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

Compare hospitals

Narrow by a state, city or ZIP code (optionally a distance around it), and/or pick specific hospitals. With both, your picks are added to the area’s hospitals.

Location

Specific hospitals up to 10

Sort by

Order

Year of care

2,098 hospitals reported at least 11 Medicare stays for this in 2024; showing 2,051–2,098. 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
Dell Seton Medical Center At The University Of TxAustin, TX · CCN 450124	12	$22,583	85% above the national average	$20,566	$93,404
Barnes Jewish HospitalSaint Louis, MO · CCN 260032	80	$22,639	86% above the national average	$15,104	$102,376
Boston Medical CenterBoston, MA · CCN 220031	21	$22,676	86% above the national average	$19,308	$38,957
Bartlett Regional HospitalJuneau, AK · CCN 020008	27	$24,186	98% above the national average	$22,978	$60,421
Greater Baltimore Medical CenterBaltimore, MD · CCN 210044	79	$24,459	101% above the national average	$23,514	$27,924
MedStar Union Memorial HospitalBaltimore, MD · CCN 210024	56	$24,494	101% above the national average	$22,344	$28,258
Loma Linda University Medical CenterLoma Linda, CA · CCN 050327	114	$24,541	101% above the national average	$17,925	$148,637
Johns Hopkins Bayview Medical CenterBaltimore, MD · CCN 210029	115	$25,183	106% above the national average	$23,796	$28,925
UCSan Diego Health Hillcrest - Hillcrest Medical CenterSan Diego, CA · CCN 050025	65	$25,445	109% above the national average	$17,671	$118,952
Valleywise Health Medical CenterPhoenix, AZ · CCN 030022	11	$25,630	110% above the national average	$24,091	$50,953
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
University Medical Center Of El PasoEl Paso, TX · CCN 450024	16	$26,260	115% above the national average	$24,056	$46,824
Grady Memorial HospitalAtlanta, GA · CCN 110079	38	$26,357	116% above the national average	$22,130	$79,101
University Of Maryland Capital Region Medical CenterUpper Marlboro, MD · CCN 210003	77	$26,590	118% above the national average	$24,548	$27,510
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
Adventist Healthcare White Oak Medical CenterSilver Spring, MD · CCN 210016	49	$26,813	120% above the national average	$25,504	$29,960
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
The University HospitalNewark, NJ · CCN 310119	34	$27,328	124% above the national average	$23,990	$73,988
University Health SystemSan Antonio, TX · CCN 450213	43	$27,654	127% above the national average	$20,690	$70,560
Sinai Hospital Of BaltimoreBaltimore, MD · CCN 210012	151	$27,658	127% above the national average	$25,027	$31,268
M Health Fairview University Of Mn Medical CenterMinneapolis, MN · CCN 240080	12	$27,777	128% above the national average	$19,727	$146,896
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
Harlem Hospital CenterNew York, NY · CCN 330240	20	$29,404	141% above the national average	$25,704	$60,995
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
The Johns Hopkins HospitalBaltimore, MD · CCN 210009	107	$34,868	186% above the national average	$33,212	$39,734
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
JPS Health NetworkFort Worth, TX · CCN 450039	47	$40,926	236% above the national average	$39,477	$60,939
SUNY/Downstate University Hospital Of BrooklynBrooklyn, NY · CCN 330350	16	$41,217	238% above the national average	$25,060	$98,612
Woodhull Medical & Mental Health CenterBrooklyn, NY · CCN 330396	12	$42,991	252% above the national average	$32,047	$39,762
Kings County Hospital CenterBrooklyn, NY · CCN 330202	24	$51,720	324% above the national average	$28,851	$71,170
Parkland Health & Hospital SystemDallas, TX · CCN 450015	16	$54,658	348% above the national average	$51,388	$87,805
John H Stroger Jr HospitalChicago, IL · CCN 140124	17	$56,458	363% above the national average	$53,074	$53,578
University Of Maryland Medical CenterBaltimore, MD · CCN 210002	35	$57,213	369% above the national average	$54,386	$61,538
University Of Maryland Medical Center Midtown CampusBaltimore, MD · CCN 210038	30	$103,376	748% above the national average	$91,844	$115,089
Harris HealthHouston, TX · CCN 450289	30	$128,013	950% above the national average	$124,146	$42,692
Levindale Hebrew Geriatric Center And HospitalBaltimore, MD · CCN 210064	27	$176,520	1,347% above the national average	$153,644	$198,156

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.