Pulmonary edema and respiratory failure in California
What 195 hospitals in California charged and were paid for a Medicare hospital stay for pulmonary edema and respiratory failure (DRG 189), from 2024 Medicare claims.
Average charge
$105,772
Hospital list price billed
Average payment
$15,884
Medicare + patient + other payers
Medicare paid
$13,243
Average per stay
State rank
#47 of 50
1 = lowest average payment
Hospitals in California billed an average of $105,772 for pulmonary edema and respiratory failure, about 6.7 times the average total payment of $15,884. That payment is 30% above the U.S. average 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 $15,884Billed $105,772
About 15¢ was paid for every $1 hospitals in California billed for this stay.
California hospitals: pulmonary edema and respiratory failure
Every California hospital that billed Medicare for this stay at least 11 times. Click a column to sort.
| Hospital | Stays | Avg charge | Avg payment | Medicare paid |
|---|---|---|---|---|
| Enloe Medical CenterChico | 151 | $89,080 | $11,912 | $10,950 |
| Loma Linda University Medical CenterLoma Linda | 114 | $148,637 | $24,541 | $17,925 |
| Mercy Medical Center ReddingRedding | 113 | $90,761 | $12,904 | $11,652 |
| Memorial Medical CenterModesto | 106 | $73,744 | $13,075 | $11,136 |
| Stanford HospitalPalo Alto | 100 | $369,459 | $33,952 | $24,534 |
| Sutter Roseville Medical CenterRoseville | 99 | $81,849 | $13,316 | $11,197 |
| Centinela Hospital Medical CenterInglewood | 99 | $53,043 | $13,263 | $12,406 |
| El Camino HospitalMountain View | 93 | $136,351 | $15,007 | $12,594 |
| Los Robles Hospital & Medical CenterThousand Oaks | 89 | $267,668 | $18,266 | $13,605 |
| Scripps Mercy HospitalSan Diego | 86 | $90,705 | $14,192 | $12,828 |
| Providence Tarzana Medical CenterTarzana | 83 | $99,061 | $12,640 | $11,343 |
| Tri-City Medical CenterOceanside | 82 | $71,957 | $12,122 | $10,987 |
| John Muir Medical Center - Walnut Creek CampusWalnut Creek | 81 | $153,928 | $15,260 | $13,433 |
| Hoag Memorial Hospital PresbyterianNewport Beach | 79 | $56,095 | $11,893 | $10,852 |
| John Muir Medical Center - Concord CampusConcord | 79 | $149,631 | $14,608 | $12,701 |
| University of California Davis Medical CenterSacramento | 79 | $148,970 | $27,263 | $16,750 |
| Sutter General HospitalSacramento | 78 | $69,159 | $15,311 | $13,160 |
| Scripps Memorial Hospital - EncinitasEncinitas | 76 | $65,704 | $12,794 | $10,110 |
| Sierra Nevada Memorial HospitalGrass Valley | 74 | $68,804 | $12,485 | $11,470 |
| Marian Medical CenterSanta Maria | 73 | $68,684 | $13,398 | $11,806 |
| Santa Clara Valley Medical CenterSan Jose | 72 | $164,856 | $26,671 | $24,682 |
| St Jude Medical CenterFullerton | 71 | $59,847 | $12,355 | $10,982 |
| Highland HospitalOakland | 71 | $96,246 | $22,526 | $20,818 |
| Shasta Regional Medical CenterRedding | 71 | $46,814 | $11,866 | $10,943 |
| University of California San Diego Medical CenterSan Diego | 65 | $118,952 | $25,445 | $17,671 |
| Alta Bates Summit Medical CenterOakland | 63 | $76,078 | $14,505 | $12,767 |
| Washington HospitalFremont | 62 | $140,121 | $15,958 | $14,976 |
| Grossmont HospitalLa Mesa | 61 | $113,096 | $13,513 | $11,837 |
| Providence Saint Joseph Medical CtrBurbank | 61 | $102,194 | $13,460 | $10,863 |
| Scripps Memorial Hospital la JollaLa Jolla | 59 | $80,766 | $11,935 | $10,830 |
| Community Regional Medical CenterFresno | 58 | $78,741 | $15,166 | $13,280 |
| St Johns Regional Medical CenterOxnard | 57 | $83,598 | $12,541 | $11,225 |
| Salinas Valley Memorial HospitalSalinas | 57 | $117,431 | $14,514 | $13,484 |
| Clovis Community Medical CenterClovis | 56 | $103,015 | $14,652 | $12,799 |
| Mercy San Juan Medical CenterCarmichael | 56 | $74,309 | $13,404 | $12,526 |
| Lac/Harbor-UCLA Med CenterTorrance | 55 | $97,697 | $29,480 | $22,916 |
| Saint Agnes Medical CenterFresno | 53 | $60,110 | $14,741 | $13,241 |
| Pioneers Memorial Healthcare DistrictBrawley | 53 | $52,473 | $13,109 | $11,985 |
| Good Samaritan HospitalSan Jose | 53 | $209,378 | $13,719 | $12,664 |
| Kaweah Delta Medical CenterVisalia | 52 | $70,162 | $15,714 | $13,550 |
| St Joseph HospitalOrange | 52 | $58,005 | $15,027 | $11,314 |
| Santa Barbara Cottage HospitalSanta Barbara | 50 | $97,467 | $13,549 | $11,857 |
| Sutter Delta Medical CenterAntioch | 50 | $88,533 | $15,117 | $14,324 |
| Rideout Memorial HospitalMarysville | 49 | $98,747 | $13,304 | $12,222 |
| Eisenhower Memorial HospitalRancho Mirage | 49 | $73,874 | $13,905 | $12,521 |
| Community Hospital of the Monterey PeninsulaMonterey | 48 | $94,214 | $16,162 | $12,383 |
| Marinhealth Medical CenterGreenbrae | 46 | $132,518 | $14,214 | $13,150 |
| Northbay Medical CenterFairfield | 46 | $154,986 | $15,106 | $13,955 |
| UCSF Medical CenterSan Francisco | 46 | $161,059 | $30,286 | $22,172 |
| Northridge Hospital Medical CenterNorthridge | 45 | $115,743 | $13,482 | $12,362 |
| Redlands Community HospitalRedlands | 45 | $102,857 | $12,362 | $11,491 |
| West Anaheim Medical CenterAnaheim | 45 | $43,619 | $13,169 | $12,117 |
| Peninsula Medical CenterBurlingame | 44 | $66,451 | $14,058 | $12,895 |
| Mercy HospitalBakersfield | 44 | $106,075 | $13,822 | $12,371 |
| Lac/Olive View-UCLA Medical CenterSylmar | 43 | $124,240 | $39,004 | $32,841 |
| Santa Monica - UCLA Med Ctr & Orthopaedic HospitalSanta Monica | 43 | $108,486 | $17,102 | $15,495 |
| Santa Rosa Memorial HospitalSanta Rosa | 43 | $80,391 | $14,544 | $13,349 |
| Saddleback Memorial Medical CenterLaguna Hills | 43 | $98,340 | $12,291 | $10,301 |
| Sharp Memorial HospitalSan Diego | 42 | $137,403 | $15,717 | $13,755 |
| Kaiser Foundation Hospital FontanaFontana | 42 | $72,247 | $19,122 | $9,968 |
| Providence Little Company of Mary Med Ctr TorranceTorrance | 42 | $107,940 | $14,550 | $11,177 |
| Mission Hospital Regional Med CenterMission Viejo | 42 | $82,297 | $14,080 | $11,907 |
| Desert Valley HospitalVictorville | 42 | $38,212 | $12,516 | $11,481 |
| Simi Valley Hospital & Health Care ServicesSimi Valley | 41 | $104,543 | $11,677 | $10,563 |
| Saint John's Health CenterSanta Monica | 41 | $57,206 | $11,997 | $10,706 |
| Adventist Health BakersfieldBakersfield | 41 | $85,430 | $12,412 | $10,982 |
| St Elizabeth Community HospitalRed Bluff | 40 | $80,192 | $13,329 | $12,107 |
| PIH Health Hospital-WhittierWhittier | 39 | $133,443 | $16,503 | $15,255 |
| Dominican HospitalSanta Cruz | 39 | $150,686 | $14,915 | $13,743 |
| Long Beach Memorial Medical CenterLong Beach | 39 | $131,252 | $15,586 | $14,074 |
| Paradise Valley HospitalNational City | 38 | $42,315 | $13,916 | $13,100 |
| French Hospital Medical CenterSan Luis Obispo | 38 | $89,062 | $13,311 | $10,144 |
| Southwest Healthcare SystemMurrieta | 38 | $100,809 | $13,504 | $12,232 |
| Emanate Health Inter-Community HospitalCovina | 37 | $69,123 | $13,183 | $11,451 |
| West Hills Hospital & Medical CenterWest Hills | 37 | $194,318 | $12,117 | $11,235 |
| Providence Holy Cross Medical CenterMission Hills | 36 | $85,004 | $15,405 | $11,730 |
| Lodi Memorial HospitalLodi | 36 | $158,630 | $12,754 | $11,612 |
| Mercy Medical Ctr MercedMerced | 36 | $99,920 | $19,928 | $11,007 |
| USC Arcadia HospitalArcadia | 35 | $84,401 | $10,693 | $9,804 |
| Riverside County Regional Medical CenterMoreno Valley | 35 | $84,017 | $16,706 | $15,617 |
| Good Samaritan HospitalLos Angeles | 35 | $60,408 | $13,484 | $12,641 |
| Orange Coast Memorial Medical CenterFountain Valley | 35 | $122,730 | $12,391 | $10,533 |
| St Joseph HospitalEureka | 34 | $91,163 | $15,370 | $10,509 |
| Hanford Community Medical CenterHanford | 34 | $61,506 | $12,842 | $11,425 |
| Palmdale Regional Medical CenterLancaster | 34 | $111,288 | $12,961 | $11,181 |
| Stanford Health Care Tri-ValleyPleasanton | 34 | $170,956 | $15,787 | $13,755 |
| Cedars-Sinai Medical CenterLos Angeles | 34 | $348,855 | $27,972 | $21,199 |
| Antelope Valley Hospital Med CenterLancaster | 33 | $59,191 | $13,071 | $12,124 |
| Kaiser Foundation Hospital Oakland/RichmondOakland | 33 | $131,516 | $28,212 | $19,663 |
| Verdugo Hills HospitalGlendale | 33 | $89,709 | $12,127 | $10,856 |
| Regional Medical Center of San JoseSan Jose | 32 | $226,829 | $15,348 | $14,431 |
| UCI Health-OrangeOrange | 32 | $97,425 | $20,456 | $17,488 |
| Sutter Auburn Faith HospitalAuburn | 32 | $54,758 | $13,311 | $12,444 |
| Palomar Medical CenterEscondido | 31 | $137,774 | $9,176 | $8,218 |
| Torrance Memorial Medical CenterTorrance | 31 | $100,467 | $13,444 | $10,626 |
| Huntington Memorial HospitalPasadena | 31 | $124,627 | $12,948 | $11,759 |
| Eden Medical CenterCastro Valley | 30 | $79,588 | $13,867 | $13,205 |
| Kaiser Foundation Hosp So SacramentoSacramento | 30 | $115,013 | $17,518 | $14,929 |
| Loma Linda University Medical Center-MurrietaMurrieta | 30 | $75,903 | $14,211 | $12,889 |
| Queen of the Valley Medical CenterNapa | 29 | $99,807 | $14,796 | $12,847 |
| Riverside Community HospitalRiverside | 29 | $151,255 | $15,651 | $13,923 |
| Mercy General HospitalSacramento | 28 | $89,327 | $12,791 | $11,980 |
| Community Memorial Hospital - VenturaVentura | 28 | $45,978 | $14,287 | $11,620 |
| Sherman Oaks HospitalSherman Oaks | 28 | $48,109 | $12,816 | $11,942 |
| Pomona Valley Hospital Medical CenterPomona | 27 | $123,149 | $13,204 | $12,024 |
| Alta Bates Summit Medical Center - Alta Bates CampBerkeley | 27 | $61,008 | $14,701 | $13,536 |
| Kaiser Foundation HospitalSanta Clara | 26 | $77,169 | $26,674 | $9,727 |
| San Antonio Community HospitalUpland | 26 | $87,889 | $12,334 | $10,561 |
| San Francisco General HospitalSan Francisco | 26 | $138,238 | $25,679 | $23,325 |
| Kaiser Foundation Hospital - Sacramento/RosevilleSacramento | 26 | $97,619 | $28,882 | $13,210 |
| Kaiser Foundation Hospital MantecaManteca | 26 | $93,006 | $21,741 | $8,655 |
| Bakersfield Memorial HospitalBakersfield | 25 | $95,565 | $12,650 | $11,598 |
| Alameda HospitalAlameda | 25 | $83,432 | $14,890 | $13,780 |
| Desert Regional Medical CenterPalm Springs | 25 | $173,653 | $13,961 | $12,904 |
| Lakewood Regional Medical CenterLakewood | 25 | $195,684 | $12,507 | $11,021 |
| Twin Cities Community HospitalTempleton | 25 | $140,852 | $11,920 | $10,085 |
| St Bernardine Medical CenterSan Bernardino | 24 | $93,232 | $13,881 | $12,746 |
| Emanuel Medical Center INCTurlock | 24 | $181,856 | $12,909 | $11,754 |
| Sharp Chula Vista Medical CenterChula Vista | 24 | $161,272 | $14,265 | $12,990 |
| Sutter Medical Center of Santa RosaSanta Rosa | 24 | $74,465 | $16,271 | $14,511 |
| Sonora Community HospitalSonora | 24 | $74,418 | $13,485 | $11,775 |
| Doctors Medical CenterModesto | 24 | $224,183 | $13,261 | $12,208 |
| El Centro Regional Medical CenterEl Centro | 23 | $77,277 | $12,907 | $11,914 |
| St Josephs Med Center of StocktonStockton | 23 | $102,941 | $16,761 | $15,076 |
| Valley Presbyterian HospitalVan Nuys | 23 | $66,657 | $13,707 | $12,483 |
| Glendale Adventist Medical CtrGlendale | 23 | $101,103 | $13,791 | $12,556 |
| Los Alamitos Medical CenterLos Alamitos | 23 | $152,280 | $11,598 | $10,251 |
| St Rose HospitalHayward | 22 | $104,757 | $17,112 | $16,019 |
| Ukiah Valley Medical Center/Hospital DUkiah | 22 | $96,348 | $15,775 | $13,866 |
| Saint Francis Medical CenterLynwood | 21 | $61,880 | $13,965 | $13,032 |
| San Joaquin General HospitalFrench Camp | 21 | $113,587 | $15,377 | $14,183 |
| Watsonville Community HospitalWatsonville | 21 | $136,731 | $17,351 | $16,187 |
| Kaiser Foundation Hospital - San DiegoSan Diego | 21 | $60,010 | $21,206 | $10,031 |
| Fountain Valley Regional Hospital & Medical CenterFountain Valley | 21 | $170,168 | $14,828 | $10,754 |
| Martin Luther King, Jr. Community HospitalLos Angeles | 21 | $220,223 | $20,744 | $19,626 |
| Petaluma Valley HospitalPetaluma | 20 | $105,883 | $13,107 | $12,222 |
| St Mary Medical CenterApple Valley | 20 | $66,538 | $13,077 | $11,895 |
| Downey Regional Medical CenterDowney | 20 | $70,483 | $13,373 | $11,754 |
| Sutter Davis HospitalDavis | 20 | $61,616 | $16,370 | $11,567 |
| White Memorial Medical CenterLos Angeles | 19 | $174,677 | $17,299 | $15,675 |
| St Mary Medical CenterLong Beach | 19 | $76,877 | $14,928 | $13,882 |
| Sierra View District HospitalPorterville | 19 | $76,254 | $13,297 | $11,624 |
| UCLA Medical CenterLos Angeles | 19 | $98,116 | $26,244 | $19,355 |
| Corona Regional Medical CenterCorona | 19 | $84,738 | $13,247 | $11,322 |
| Sierra Vista Regional Medical CenterSan Luis Obispo | 19 | $120,926 | $12,164 | $10,876 |
| California Pacific Medical Ctr-Pacific Campus HospSan Francisco | 18 | $80,122 | $21,052 | $16,242 |
| Kaiser Foundation Hospital and Rehab CenterVallejo | 18 | $109,944 | $17,917 | $13,876 |
| Lompoc Healthcare DistrictLompoc | 18 | $56,883 | $14,376 | $13,470 |
| Kaiser Foundation Hospital - Panorama CityPanorama City | 18 | $53,778 | $20,357 | $11,069 |
| Kaiser Foundation Hospital - los AngelesLos Angeles | 18 | $75,348 | $18,103 | $14,626 |
| Arrowhead Regional Medical CenterColton | 18 | $142,849 | $18,200 | $16,699 |
| Kaiser Foundation Hospital - RosevilleRoseville | 18 | $107,797 | $17,239 | $12,878 |
| Temecula Valley HospitalTemecula | 18 | $92,245 | $16,916 | $13,898 |
| Sutter Amador HospitalJackson | 17 | $70,454 | $15,606 | $14,310 |
| Monterey Park HospitalMonterey Park | 17 | $134,679 | $13,500 | $12,062 |
| Adventist Health TulareTulare | 17 | $68,325 | $13,345 | $12,124 |
| Sutter Solano Medical CenterVallejo | 16 | $80,043 | $14,742 | $13,416 |
| Woodland Memorial HospitalWoodland | 16 | $67,188 | $13,823 | $11,618 |
| Ahmc Anaheim Regional Medical CenterAnaheim | 16 | $43,942 | $13,116 | $12,198 |
| Foothill Presbyterian HospitalGlendora | 16 | $57,105 | $12,892 | $10,821 |
| Mission Community Hospital - PanoramaPanorama City | 16 | $85,446 | $13,684 | $12,198 |
| Kaiser Foundation Hospital - AntiochAntioch | 16 | $149,173 | $27,160 | $20,495 |
| Doctors Hospital of MantecaManteca | 15 | $144,355 | $12,380 | $11,292 |
| Kaiser Foundation HospitalBellflower | 15 | $76,339 | $16,702 | $10,317 |
| Los Angeles General Medical CenterLos Angeles | 15 | $65,704 | $29,583 | $25,110 |
| Mercy Hospital of FolsomFolsom | 15 | $68,400 | $12,448 | $11,251 |
| Scripps Green HospitalLa Jolla | 15 | $64,096 | $16,397 | $11,528 |
| St Mary's Medical CenterSan Francisco | 15 | $91,180 | $17,716 | $16,382 |
| John F Kennedy Memorial HospIndio | 15 | $135,908 | $13,521 | $12,759 |
| La Palma Intercommunity HospBuena Park | 15 | $57,109 | $12,755 | $11,095 |
| Methodist Hospital of SacramentoSacramento | 15 | $86,146 | $14,538 | $13,270 |
| Glendale Mem Hospital & Hlth CenterGlendale | 14 | $82,090 | $13,393 | $12,463 |
| Kaiser Foundation Hospital - South San FranciscoMillbrae | 14 | $70,313 | $29,007 | $8,883 |
| San Gabriel Valley Medical CenterSan Gabriel | 14 | $62,716 | $13,007 | $11,958 |
| Ventura County Medical CenterVentura | 14 | $71,136 | $14,869 | $13,591 |
| Huntington Beach HospitalHuntington Beach | 14 | $57,373 | $12,044 | $10,732 |
| Palomar Medical Center PowayPoway | 14 | $137,029 | $10,882 | $9,833 |
| Whittier Hospital Medical CenterWhittier | 14 | $59,772 | $13,180 | $12,162 |
| Greater El Monte Community HospitalSouth El Monte | 14 | $61,214 | $13,360 | $12,311 |
| California Pacific Medical Ctr - St. Luke's CampusSan Francisco | 13 | $53,733 | $15,631 | $14,354 |
| Hollywood Presbyterian Medical CenterLos Angeles | 13 | $75,894 | $13,042 | $12,226 |
| John Muir/Mt Diablo Hlth SystWalnut Creek | 13 | $81,881 | $32,724 | $7,761 |
| Garden Grove Hospital & Medical CenterGarden Grove | 13 | $51,740 | $12,928 | $11,673 |
| San Dimas Community HospitalSan Dimas | 13 | $80,999 | $11,954 | $11,076 |
| Kaiser Foundation Hospital-San JoseSan Jose | 13 | $56,036 | $37,723 | $7,666 |
| San Ramon Regional Medical CtrSan Ramon | 13 | $241,893 | $13,115 | $12,490 |
| Garfield Medical CenterMonterey Park | 13 | $215,160 | $13,170 | $12,040 |
| Colusa Medical CenterColusa | 13 | $38,214 | $17,414 | $16,284 |
| Marshall Medical Center (1-Rh)Placerville | 12 | $75,036 | $12,578 | $11,354 |
| Chino Valley Medical CenterChino | 12 | $40,235 | $14,069 | $13,251 |
| Kaiser Foundation Hospital AnaheimAnaheim | 12 | $74,379 | $15,547 | $11,307 |
| Kaiser Foundation Hospital - FresnoFresno | 12 | $87,781 | $18,534 | $8,624 |
| Encino Hospital Medical CenterEncino | 11 | $55,789 | $12,091 | $11,424 |
| Victor Valley Community HospitalVictorville | 11 | $36,894 | $13,241 | $12,203 |
| Kaiser Foundation Hospital, RiversideRiverside | 11 | $101,043 | $35,044 | $7,581 |
Lowest and highest payments in California
Among hospitals with at least 11 Medicare hospital stays. Differences reflect local wage costs, teaching status and how sick patients were, as well as price.
Lowest
| Palomar Medical CenterEscondido, CA | $9,176 |
|---|---|
| USC Arcadia HospitalArcadia, CA | $10,693 |
| Palomar Medical Center PowayPoway, CA | $10,882 |
| Los Alamitos Medical CenterLos Alamitos, CA | $11,598 |
| Simi Valley Hospital & Health Care ServicesSimi Valley, CA | $11,677 |
Highest
| Lac/Olive View-UCLA Medical CenterSylmar, CA | $39,004 |
|---|---|
| Kaiser Foundation Hospital-San JoseSan Jose, CA | $37,723 |
| Kaiser Foundation Hospital, RiversideRiverside, CA | $35,044 |
| Stanford HospitalPalo Alto, CA | $33,952 |
| John Muir/Mt Diablo Hlth SystWalnut Creek, CA | $32,724 |
Pulmonary edema and respiratory failure in other states
Questions
How much does pulmonary edema and respiratory failure cost in California?
In 2024 Medicare data, a hospital stay for pulmonary edema and respiratory failure (DRG 189) at 195 hospitals in California was billed at $105,772 on average, while the average total payment was $15,884, of which Medicare paid $13,243. Your own cost depends on your insurance, deductible and the hospital.
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 California, average charges were 6.7 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.