687	61% above the national average	$18,549	$21,116
Vanderbilt University Medical CenterNashville, TN · CCN 440039	77	$19,772	62% above the national average	$10,868	$111,820
Brookdale Hospital Medical CenterBrooklyn, NY · CCN 330233	19	$19,805	62% above the national average	$15,589	$44,534
South Brooklyn HealthBrooklyn, NY · CCN 330196	58	$19,894	63% above the national average	$17,374	$64,228
Mercy Medical CenterMerced, CA · CCN 050444	36	$19,928	63% above the national average	$11,007	$99,920
Mayo Clinic Hospital RochesterRochester, MN · CCN 240010	91	$19,958	64% above the national average	$13,248	$60,986
Saint Agnes HospitalBaltimore, MD · CCN 210011	171	$20,016	64% above the national average	$18,999	$23,218
Northwest Hospital CenterRandallstown, MD · CCN 210040	108	$20,081	65% above the national average	$18,958	$22,707
Mount Sinai HospitalNew York, NY · CCN 330024	87	$20,232	66% above the national average	$14,476	$88,515
Montefiore Medical CenterBronx, NY · CCN 330059	125	$20,254	66% above the national average	$15,063	$147,948
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
Emory University HospitalAtlanta, GA · CCN 110010	33	$20,511	68% above the national average	$10,157	$68,950
Jackson Health SystemMiami, FL · CCN 100022	43	$20,547	68% above the national average	$17,656	$73,987
University Of Illinois Hospital And ClinicsChicago, IL · CCN 140150	31	$20,672	69% above the national average	$14,411	$87,900
Martin Luther King, Jr. Community HospitalLos Angeles, CA · CCN 050779	21	$20,744	70% above the national average	$19,626	$220,223
Cambridge Health AllianceCambridge, MA · CCN 220011	20	$20,793	70% above the national average	$18,641	$24,063
Fairbanks Memorial HospitalFairbanks, AK · CCN 020012	20	$20,828	71% above the national average	$17,274	$39,728
Western Maryland Regional Medical CenterCumberland, MD · CCN 210027	91	$21,021	72% above the national average	$20,290	$23,701
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
Virginia Mason Medical CenterSeattle, WA · CCN 500005	27	$21,288	75% above the national average	$14,252	$86,564
Maui Memorial Medical CenterWailuku, HI · CCN 120002	16	$21,318	75% above the national average	$16,663	$41,798
Tufts Medical CenterBoston, MA · CCN 220116	14	$21,337	75% above the national average	$17,346	$81,047
MedStar Good Samaritan HospitalBaltimore, MD · CCN 210056	69	$21,408	76% above the national average	$20,129	$24,076
St John's Episcopal Hospital At South ShoreFar Rockaway, NY · CCN 330395	30	$21,474	76% above the national average	$15,354	$66,948
New York-Presbyterian HospitalNew York, NY · CCN 330101	160	$21,549	77% above the national average	$16,530	$158,887
UNC HospitalsChapel Hill, NC · CCN 340061	60	$21,639	77% above the national average	$13,896	$63,237
Saint Francis Hospital-EvanstonEvanston, IL · CCN 140080	19	$21,644	77% above the national average	$10,120	$65,667
Howard University Hospital CorpWashington, DC · CCN 090003	12	$21,715	78% above the national average	$14,827	$93,583
Kaiser Foundation Hospital MantecaManteca, CA · CCN 050748	26	$21,741	78% above the national average	$8,655	$93,006
University Of Maryland Charles Regional Medical CenterLa Plata, MD · CCN 210035	58	$21,744	78% above the national average	$20,454	$20,072
North Carolina Baptist HospitalWinston-Salem, NC · CCN 340047	49	$22,028	81% above the national average	$10,247	$57,757
Hospital Of University Of PennsylvaniaPhiladelphia, PA · CCN 390111	76	$22,112	81% above the national average	$14,301	$202,925
John Dempsey Hospital Of The University Of ConnectFarmington, CT · CCN 070036	32	$22,344	83% above the national average	$18,704	$47,416
Highland HospitalOakland, CA · CCN 050320	71	$22,526	85% above the national average	$20,818	$96,246

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.