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 Pennsylvania

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.

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Pennsylvania

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Average payment across these 98 hospitals: $11,304National $12,197 · Pennsylvania $11,304
Median hospital: $10,234
Lowest to highest: $7,976–$22,112
Medicare stays: 4,123

98 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
Canonsburg General HospitalCanonsburg, PA · CCN 390160	12	$7,976	35% below the national average	$7,024	$36,033
St Clair HospitalPittsburgh, PA · CCN 390228	28	$8,161	33% below the national average	$6,702	$23,759
Jefferson HospitalJefferson Hills, PA · CCN 390265	35	$8,167	33% below the national average	$7,188	$43,072
Wellspan Evangelical Community HospitalLewisburg, PA · CCN 390013	13	$8,361	31% below the national average	$7,231	$55,475
Jefferson Lansdale HospitalLansdale, PA · CCN 390012	15	$8,381	31% below the national average	$7,620	$36,823
UPMC EastMonroeville, PA · CCN 390328	19	$8,436	31% below the national average	$7,276	$61,175
UPMC JamesonNew Castle, PA · CCN 390016	14	$8,472	31% below the national average	$7,197	$27,445
UPMC CarlisleCarlisle, PA · CCN 390058	24	$8,548	30% below the national average	$7,597	$55,231
UPMC HorizonGreenville, PA · CCN 390178	15	$8,558	30% below the national average	$7,270	$48,100
Lehigh Valley Hospital - HazletonHazleton, PA · CCN 390185	30	$8,607	29% below the national average	$7,357	$52,623
Pottstown HospitalPottstown, PA · CCN 390123	20	$8,620	29% below the national average	$7,478	$58,863
Paoli HospitalPaoli, PA · CCN 390153	42	$8,684	29% below the national average	$7,390	$84,436
Excela Health Westmoreland Regional HospitalGreensburg, PA · CCN 390145	23	$8,687	29% below the national average	$7,551	$35,281
UPMC NorthwestSeneca, PA · CCN 390091	23	$8,692	29% below the national average	$7,615	$32,789
St Luke's Hospital - Grand View CampusSellersville, PA · CCN 390057	29	$8,706	29% below the national average	$7,539	$42,910
Heritage Valley SewickleySewickley, PA · CCN 390037	11	$8,774	28% below the national average	$7,905	$19,732
Doylestown HospitalDoylestown, PA · CCN 390203	20	$8,869	27% below the national average	$7,834	$35,012
Allegheny Valley HospitalNatrona, PA · CCN 390032	33	$8,894	27% below the national average	$6,449	$34,556
Wellspan Ephrata Community HospitalEphrata, PA · CCN 390225	14	$8,904	27% below the national average	$7,505	$41,578
Penn Highlands DuboisDubois, PA · CCN 390086	39	$8,970	26% below the national average	$7,989	$22,279
Independence Health System Butler Memorial HospitaButler, PA · CCN 390168	15	$9,018	26% below the national average	$7,712	$27,489
Chester County HospitalWest Chester, PA · CCN 390179	62	$9,145	25% below the national average	$8,212	$50,873
Wilkes-Barre General HospitalWilkes-Barre, PA · CCN 390137	76	$9,206	25% below the national average	$7,769	$67,919
UPMC WilliamsportWilliamsport, PA · CCN 390045	34	$9,226	24% below the national average	$8,115	$51,642
The Washington HospitalWashington, PA · CCN 390042	16	$9,341	23% below the national average	$8,387	$13,514
Excela Health - Frick HospitalMount Pleasant, PA · CCN 390217	11	$9,374	23% below the national average	$7,008	$26,946
Regional Hospital Of ScrantonScranton, PA · CCN 390237	26	$9,376	23% below the national average	$7,163	$81,763
Holy Redeemer Hospital And Medical CenterMeadowbrook, PA · CCN 390097	25	$9,426	23% below the national average	$7,805	$35,453
UPMC SomersetSomerset, PA · CCN 390039	14	$9,447	23% below the national average	$8,165	$16,682
Ahn Wexford HospitalWexford, PA · CCN 390334	36	$9,500	22% below the national average	$6,284	$32,803
Uniontown HospitalUniontown, PA · CCN 390041	30	$9,609	21% below the national average	$7,175	$23,265
Bryn Mawr HospitalBryn Mawr, PA · CCN 390139	54	$9,637	21% below the national average	$8,382	$77,803
Geisinger St. Luke's HospitalOrwigsburg, PA · CCN 390332	32	$9,641	21% below the national average	$6,682	$57,724
Riddle Memorial HospitalMedia, PA · CCN 390222	40	$9,684	21% below the national average	$7,034	$64,051
UPMC AltoonaAltoona, PA · CCN 390073	22	$9,712	20% below the national average	$8,432	$38,432
Forbes HospitalMonroeville, PA · CCN 390267	28	$9,732	20% below the national average	$7,499	$51,674
Geisinger-Community Medical CenterScranton, PA · CCN 390001	113	$9,757	20% below the national average	$8,388	$97,935
Schuylkill Medical Center - South Jackson StreetPottsville, PA · CCN 390030	22	$9,850	19% below the national average	$8,598	$56,092
Wellspan Chambersburg HospitalChambersburg, PA · CCN 390151	96	$9,883	19% below the national average	$8,675	$34,598
St Luke's Hospital - Monroe CampusStroudsburg, PA · CCN 390330	57	$9,944	18% below the national average	$7,579	$72,204
Heritage Valley BeaverBeaver, PA · CCN 390036	20	$9,974	18% below the national average	$8,482	$13,930
Gettysburg HospitalGettysburg, PA · CCN 390065	24	$10,066	17% below the national average	$7,855	$43,710
UPMC PassavantPittsburgh, PA · CCN 390107	25	$10,089	17% below the national average	$6,193	$67,063
Jefferson Abington HospitalAbington, PA · CCN 390231	54	$10,112	17% below the national average	$8,312	$40,975
Lancaster General HospitalLancaster, PA · CCN 390100	141	$10,179	17% below the national average	$8,307	$39,635
Wellspan Good Samaritan HospitalLebanon, PA · CCN 390066	20	$10,180	17% below the national average	$8,967	$41,752
St Mary Medical CenterLanghorne, PA · CCN 390258	41	$10,204	16% below the national average	$8,297	$34,773
Phoenixville HospitalPhoenixville, PA · CCN 390127	37	$10,221	16% below the national average	$8,352	$65,018
Geisinger-Lewistown HospitalLewistown, PA · CCN 390048	38	$10,223	16% below the national average	$8,103	$53,329
Penn State Health Holy Spirit Medical CenterCamp Hill, PA · CCN 390004	42	$10,245	16% below the national average	$6,972	$56,234

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.