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 Virginia

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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Virginia

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Average payment across these 60 hospitals: $10,867National $12,197 · Virginia $10,867
Median hospital: $10,286
Lowest to highest: $8,140–$19,671
Medicare stays: 2,193

60 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
Sentara Martha Jefferson HospitalCharlottesville, VA · CCN 490077	24	$8,140	33% below the national average	$7,136	$29,622
Sentara Williamsburg Regional Medical CenterWilliamsburg, VA · CCN 490066	20	$8,459	31% below the national average	$6,991	$49,812
Sentara Princess Anne HospitalVirginia Beach, VA · CCN 490119	40	$8,776	28% below the national average	$7,942	$40,891
Sentara Virginia Beach General HospitalVirginia Beach, VA · CCN 490057	33	$8,853	27% below the national average	$7,682	$49,929
Mary Immaculate HospitalNewport News, VA · CCN 490041	13	$8,877	27% below the national average	$7,621	$44,612
Chesapeake General HospitalChesapeake, VA · CCN 490120	100	$8,917	27% below the national average	$7,693	$33,381
Sentara Leigh HospitalNorfolk, VA · CCN 490046	53	$9,025	26% below the national average	$7,454	$36,744
Riverside Doctors' Hospital Of WilliamsburgWilliamsburg, VA · CCN 490143	15	$9,053	26% below the national average	$6,548	$21,836
John Randolph Medical CenterHopewell, VA · CCN 490020	31	$9,091	25% below the national average	$7,723	$62,232
Southside Community Hospital, IncFarmville, VA · CCN 490090	13	$9,106	25% below the national average	$7,976	$40,148
Clinch Valley Medical CenterRichlands, VA · CCN 490060	12	$9,134	25% below the national average	$8,318	$65,480
Uva Health Haymarket Medical CenterHaymarket, VA · CCN 490144	12	$9,274	24% below the national average	$8,322	$44,612
Fauquier HospitalWarrenton, VA · CCN 490023	37	$9,333	23% below the national average	$7,441	$53,985
Sentara Obici HospitalSuffolk, VA · CCN 490044	33	$9,346	23% below the national average	$6,782	$43,437
Inova Loudoun HospitalLeesburg, VA · CCN 490043	46	$9,365	23% below the national average	$8,191	$32,175
Riverside Walter Reed HospitalGloucester, VA · CCN 490130	20	$9,401	23% below the national average	$6,514	$21,757
Henrico Doctors' HospitalRichmond, VA · CCN 490118	102	$9,479	22% below the national average	$7,495	$75,650
CJW Medical CenterRichmond, VA · CCN 490112	114	$9,641	21% below the national average	$7,029	$127,241
Centra Health - Lynchburg Gen HospitalLynchburg, VA · CCN 490021	53	$9,655	21% below the national average	$8,088	$40,752
Reston Hospital CenterReston, VA · CCN 490107	22	$9,682	21% below the national average	$7,906	$65,648
Bon Secours Southside Medical CenterPetersburg, VA · CCN 490067	34	$9,684	21% below the national average	$6,223	$134,772
Sentara Halifax Regional HospitalSouth Boston, VA · CCN 490013	15	$9,724	20% below the national average	$8,853	$27,963
Spotsylvania Regional Medical CenterFredericksburg, VA · CCN 490141	31	$9,767	20% below the national average	$7,814	$42,443
Mary Washington HospitalFredericksburg, VA · CCN 490022	74	$9,856	19% below the national average	$7,748	$28,147
Inova Fair Oaks HospitalFairfax, VA · CCN 490101	29	$9,933	19% below the national average	$7,996	$35,756
Virginia Hospital CenterArlington, VA · CCN 490050	34	$9,991	18% below the national average	$8,358	$25,549
Stafford Hospital, LLCStafford, VA · CCN 490140	11	$10,180	17% below the national average	$7,966	$27,167
Twin County Regional HospitalGalax, VA · CCN 490115	18	$10,209	16% below the national average	$8,849	$56,599
Russell County HospitalLebanon, VA · CCN 490002	11	$10,223	16% below the national average	$8,548	$44,292
Winchester Medical CenterWinchester, VA · CCN 490005	92	$10,271	16% below the national average	$8,512	$25,180
Sentara Careplex HospitalHampton, VA · CCN 490093	28	$10,300	16% below the national average	$8,302	$39,695
Bon Secours St Marys HospitalRichmond, VA · CCN 490059	30	$10,321	15% below the national average	$8,311	$55,248
Bon Secours Memorial Regional Medical CenterMechanicsville, VA · CCN 490069	42	$10,358	15% below the national average	$7,103	$56,912
Bon Secours St Francis Medical CenterMidlothian, VA · CCN 490136	23	$10,471	14% below the national average	$7,554	$49,014
Sovah Health DanvilleDanville, VA · CCN 490075	49	$10,482	14% below the national average	$8,439	$55,035
Carilion Tazewell Community HospitalTazewell, VA · CCN 490117	15	$10,531	14% below the national average	$9,458	$34,122
Sentara RMH Medical CenterHarrisonburg, VA · CCN 490004	29	$10,568	13% below the national average	$8,960	$26,230
Bon Secours Maryview Medical CenterPortsmouth, VA · CCN 490017	13	$10,594	13% below the national average	$9,284	$30,534
Uva Health Culpeper Medical CenterCulpeper, VA · CCN 490019	21	$10,665	13% below the national average	$8,438	$20,171
Riverside Regional Medical CenterNewport News, VA · CCN 490052	72	$10,667	13% below the national average	$7,837	$29,617
Centra Bedford Memorial HospitalBedford, VA · CCN 490088	17	$10,669	13% below the national average	$8,375	$34,293
Sentara Northern Virginia Medical CenterWoodbridge, VA · CCN 490113	25	$10,816	11% below the national average	$9,126	$42,583
Wythe County Community HospitalWytheville, VA · CCN 490111	11	$10,941	10% below the national average	$8,689	$39,631
Uva Health Prince William Medical CenterManassas, VA · CCN 490045	24	$11,023	About average	$8,439	$24,289
Inova Alexandria HospitalAlexandria, VA · CCN 490040	44	$11,064	About average	$8,373	$39,502
Buchanan General HospitalGrundy, VA · CCN 490127	33	$11,105	About average	$10,067	$42,127
Lewisgale Medical CenterSalem, VA · CCN 490048	71	$11,294	About average	$7,914	$56,044
Vcu Health Tappahannock HospitalTappahannock, VA · CCN 490084	14	$11,532	About average	$8,929	$22,027
Lewisgale Hospital MontgomeryBlacksburg, VA · CCN 490110	26	$11,689	About average	$9,312	$38,215
Lewisgale Hospital PulaskiPulaski, VA · CCN 490116	11	$11,708	About average	$8,372	$62,506

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.