Pulmonary edema and respiratory failure in Pennsylvania
What 98 hospitals in Pennsylvania charged and were paid for a Medicare hospital stay for pulmonary edema and respiratory failure (DRG 189), from 2024 Medicare claims.
Average charge
$66,345
Hospital list price billed
Average payment
$11,304
Medicare + patient + other payers
Medicare paid
$8,905
Average per stay
State rank
#25 of 50
1 = lowest average payment
Hospitals in Pennsylvania billed an average of $66,345 for pulmonary edema and respiratory failure, about 5.9 times the average total payment of $11,304. That payment is 7% below 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 $11,304Billed $66,345
About 17¢ was paid for every $1 hospitals in Pennsylvania billed for this stay.
Pennsylvania hospitals: pulmonary edema and respiratory failure
Every Pennsylvania hospital that billed Medicare for this stay at least 11 times. Click a column to sort.
| Hospital | Stays | Avg charge | Avg payment | Medicare paid |
|---|---|---|---|---|
| Lehigh Valley HospitalAllentown | 193 | $77,775 | $11,185 | $9,200 |
| Lancaster General HospitalLancaster | 141 | $39,635 | $10,179 | $8,307 |
| Geisinger Medical CenterDanville | 130 | $104,717 | $13,665 | $9,993 |
| Geisinger Wyoming Vly Med CtrWilkes-Barre | 128 | $101,285 | $11,097 | $8,932 |
| Geisinger-Community Medical CenterScranton | 113 | $97,935 | $9,757 | $8,388 |
| Milton S Hershey Medical CenterHershey | 103 | $61,665 | $13,942 | $11,282 |
| Chambersburg HospitalChambersburg | 96 | $34,598 | $9,883 | $8,675 |
| St Luke's Hospital BethlehemBethlehem | 89 | $85,190 | $12,589 | $9,724 |
| Jefferson Health- NortheastPhiladelphia | 88 | $38,304 | $11,085 | $8,687 |
| Reading Hospital and Med CtrWest Reading | 86 | $54,241 | $11,363 | $9,292 |
| Temple University HospitalPhiladelphia | 77 | $127,947 | $15,876 | $12,180 |
| Hospital of the Univ of PaPhiladelphia | 76 | $202,925 | $22,112 | $14,301 |
| Wilkes-Barre General HospitalWilkes-Barre | 76 | $67,919 | $9,206 | $7,769 |
| Jefferson Einstein Montgomery HospitalEast Norriton | 74 | $41,116 | $12,045 | $9,695 |
| Thomas Jefferson University HospitalPhiladelphia | 67 | $65,685 | $16,083 | $11,384 |
| Hamot Medical CenterErie | 65 | $87,449 | $11,255 | $9,584 |
| Robert Packer HospitalSayre | 65 | $39,563 | $11,458 | $9,206 |
| UPMC Presbyterian ShadysidePittsburgh | 64 | $157,287 | $13,336 | $9,009 |
| St Luke's Hospital - Anderson CampusEaston | 64 | $79,824 | $14,240 | $10,518 |
| Chester County HospitalWest Chester | 62 | $50,873 | $9,145 | $8,212 |
| St Luke's Hospital - Monroe CampusStroudsburg | 57 | $72,204 | $9,944 | $7,579 |
| Chestnut Hill HospitalPhiladelphia | 56 | $137,225 | $12,374 | $9,645 |
| Main Line Hospital Bryn Mawr CampusBryn Mawr | 54 | $77,803 | $9,637 | $8,382 |
| Crozer Chester Medical CenterChester | 54 | $98,231 | $12,176 | $9,991 |
| Abington Memorial HospitalAbington | 54 | $40,975 | $10,112 | $8,312 |
| York HospitalYork | 53 | $46,324 | $10,920 | $9,473 |
| Penn State Health Lancaster Medical CenterLancaster | 48 | $50,975 | $11,788 | $6,351 |
| Main Line Hospital LankenauWynnewood | 47 | $85,635 | $11,456 | $9,846 |
| Allegheny General HospitalPittsburgh | 44 | $64,063 | $13,732 | $9,938 |
| Hanover HospitalHanover | 44 | $67,729 | $11,919 | $8,623 |
| Holy Spirit HospitalCamp Hill | 42 | $56,234 | $10,245 | $6,972 |
| St Luke's Quakertown HospitalQuakertown | 42 | $96,343 | $10,943 | $8,902 |
| Main Line Hospital PaoliPaoli | 42 | $84,436 | $8,684 | $7,390 |
| Mount Nittany Medical CenterState College | 42 | $43,251 | $11,481 | $9,509 |
| UPMC Pinnacle HospitalsHarrisburg | 41 | $57,822 | $10,626 | $8,636 |
| St Mary Medical CenterLanghorne | 41 | $34,773 | $10,204 | $8,297 |
| Riddle Memorial HospitalMedia | 40 | $64,051 | $9,684 | $7,034 |
| Dubois Regional Medical CenterDubois | 39 | $22,279 | $8,970 | $7,989 |
| St Luke's Hospital - Carbon CampusLehighton | 39 | $72,705 | $10,796 | $6,499 |
| Lewistown HospitalLewistown | 38 | $53,329 | $10,223 | $8,103 |
| Nazareth HospitalPhiladelphia | 38 | $49,661 | $13,139 | $10,545 |
| St Joseph Medical CenterReading | 37 | $51,639 | $10,609 | $8,450 |
| Phoenixville HospitalPhoenixville | 37 | $65,018 | $10,221 | $8,352 |
| UPMC MemorialYork | 36 | $55,406 | $11,847 | $5,497 |
| St Luke's Miners Memorial HospitalCoaldale | 36 | $51,664 | $11,278 | $8,910 |
| AHN Wexford HospitalWexford | 36 | $32,803 | $9,500 | $6,284 |
| Mercy Health SystemConshohocken | 35 | $55,077 | $15,587 | $12,112 |
| Jefferson Regional Medical CenterClairton | 35 | $43,072 | $8,167 | $7,188 |
| Williamsport Hospital & Medical CenterWilliamsport | 34 | $51,642 | $9,226 | $8,115 |
| Allegheny Valley HospitalNatrona Heights | 33 | $34,556 | $8,894 | $6,449 |
| Geisinger St. Luke's HospitalOrwigsburg | 32 | $57,724 | $9,641 | $6,682 |
| Uniontown HospitalUniontown | 30 | $23,265 | $9,609 | $7,175 |
| Waynesboro HospitalWaynesboro | 30 | $35,102 | $11,985 | $9,272 |
| Hazleton General HospitalHazleton | 30 | $52,623 | $8,607 | $7,357 |
| Grand View HospitalSellersville | 29 | $42,910 | $8,706 | $7,539 |
| Warren General HospitalWarren | 29 | $20,270 | $11,277 | $10,546 |
| St Clair Memorial HospitalPittsburgh | 28 | $23,759 | $8,161 | $6,702 |
| Western Pennsylvania Hosp Forbes Regional CampusMonroeville | 28 | $51,674 | $9,732 | $7,499 |
| UPMC St MargaretPittsburgh | 27 | $51,986 | $10,903 | $7,513 |
| Albert Einstein Medical CenterPhiladelphia | 26 | $56,941 | $16,490 | $12,499 |
| Mercy Hospital ScrantonScranton | 26 | $81,763 | $9,376 | $7,163 |
| Penn State Health Hampden Medical CenterEnola | 26 | $43,375 | $11,255 | $7,662 |
| Saint Vincent Health CenterErie | 25 | $64,516 | $11,005 | $9,534 |
| Holy Redeemer Hosp and Med CtrJenkintown | 25 | $35,453 | $9,426 | $7,805 |
| UPMC PassavantPittsburgh | 25 | $67,063 | $10,089 | $6,193 |
| Carlisle Regional Medical CtrCarlisle | 24 | $55,231 | $8,548 | $7,597 |
| Gettysburg HospitalGettysburg | 24 | $43,710 | $10,066 | $7,854 |
| Bloomsburg HospitalBloomsburg | 23 | $48,142 | $10,841 | $8,825 |
| Northwest Medical CenterOil City | 23 | $32,789 | $8,692 | $7,615 |
| Excela Health Westmoreland Regional HospitalGreensburg | 23 | $35,281 | $8,687 | $7,551 |
| Schuylkill Medical Center - South Jackson StreetPottsville | 22 | $56,092 | $9,850 | $8,598 |
| Altoona Regional Health SystemAltoona | 22 | $38,432 | $9,712 | $8,432 |
| Wayne Memorial HospitalHonesdale | 22 | $35,783 | $10,544 | $9,432 |
| Heritage Valley BeaverBeaver | 20 | $13,930 | $9,974 | $8,482 |
| Good Samaritan HospitalLebanon | 20 | $41,752 | $10,180 | $8,967 |
| Conemaugh Valley Memorial HospitalJohnstown | 20 | $30,184 | $11,756 | $9,882 |
| Pottstown Memorial Med CenterPottstown | 20 | $58,863 | $8,620 | $7,478 |
| Pocono Medical CenterEast Stroudsburg | 20 | $65,109 | $10,410 | $8,151 |
| Doylestown HospitalDoylestown | 20 | $35,012 | $8,869 | $7,834 |
| Penn Presbyterian Medical CenterPhiladelphia | 20 | $106,038 | $13,635 | $11,759 |
| UPMC EastMonroeville | 19 | $61,175 | $8,436 | $7,276 |
| Roxborough Memorial HospitalPhiladelphia | 18 | $66,963 | $12,139 | $8,980 |
| Washington Hospital, theWashington | 16 | $13,514 | $9,341 | $8,387 |
| Lansdale HospitalLansdale | 15 | $36,823 | $8,381 | $7,620 |
| Easton HospitalEaston | 15 | $64,071 | $11,825 | $8,971 |
| Butler Health SystemButler | 15 | $27,489 | $9,018 | $7,712 |
| UPMC HorizonGreenville | 15 | $48,100 | $8,558 | $7,270 |
| Jameson Memorial HospitalNew Castle | 14 | $27,445 | $8,472 | $7,197 |
| Somerset HospitalSomerset | 14 | $16,682 | $9,447 | $8,165 |
| Ephrata Community HospitalEphrata | 14 | $41,578 | $8,904 | $7,505 |
| Pennsylvania Hosp of the Univ of Pa Health SysPhiladelphia | 14 | $100,530 | $14,626 | $12,910 |
| Evangelical Community HospitalLewisburg | 13 | $55,475 | $8,361 | $7,231 |
| Mercy Suburban HospitalNorristown | 13 | $61,016 | $11,942 | $10,192 |
| UPMC McKeesportMcKeesport | 12 | $38,109 | $11,273 | $9,656 |
| UPMC MercyPittsburgh | 12 | $62,004 | $12,224 | $9,586 |
| Canonsburg General HospitalCanonsburg | 12 | $36,032 | $7,976 | $7,024 |
| Heritage Valley SewickleySewickley | 11 | $19,732 | $8,774 | $7,905 |
| Excela Health Frick HospitalMt Pleasant | 11 | $26,946 | $9,374 | $7,008 |
Lowest and highest payments in Pennsylvania
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
| Canonsburg General HospitalCanonsburg, PA | $7,976 |
|---|---|
| St Clair Memorial HospitalPittsburgh, PA | $8,161 |
| Jefferson Regional Medical CenterClairton, PA | $8,167 |
| Evangelical Community HospitalLewisburg, PA | $8,361 |
| Lansdale HospitalLansdale, PA | $8,381 |
Highest
| Hospital of the Univ of PaPhiladelphia, PA | $22,112 |
|---|---|
| Albert Einstein Medical CenterPhiladelphia, PA | $16,490 |
| Thomas Jefferson University HospitalPhiladelphia, PA | $16,083 |
| Temple University HospitalPhiladelphia, PA | $15,876 |
| Mercy Health SystemConshohocken, PA | $15,587 |
Pulmonary edema and respiratory failure in other states
Questions
How much does pulmonary edema and respiratory failure cost in Pennsylvania?
In 2024 Medicare data, a hospital stay for pulmonary edema and respiratory failure (DRG 189) at 98 hospitals in Pennsylvania was billed at $66,345 on average, while the average total payment was $11,304, of which Medicare paid $8,905. 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 Pennsylvania, average charges were 5.9 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.