Pulmonary edema and respiratory failure
What 2,098 hospitals in the U.S. charged and were paid for a Medicare hospital stay for pulmonary edema and respiratory failure (DRG 189), from 2024 Medicare claims.
Average charge
$57,943
Hospital list price billed
Average payment
$12,197
Medicare + patient + other payers
Medicare paid
$9,974
Average per stay
Volume
89,991
Medicare hospital stays
Hospitals in the U.S. billed an average of $57,943 for pulmonary edema and respiratory failure, about 4.8 times the average total payment of $12,197.
These are averages for patients with original (fee-for-service) Medicare. Private insurance pays different, negotiated prices, and what you owe depends on your plan's deductible and coinsurance. Use these figures to compare hospitals, not as a quote.
Paid $12,197Billed $57,943
About 21¢ was paid for every $1 hospitals in the U.S. billed for this stay.
Lowest and highest payments
Among hospitals with at least 20 Medicare hospital stays. Differences reflect local wage costs, teaching status and how sick patients were, as well as price.
Lowest
| Central Vermont Medical CenterGraniteville-East Barre, VT | $5,128 |
|---|---|
| Marietta Memorial HospitalMarietta, OH | $7,166 |
| Southwestern Vermont Medical CenterBennington, VT | $7,220 |
| Rutland Regional Medical CenterRutland, VT | $7,352 |
| Piedmont Columbus Regional NorthsideColumbus, GA | $7,532 |
| Saint Francis Bartlett Medical CenterBartlett, TN | $7,657 |
| Boone Hospital CenterColumbia, MO | $7,695 |
| Via Christi Hospital Wichita St Teresa INCWichita, KS | $7,744 |
| Shelby Baptist Medical CenterAlabaster, AL | $7,815 |
| Saint John HospitalLeavenworth, KS | $7,821 |
Highest
| Levindale Hebrew Geriatric Center and HospitalBaltimore, MD | $176,520 |
|---|---|
| Harris County Hospital DistrictHouston, TX | $128,013 |
| University of MD Medical Center Midtown CampusBaltimore, MD | $103,376 |
| University of Maryland Medical CenterBaltimore, MD | $57,213 |
| Kings County Hospital CenterBrooklyn, NY | $51,720 |
| Jps Health NetworkFort Worth, TX | $40,926 |
| Lac/Olive View-UCLA Medical CenterSylmar, CA | $39,004 |
| The Johns Hopkins HospitalBaltimore, MD | $34,868 |
| Stanford HospitalPalo Alto, CA | $33,952 |
| UCSF Medical CenterSan Francisco, CA | $30,286 |
Pulmonary edema and respiratory failure cost by state
Volume-weighted averages for each state's hospitals. Select a state to see every hospital.
| State | Hospitals | Avg charge | Avg payment | Range |
|---|---|---|---|---|
| Alabama | 37 | $56,929 | $10,105 | $7,725 – $16,389 |
| Alaska | 6 | $92,016 | $15,910 | $11,743 – $24,186 |
| Arizona | 37 | $59,343 | $11,551 | $8,990 – $25,630 |
| Arkansas | 22 | $38,644 | $9,183 | $7,903 – $13,405 |
| California | 195 | $105,772 | $15,884 | $9,176 – $39,004 |
| Colorado | 31 | $79,396 | $11,080 | $9,205 – $18,430 |
| Connecticut | 22 | $50,759 | $13,777 | $10,433 – $22,344 |
| Delaware | 6 | $41,708 | $12,021 | $9,954 – $14,913 |
| Florida | 139 | $72,628 | $10,618 | $7,856 – $20,547 |
| Georgia | 67 | $56,466 | $11,764 | $7,532 – $26,357 |
| Hawaii | 8 | $48,319 | $16,251 | $14,216 – $21,318 |
| Idaho | 12 | $43,340 | $10,491 | $8,784 – $11,729 |
| Illinois | 92 | $50,467 | $11,432 | $8,428 – $56,458 |
| Indiana | 60 | $41,345 | $10,354 | $8,630 – $17,193 |
| Iowa | 28 | $39,445 | $10,161 | $7,992 – $15,926 |
| Kansas | 26 | $54,227 | $10,043 | $7,644 – $13,396 |
| Kentucky | 42 | $41,940 | $9,410 | $8,143 – $12,946 |
| Louisiana | 32 | $46,700 | $9,678 | $7,976 – $14,365 |
| Maine | 10 | $46,786 | $14,774 | $8,213 – $19,171 |
| Maryland | 39 | $23,287 | $20,991 | $13,098 – $176,520 |
| Massachusetts | 46 | $28,992 | $12,470 | $9,800 – $22,676 |
| Michigan | 70 | $37,778 | $11,577 | $8,429 – $19,051 |
| Minnesota | 34 | $42,161 | $11,677 | $8,692 – $27,777 |
| Mississippi | 28 | $49,322 | $9,491 | $7,662 – $14,202 |
| Missouri | 46 | $54,513 | $10,660 | $7,695 – $22,639 |
| Montana | 10 | $31,102 | $9,987 | $8,664 – $12,656 |
| Nebraska | 15 | $45,525 | $11,127 | $8,089 – $16,234 |
| Nevada | 18 | $89,347 | $11,919 | $9,711 – $14,849 |
| New Hampshire | 12 | $36,750 | $11,285 | $9,146 – $15,637 |
| New Jersey | 46 | $96,893 | $12,508 | $9,642 – $27,328 |
| New Mexico | 15 | $42,218 | $11,712 | $8,069 – $18,259 |
| New York | 101 | $74,665 | $14,981 | $10,240 – $51,720 |
| North Carolina | 60 | $41,625 | $11,396 | $8,029 – $22,028 |
| North Dakota | 7 | $36,026 | $11,059 | $9,241 – $18,641 |
| Ohio | 93 | $44,193 | $10,459 | $5,460 – $16,135 |
| Oklahoma | 33 | $51,665 | $10,187 | $8,472 – $15,551 |
| Oregon | 22 | $43,239 | $12,399 | $9,670 – $17,460 |
| Pennsylvania | 98 | $66,345 | $11,304 | $7,976 – $22,112 |
| Rhode Island | 6 | $40,845 | $12,790 | $9,573 – $17,521 |
| South Carolina | 36 | $55,613 | $10,957 | $7,792 – $18,725 |
| South Dakota | 10 | $44,956 | $11,455 | $8,423 – $13,283 |
| Tennessee | 48 | $46,238 | $10,069 | $7,657 – $19,772 |
| Texas | 144 | $66,390 | $11,851 | $7,340 – $128,013 |
| Utah | 14 | $46,538 | $12,043 | $9,782 – $15,993 |
| Vermont | 5 | $34,245 | $8,089 | $5,128 – $14,905 |
| Virginia | 60 | $49,326 | $10,867 | $8,140 – $19,670 |
| Washington | 40 | $57,820 | $11,824 | $9,773 – $21,288 |
| West Virginia | 15 | $42,067 | $10,696 | $7,892 – $15,188 |
| Wisconsin | 45 | $41,098 | $10,878 | $8,273 – $15,339 |
| Wyoming | 4 | $30,942 | $13,156 | $11,431 – $15,863 |
Hospitals that treat the most Medicare patients for this
| Hospital | Stays | Avg charge | Avg payment |
|---|---|---|---|
| Lexington Medical CenterWest Columbia, SC | 340 | $56,311 | $9,504 |
| Scott & White Memorial HospitalTemple, TX | 301 | $58,347 | $14,035 |
| Christiana Care Health Services, INC.Newark, DE | 283 | $43,437 | $12,133 |
| Franklin Square Hospital CenterRosedale, MD | 258 | $21,263 | $19,162 |
| Meritus Medical CenterHagerstown, MD | 245 | $16,668 | $15,411 |
| NYU Hospitals CenterNew York, NY | 228 | $131,558 | $18,935 |
| Frederick Memorial HospitalFrederick, MD | 225 | $15,900 | $14,486 |
| Peninsula Regional Medical CenterSalisbury, MD | 223 | $17,714 | $15,932 |
| Norton Healthcare PavilionLouisville, KY | 219 | $50,355 | $9,133 |
| Baylor University Medical CenterDallas, TX | 212 | $63,746 | $14,092 |
| Howard County General HospitalColumbia, MD | 209 | $15,001 | $13,665 |
| St Bernards Medical CenterJonesboro, AR | 203 | $25,652 | $8,351 |
| Hillcrest Baptist Med CenterWaco, TX | 194 | $40,467 | $10,832 |
| Lehigh Valley HospitalAllentown, PA | 193 | $77,775 | $11,185 |
| Garnet Health Medical CenterGoshen, NY | 192 | $64,272 | $13,205 |
Questions
How much does pulmonary edema and respiratory failure cost in the U.S.?
In 2024 Medicare data, a hospital stay for pulmonary edema and respiratory failure (DRG 189) at 2,098 hospitals in the U.S. was billed at $57,943 on average, while the average total payment was $12,197, of which Medicare paid $9,974. Your own cost depends on your insurance, deductible and the hospital.
Which states pay the most and least for pulmonary edema and respiratory failure?
Among states with at least three hospitals reporting, the average total payment was highest in Maryland ($20,991), Hawaii ($16,251), Alaska ($15,910) and lowest in Vermont ($8,089), Arkansas ($9,183), Kentucky ($9,410).
Why are hospital charges so much higher than payments?
Charges are a hospital's list prices. Medicare pays fixed rates set in advance, and private insurers negotiate their own discounts, so almost nobody pays the full charge. For this stay in the U.S., average charges were 4.8 times the average payment. Uninsured patients can ask the hospital about its financial assistance (charity care) policy and cash prices.
Source: CMS, Medicare Inpatient Hospitals by Provider and Service, 2024. Average total payment includes Medicare's payment, the patient's deductible and coinsurance, and any other payer. CMS omits hospitals with fewer than 11 hospital stays for privacy. About the data.