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 Wisconsin

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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Wisconsin

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Average payment across these 45 hospitals: $10,878National $12,197 · Wisconsin $10,878
Median hospital: $9,978
Lowest to highest: $8,273–$15,339
Medicare stays: 1,552

45 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
Marshfield Medical Center - MinocquaMinocqua, WI · CCN 520212	12	$8,273	32% below the national average	$6,777	$23,332
Marshfield Medical Center - WestonWeston, WI · CCN 520202	24	$8,383	31% below the national average	$7,295	$24,927
Marshfield Medical Center - Eau ClaireEau Claire, WI · CCN 520210	12	$8,542	30% below the national average	$7,726	$34,091
Waukesha Memorial HospitalWaukesha, WI · CCN 520008	13	$8,619	29% below the national average	$7,725	$54,091
West Allis Memorial HospitalWest Allis, WI · CCN 520139	39	$8,664	29% below the national average	$7,506	$43,078
Aurora Medical Center - SummitSummit, WI · CCN 520206	37	$8,745	28% below the national average	$6,915	$33,969
St Nicholas HospitalSheboygan, WI · CCN 520044	14	$8,863	27% below the national average	$7,670	$39,152
Aurora BayCare Medical CenterGreen Bay, WI · CCN 520193	12	$9,088	25% below the national average	$8,277	$53,543
Aurora Medical CenterGrafton, WI · CCN 520207	17	$9,127	25% below the national average	$6,611	$38,724
Bellin Memorial HospitalGreen Bay, WI · CCN 520049	62	$9,296	24% below the national average	$7,870	$30,691
Community Memorial HospitalMenomonee Falls, WI · CCN 520103	33	$9,305	24% below the national average	$7,691	$32,648
Aurora Medical Center Sheboygan CountySheboygan, WI · CCN 520035	45	$9,393	23% below the national average	$7,616	$33,760
Thedacare Regional Medical Center - Appleton IncAppleton, WI · CCN 520160	25	$9,451	23% below the national average	$8,107	$21,297
Aurora Medical Center Bay AreaMarinette, WI · CCN 520113	17	$9,493	22% below the national average	$8,533	$37,453
Ascension Ne Wisconsin - St Elizabeth CampusAppleton, WI · CCN 520009	15	$9,639	21% below the national average	$8,464	$19,244
Aspirus Stevens Point Hospital & Clinics, Inc.Stevens Point, WI · CCN 520002	19	$9,664	21% below the national average	$8,462	$27,996
Aurora Lakeland Medical CenterElkhorn, WI · CCN 520102	29	$9,778	20% below the national average	$8,883	$36,127
St Vincent HospitalGreen Bay, WI · CCN 520075	25	$9,850	19% below the national average	$8,239	$54,813
SSM Health St Mary's Hospital - MadisonMadison, WI · CCN 520083	42	$9,854	19% below the national average	$8,065	$38,434
Aurora Memorial Hospital BurlingtonBurlington, WI · CCN 520059	19	$9,913	19% below the national average	$7,457	$41,506
Aurora Medical Center KenoshaKenosha, WI · CCN 520189	47	$9,930	19% below the national average	$7,640	$41,049
SSM Health St Agnes Hospital-Fond Du LacFond Du Lac, WI · CCN 520088	14	$9,938	19% below the national average	$7,321	$35,482
Aurora Medical Center OshkoshOshkosh, WI · CCN 520198	12	$9,978	18% below the national average	$6,834	$25,885
Froedtert South Inc.Kenosha, WI · CCN 520021	46	$10,029	18% below the national average	$8,493	$45,153
Fort Memorial HospitalFort Atkinson, WI · CCN 520071	38	$10,033	18% below the national average	$7,974	$40,475
Ascension All Saints HospitalRacine, WI · CCN 520096	39	$10,201	16% below the national average	$8,772	$30,054
UnityPoint Health - MeriterMadison, WI · CCN 520089	76	$10,303	16% below the national average	$8,750	$65,873
Mercy Health System CorpJanesville, WI · CCN 520066	60	$10,360	15% below the national average	$7,787	$50,313
Howard Young Medical CenterWoodruff, WI · CCN 520091	16	$10,712	12% below the national average	$9,284	$22,179
Gundersen Lutheran Medical CenterLa Crosse, WI · CCN 520087	68	$10,716	12% below the national average	$8,970	$22,113
Ascension Se Wisconsin HospitalMilwaukee, WI · CCN 520136	41	$10,736	12% below the national average	$9,061	$36,047
Aspirus Rhinelander HospitalRhinelander, WI · CCN 520019	20	$10,782	12% below the national average	$9,696	$38,163
SSM Health St Clare Hospital - BarabooBaraboo, WI · CCN 520057	13	$10,847	11% below the national average	$9,606	$30,263
Aspirus Wausau HospitalWausau, WI · CCN 520030	65	$10,879	11% below the national average	$7,063	$40,051
St Josephs Community Hospital West BendWest Bend, WI · CCN 520063	27	$10,992	About average	$6,582	$44,592
Aspirus Divine Savior HospitalPortage, WI · CCN 520041	16	$11,012	About average	$9,762	$22,868
Ascension Columbia St Marys Hospital MilwaukeeMilwaukee, WI · CCN 520051	41	$11,111	About average	$9,296	$54,012
Marshfield Medical CenterMarshfield, WI · CCN 520037	34	$11,154	About average	$9,376	$29,160
The Monroe ClinicMonroe, WI · CCN 520028	17	$11,290	About average	$8,635	$47,853
Mayo Clinic Health System-Franciscan Medical Center IncLa Crosse, WI · CCN 520004	33	$11,797	About average	$8,775	$33,359
Mayo Clinic Health System Eau Claire HospitalEau Claire, WI · CCN 520070	27	$12,346	About average	$9,190	$41,278
Aurora St Lukes Medical CenterMilwaukee, WI · CCN 520138	88	$13,010	About average	$8,758	$63,095
Aspirus Riverview Hospital & Clinics IncWisconsin Rapids, WI · CCN 520033	30	$13,427	10% above the national average	$7,792	$27,603
Froedtert Memorial Lutheran HospitalMilwaukee, WI · CCN 520177	88	$14,841	22% above the national average	$9,927	$47,241
University Of Wisconsin Hospitals & Clinics AuthorityMadison, WI · CCN 520098	85	$15,339	26% above the national average	$10,095	$55,416

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.