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 Massachusetts

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Average payment across these 46 hospitals: $12,470National $12,197 · Massachusetts $12,470
Median hospital: $11,266
Lowest to highest: $9,800–$22,676
Medicare stays: 2,444

46 hospitals reported at least 11 Medicare stays for this in 2024. 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
Baystate Franklin Medical CenterGreenfield, MA · CCN 220016	27	$9,800	20% below the national average	$8,802	$21,191
Beth Israel Deaconess Hospital - NeedhamNeedham, MA · CCN 220083	41	$9,849	19% below the national average	$8,615	$18,398
Emerson Hospital -W Concord, MA · CCN 220084	19	$9,884	19% below the national average	$8,939	$24,231
Beth Israel Deaconess Hospital - MiltonMilton, MA · CCN 220108	34	$9,905	19% below the national average	$8,465	$19,284
Falmouth HospitalFalmouth, MA · CCN 220135	57	$9,987	18% below the national average	$9,013	$25,764
The Cooley Dickinson Hospital IncNorthampton, MA · CCN 220015	37	$10,101	17% below the national average	$9,132	$23,136
Baystate Noble HospitalWestfield, MA · CCN 220065	44	$10,250	16% below the national average	$8,483	$17,289
South Shore HospitalSouth Weymouth, MA · CCN 220100	153	$10,317	15% below the national average	$9,108	$20,623
Anna Jaques HospitalNewburyport, MA · CCN 220029	19	$10,342	15% below the national average	$9,311	$22,594
Northeast Hospital CorporationBeverly, MA · CCN 220033	85	$10,345	15% below the national average	$9,036	$21,413
Good Samaritan Medical CenterBrockton, MA · CCN 220111	50	$10,463	14% below the national average	$9,413	$17,254
Brown University Health Morton HospitalTaunton, MA · CCN 220073	58	$10,487	14% below the national average	$9,301	$21,622
Marlborough HospitalMarlborough, MA · CCN 220049	14	$10,525	14% below the national average	$9,360	$34,540
Winchester HospitalWinchester, MA · CCN 220105	84	$10,577	13% below the national average	$8,618	$17,287
Sturdy Memorial HospitalAttleboro, MA · CCN 220008	58	$10,607	13% below the national average	$9,623	$25,724
UMass Memorial Health - Harrington HospitalSouthbridge, MA · CCN 220019	12	$10,614	13% below the national average	$9,526	$20,162
Southcoast Hospitals GroupFall River, MA · CCN 220074	122	$10,723	12% below the national average	$9,142	$28,317
Baystate Wing HospitalPalmer, MA · CCN 220030	52	$10,780	12% below the national average	$9,037	$21,779
Milford Regional Medical CenterMilford, MA · CCN 220090	122	$10,866	11% below the national average	$9,478	$15,684
Mercy Medical CenterSpringfield, MA · CCN 220066	29	$10,922	10% below the national average	$9,854	$20,888
Holy Family HospitalMethuen, MA · CCN 220080	26	$10,925	10% below the national average	$9,663	$20,797
Beth Israel Deaconess Hospital PlymouthPlymouth, MA · CCN 220060	72	$11,173	About average	$9,295	$25,659
Heywood Hospital -Gardner, MA · CCN 220095	18	$11,217	About average	$8,455	$20,460
Newton-Wellesley HospitalNewton, MA · CCN 220101	13	$11,314	About average	$9,899	$42,023
Lowell General HospitalLowell, MA · CCN 220063	30	$11,583	About average	$10,549	$26,077
Saint Anne's HospitalFall River, MA · CCN 220020	17	$11,603	About average	$8,704	$18,234
North Shore Medical Center -Salem, MA · CCN 220035	64	$11,856	About average	$9,615	$31,808
MetroWest Medical CenterFramingham, MA · CCN 220175	40	$12,205	About average	$10,291	$51,158
UMass Memorial HealthAlliance HospitalsLeominster, MA · CCN 220001	37	$12,224	About average	$10,539	$42,261
Merrimack Health Lawrence HospitalLawrence, MA · CCN 220010	36	$12,470	About average	$10,556	$19,718
Cape Cod HospitalHyannis, MA · CCN 220012	174	$12,657	About average	$11,393	$24,380
Brigham And Women Faulkner HospitalJamaica Plain, MA · CCN 220119	14	$12,950	About average	$9,840	$47,117
Berkshire Medical CenterPittsfield, MA · CCN 220046	56	$13,213	About average	$11,654	$22,373
MelroseWakefield HealthcareMelrose, MA · CCN 220070	13	$13,485	11% above the national average	$10,307	$23,711
Mount Auburn HospitalCambridge, MA · CCN 220002	16	$13,561	11% above the national average	$11,414	$25,173
Lahey Hospital & Medical Center, BurlingtonBurlington, MA · CCN 220171	126	$13,591	11% above the national average	$11,007	$22,943
St Vincent HospitalWorcester, MA · CCN 220176	48	$13,764	13% above the national average	$11,569	$45,129
Baystate Medical CenterSpringfield, MA · CCN 220077	175	$14,174	16% above the national average	$11,684	$27,323
UMass Memorial Medical Center/University CampusWorcester, MA · CCN 220163	139	$16,714	37% above the national average	$13,484	$55,370
Brigham And Women's HospitalBoston, MA · CCN 220110	29	$16,974	39% above the national average	$13,127	$93,858
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
Signature Healthcare Brockton HospitalBrockton, MA · CCN 220052	17	$18,586	52% above the national average	$15,189	$52,238
Cambridge Health AllianceCambridge, MA · CCN 220011	20	$20,793	70% above the national average	$18,641	$24,063
Tufts Medical CenterBoston, MA · CCN 220116	14	$21,337	75% above the national average	$17,346	$81,047
Boston Medical CenterBoston, MA · CCN 220031	21	$22,676	86% above the national average	$19,308	$38,957

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.