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 201–250. 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
Mary Greeley Medical CenterAmes, IA · CCN 160030	37	$8,799	28% below the national average	$6,918	$33,585
Beaumont Hospital, TroyTroy, MI · CCN 230269	63	$8,801	28% below the national average	$7,159	$40,738
Marshall Medical CentersBoaz, AL · CCN 010005	18	$8,804	28% below the national average	$7,534	$30,794
Cumberland Medical CenterCrossville, TN · CCN 440009	58	$8,805	28% below the national average	$7,490	$24,555
Cookeville Regional Medical CenterCookeville, TN · CCN 440059	83	$8,823	28% below the national average	$7,029	$20,591
St Francis Hospital- Emory HealthcareColumbus, GA · CCN 110129	30	$8,823	28% below the national average	$7,209	$42,895
Tampa General Hospital Crystal RiverCrystal River, FL · CCN 100249	15	$8,829	28% below the national average	$7,741	$94,581
Mercy Hospital SouthSaint Louis, MO · CCN 260077	92	$8,837	28% below the national average	$7,656	$30,431
IU Health West HospitalAvon, IN · CCN 150158	21	$8,840	28% below the national average	$8,218	$39,174
Maury Regional HospitalColumbia, TN · CCN 440073	28	$8,840	28% below the national average	$8,127	$44,960
AdventHealth Port CharlottePort Charlotte, FL · CCN 100077	17	$8,844	27% below the national average	$7,980	$87,163
Mercy Medical Center - Cedar RapidsCedar Rapids, IA · CCN 160079	78	$8,849	27% below the national average	$7,502	$31,072
SSM St Clare Health CenterFenton, MO · CCN 260081	43	$8,849	27% below the national average	$7,416	$30,488
Sentara Virginia Beach General HospitalVirginia Beach, VA · CCN 490057	33	$8,853	27% below the national average	$7,682	$49,929
St Vincent's BirminghamBirmingham, AL · CCN 010056	37	$8,860	27% below the national average	$7,118	$40,857
Springfield Regional Medical CenterSpringfield, OH · CCN 360086	28	$8,862	27% below the national average	$8,279	$55,632
St Nicholas HospitalSheboygan, WI · CCN 520044	14	$8,863	27% below the national average	$7,670	$39,152
AdventHealth Shawnee MissionShawnee Mission, KS · CCN 170104	45	$8,864	27% below the national average	$7,856	$47,498
Baptist Memorial Hospital Union CountyNew Albany, MS · CCN 250006	14	$8,865	27% below the national average	$7,690	$33,374
Wheeling Hospital, IncWheeling, WV · CCN 510050	57	$8,869	27% below the national average	$7,317	$31,179
Fort Loudoun Medical CenterLenoir City, TN · CCN 440110	12	$8,869	27% below the national average	$7,781	$21,230
Doylestown HospitalDoylestown, PA · CCN 390203	20	$8,869	27% below the national average	$7,834	$35,012
Lake Charles Memorial HospitalLake Charles, LA · CCN 190060	15	$8,873	27% below the national average	$7,774	$41,113
Genesis Medical Center-DavenportDavenport, IA · CCN 160033	46	$8,874	27% below the national average	$7,439	$27,224
Mary Immaculate HospitalNewport News, VA · CCN 490041	13	$8,877	27% below the national average	$7,621	$44,612
Mercy Health-Anderson HospitalCincinnati, OH · CCN 360001	25	$8,877	27% below the national average	$7,628	$49,174
Bon Secours-St Francis Xavier HospitalCharleston, SC · CCN 420065	18	$8,881	27% below the national average	$7,974	$41,002
Volunteer Community HospitalMartin, TN · CCN 440061	17	$8,884	27% below the national average	$7,828	$32,450
Merit Health River RegionVicksburg, MS · CCN 250031	17	$8,891	27% below the national average	$7,931	$122,295
Norton Clark HospitalJeffersonville, IN · CCN 150009	16	$8,893	27% below the national average	$7,963	$49,057
Allegheny Valley HospitalNatrona, PA · CCN 390032	33	$8,894	27% below the national average	$6,449	$34,556
Houston Methodist Clear Lake HospitalNassau Bay, TX · CCN 450709	35	$8,896	27% below the national average	$7,309	$68,188
Lakes Regional HealthcareSpirit Lake, IA · CCN 160124	16	$8,900	27% below the national average	$8,084	$20,810
Wellspan Ephrata Community HospitalEphrata, PA · CCN 390225	14	$8,904	27% below the national average	$7,505	$41,578
Baptist Health RichmondRichmond, KY · CCN 180049	17	$8,911	27% below the national average	$7,953	$35,766
Mease Countryside HospitalSafety Harbor, FL · CCN 100265	84	$8,914	27% below the national average	$7,671	$50,309
Chesapeake General HospitalChesapeake, VA · CCN 490120	100	$8,917	27% below the national average	$7,693	$33,381
Conway Regional Medical Center, IncConway, AR · CCN 040029	22	$8,920	27% below the national average	$7,631	$41,502
Longview Regional Medical CenterLongview, TX · CCN 450702	39	$8,920	27% below the national average	$8,000	$75,820
Baylor Scott & White Medical Center PlanoPlano, TX · CCN 450890	171	$8,927	27% below the national average	$6,920	$51,446
St Joseph Medical CenterBloomington, IL · CCN 140162	18	$8,929	27% below the national average	$8,017	$40,631
Ozarks HealthcareWest Plains, MO · CCN 260078	26	$8,933	27% below the national average	$7,804	$36,063
Progress West HospitalOfallon, MO · CCN 260219	13	$8,936	27% below the national average	$7,681	$31,027
Integris Canadian Valley HospitalYukon, OK · CCN 370211	31	$8,940	27% below the national average	$7,887	$85,288
Paris Regional Medical CenterParis, TX · CCN 450196	53	$8,944	27% below the national average	$8,167	$36,832
Beaumont Hospital - Grosse PointeGrosse Pointe, MI · CCN 230089	25	$8,949	27% below the national average	$7,460	$38,359
Highland Hills Medical CenterSenatobia, MS · CCN 250172	14	$8,950	27% below the national average	$8,134	$12,786
Cleveland Clinic Indian River HospitalVero Beach, FL · CCN 100105	30	$8,959	27% below the national average	$7,779	$41,018
Baptist Memorial Hospital North MsOxford, MS · CCN 250034	58	$8,962	27% below the national average	$7,403	$37,721
Atrium Health PinevilleCharlotte, NC · CCN 340098	51	$8,962	27% below the national average	$7,874	$50,786

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.