Pulmonary edema and respiratory failure in Massachusetts
What 46 hospitals in Massachusetts charged and were paid for a Medicare hospital stay for pulmonary edema and respiratory failure (DRG 189), from 2024 Medicare claims.
Average charge
$28,992
Hospital list price billed
Average payment
$12,470
Medicare + patient + other payers
Medicare paid
$10,540
Average per stay
State rank
#40 of 50
1 = lowest average payment
Hospitals in Massachusetts billed an average of $28,992 for pulmonary edema and respiratory failure, about 2.3 times the average total payment of $12,470. That payment is 2% 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 $12,470Billed $28,992
About 43¢ was paid for every $1 hospitals in Massachusetts billed for this stay.
Massachusetts hospitals: pulmonary edema and respiratory failure
Every Massachusetts hospital that billed Medicare for this stay at least 11 times. Click a column to sort.
| Hospital | Stays | Avg charge | Avg payment | Medicare paid |
|---|---|---|---|---|
| Baystate Medical CenterSpringfield | 175 | $27,323 | $14,174 | $11,684 |
| Cape Cod HospitalHyannis | 174 | $24,380 | $12,657 | $11,393 |
| South Shore HospitalSouth Weymouth | 153 | $20,623 | $10,317 | $9,108 |
| Umass Memorial Medical Center INCWorcester | 139 | $55,370 | $16,714 | $13,484 |
| Lahey Clinic HospitalBurlington | 126 | $22,943 | $13,591 | $11,007 |
| Southcoast Hospital Group, INCFall River | 122 | $28,317 | $10,723 | $9,142 |
| Milford Regional Medical CenterMilford | 122 | $15,684 | $10,866 | $9,478 |
| Beverly Hospital CorporationBeverly | 85 | $21,413 | $10,345 | $9,036 |
| Winchester HospitalWinchester | 84 | $17,287 | $10,577 | $8,618 |
| Beth Israel Deaconess Hospital PlymouthPlymouth | 72 | $25,659 | $11,173 | $9,295 |
| Union HospitalLynn | 64 | $31,808 | $11,856 | $9,615 |
| Beth Israel Deaconess Medical CenterBoston | 63 | $38,624 | $17,766 | $14,512 |
| Sturdy Memorial HospitalAttleboro | 58 | $25,724 | $10,607 | $9,623 |
| Morton Hospital & Medical CenterTaunton | 58 | $21,622 | $10,486 | $9,301 |
| Falmouth HospitalFalmouth | 57 | $25,764 | $9,987 | $9,013 |
| Berkshire Medical Center INCPittsfield | 56 | $22,373 | $13,213 | $11,654 |
| Wing Memorial Hospital and Medical CenterPalmer | 52 | $21,779 | $10,780 | $9,037 |
| Good Samaritan Medical Center, a Caritas Family HoBrockton | 50 | $17,254 | $10,463 | $9,413 |
| Massachusetts General HospitalBoston | 49 | $69,445 | $17,800 | $12,148 |
| St Vincent HospitalWorcester | 48 | $45,129 | $13,764 | $11,569 |
| Noble HospitalWestfield | 44 | $17,289 | $10,250 | $8,483 |
| Beth Israel Deaconess Hospital - NeedhamNeedham | 41 | $18,398 | $9,849 | $8,615 |
| Metrowest Medical CenterFramingham | 40 | $51,158 | $12,205 | $10,291 |
| Healthalliance Hospitals, INCLeominster | 37 | $42,261 | $12,224 | $10,539 |
| Cooley Dickinson Hospital Inc,TheNorthampton | 37 | $23,136 | $10,101 | $9,132 |
| Lawrence General HospitalLawrence | 36 | $19,718 | $12,470 | $10,556 |
| Milton HospitalMilton | 34 | $19,284 | $9,905 | $8,465 |
| Lowell General HospitalLowell | 30 | $26,077 | $11,583 | $10,549 |
| Mercy Medical CenterSpringfield | 29 | $20,888 | $10,922 | $9,854 |
| Brigham and Women's HosptialBoston | 29 | $93,858 | $16,974 | $13,127 |
| Baystate Franklin Medical CenterGreenfield | 27 | $21,191 | $9,800 | $8,802 |
| Holy Family Hospital, a Caritas Family HospitalMethuen | 26 | $20,797 | $10,925 | $9,663 |
| Boston Medical Center CorporationBoston | 21 | $38,957 | $22,676 | $19,308 |
| Cambridge Health AllianceCambridge | 20 | $24,063 | $20,793 | $18,641 |
| Anna Jaques HospitalNewburyport | 19 | $22,594 | $10,342 | $9,311 |
| Emerson HospitalConcord | 19 | $24,231 | $9,884 | $8,939 |
| Heywood HospitalGardner | 18 | $20,460 | $11,217 | $8,455 |
| Saint Anne's Hospital, a Caritas Family HospitalFall River | 17 | $18,234 | $11,603 | $8,704 |
| Brockton HospitalBrockton | 17 | $52,238 | $18,586 | $15,189 |
| Mount Auburn HospitalCambridge | 16 | $25,173 | $13,561 | $11,414 |
| Marlborough HospitalMarlborough | 14 | $34,540 | $10,525 | $9,360 |
| Tufts Medical CenterBoston | 14 | $81,047 | $21,337 | $17,346 |
| Faulkner HospitalBoston | 14 | $47,117 | $12,950 | $9,840 |
| Melrosewakefield HealthcareMelrose | 13 | $23,711 | $13,485 | $10,307 |
| Newton-Wellesley HospitalNewton Lower Falls | 13 | $42,023 | $11,314 | $9,899 |
| Harrington Memorial HospitalSouthbridge | 12 | $20,162 | $10,614 | $9,526 |
Lowest and highest payments in Massachusetts
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
| Baystate Franklin Medical CenterGreenfield, MA | $9,800 |
|---|---|
| Beth Israel Deaconess Hospital - NeedhamNeedham, MA | $9,849 |
| Emerson HospitalConcord, MA | $9,884 |
| Milton HospitalMilton, MA | $9,905 |
| Falmouth HospitalFalmouth, MA | $9,987 |
Highest
| Boston Medical Center CorporationBoston, MA | $22,676 |
|---|---|
| Tufts Medical CenterBoston, MA | $21,337 |
| Cambridge Health AllianceCambridge, MA | $20,793 |
| Brockton HospitalBrockton, MA | $18,586 |
| Massachusetts General HospitalBoston, MA | $17,800 |
Pulmonary edema and respiratory failure in other states
Questions
How much does pulmonary edema and respiratory failure cost in Massachusetts?
In 2024 Medicare data, a hospital stay for pulmonary edema and respiratory failure (DRG 189) at 46 hospitals in Massachusetts was billed at $28,992 on average, while the average total payment was $12,470, of which Medicare paid $10,540. 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 Massachusetts, average charges were 2.3 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.