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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Year of care

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 1–50. 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
Palomar Health Downtown CampusEscondido, CA · CCN 050115	31	$9,176	25% below the national average	$8,218	$137,774
USC Arcadia HospitalArcadia, CA · CCN 050238	35	$10,693	12% below the national average	$9,804	$84,401
Palomar Medical Center PowayPoway, CA · CCN 050636	14	$10,882	11% below the national average	$9,833	$137,029
Uci Health - Los AlamitosLos Alamitos, CA · CCN 050551	23	$11,598	About average	$10,251	$152,280
Adventist Health Simi ValleySimi Valley, CA · CCN 050236	41	$11,677	About average	$10,563	$104,543
Shasta Regional Medical CenterRedding, CA · CCN 050764	71	$11,866	About average	$10,943	$46,814
Hoag Memorial Hospital PresbyterianNewport Beach, CA · CCN 050224	79	$11,893	About average	$10,852	$56,095
Enloe HealthChico, CA · CCN 050039	151	$11,912	About average	$10,950	$89,080
Adventist Health Twin CitiesTempleton, CA · CCN 050633	25	$11,920	About average	$10,085	$140,852
Scripps Memorial Hospital La JollaLa Jolla, CA · CCN 050324	59	$11,935	About average	$10,830	$80,766
San Dimas Community HospitalSan Dimas, CA · CCN 050588	13	$11,954	About average	$11,076	$80,999
Saint John's Health CenterSanta Monica, CA · CCN 050290	41	$11,997	About average	$10,706	$57,206
Huntington Beach HospitalHuntington Beach, CA · CCN 050526	14	$12,044	About average	$10,732	$57,373
Encino Hospital Medical CenterEncino, CA · CCN 050158	11	$12,091	About average	$11,424	$55,789
UCLA West Valley Medical CenterWest Hills, CA · CCN 050481	37	$12,117	About average	$11,235	$194,318
Tri-City Medical CenterOceanside, CA · CCN 050128	82	$12,122	About average	$10,987	$71,957
USC Verdugo Hills HospitalGlendale, CA · CCN 050124	33	$12,127	About average	$10,856	$89,709
Adventist Health Sierra VistaSan Luis Obispo, CA · CCN 050506	19	$12,164	About average	$10,876	$120,926
MemorialCare Saddleback Medical CenterLaguna Hills, CA · CCN 050603	43	$12,291	About average	$10,301	$98,340
San Antonio Regional HospitalUpland, CA · CCN 050099	26	$12,334	About average	$10,561	$87,889
Providence St. Jude Medical CenterFullerton, CA · CCN 050168	71	$12,355	About average	$10,982	$59,847
Redlands Community HospitalRedlands, CA · CCN 050272	45	$12,362	About average	$11,491	$102,857
Doctors Hospital Of MantecaManteca, CA · CCN 050118	15	$12,380	About average	$11,292	$144,355
MemorialCare Orange Coast Medical CenterFountain Valley, CA · CCN 050678	35	$12,391	About average	$10,533	$122,730
Adventist Health BakersfieldBakersfield, CA · CCN 050455	41	$12,412	About average	$10,982	$85,430
Mercy Hospital Of FolsomFolsom, CA · CCN 050414	15	$12,448	About average	$11,251	$68,400
Sierra Nevada Memorial HospitalGrass Valley, CA · CCN 050150	74	$12,485	About average	$11,470	$68,804
Uci Health-LakewoodLakewood, CA · CCN 050581	25	$12,507	About average	$11,021	$195,684
Desert Valley HospitalVictorville, CA · CCN 050709	42	$12,516	About average	$11,481	$38,212
St Johns Regional Medical CenterOxnard, CA · CCN 050082	57	$12,541	About average	$11,225	$83,598
Marshall Medical CenterPlacerville, CA · CCN 050254	12	$12,578	About average	$11,354	$75,036
Providence Cedars Sinai Tarzana Medical CenterTarzana, CA · CCN 050761	83	$12,640	About average	$11,343	$99,061
Bakersfield Memorial HospitalBakersfield, CA · CCN 050036	25	$12,650	About average	$11,598	$95,565
Adventist Health Lodi MemorialLodi, CA · CCN 050336	36	$12,754	About average	$11,612	$158,630
La Palma Intercommunity HospitalLa Palma, CA · CCN 050580	15	$12,755	About average	$11,095	$57,109
Mercy General HospitalSacramento, CA · CCN 050017	28	$12,791	About average	$11,980	$89,327
Scripps Memorial Hospital - EncinitasEncinitas, CA · CCN 050503	76	$12,794	About average	$10,110	$65,704
Sherman Oaks HospitalSherman Oaks, CA · CCN 050755	28	$12,816	About average	$11,942	$48,109
Adventist Health HanfordHanford, CA · CCN 050121	34	$12,842	About average	$11,425	$61,506
Emanate Health Foothill Presbyterian HospitalGlendora, CA · CCN 050597	16	$12,892	About average	$10,821	$57,105
Mercy Medical Center ReddingRedding, CA · CCN 050280	113	$12,904	About average	$11,652	$90,761
El Centro Regional Medical CenterEl Centro, CA · CCN 050045	23	$12,907	About average	$11,914	$77,277
Emanuel Medical CenterTurlock, CA · CCN 050179	24	$12,909	About average	$11,754	$181,856
Garden Grove Hospital & Medical CenterGarden Grove, CA · CCN 050230	13	$12,928	About average	$11,673	$51,740
Huntington HospitalPasadena, CA · CCN 050438	31	$12,948	About average	$11,759	$124,627
Palmdale Regional Medical CenterPalmdale, CA · CCN 050204	34	$12,961	About average	$11,181	$111,288
San Gabriel Valley Medical CenterSan Gabriel, CA · CCN 050132	14	$13,007	About average	$11,958	$62,716
Hollywood Presbyterian Medical CenterLos Angeles, CA · CCN 050063	13	$13,042	About average	$12,226	$75,894
Antelope Valley HospitalLancaster, CA · CCN 050056	33	$13,071	About average	$12,124	$59,191
Memorial Medical CenterModesto, CA · CCN 050557	106	$13,075	About average	$11,136	$73,744

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.