Inpatient stays / DRG 189
MS-DRG 189 · 2,098 hospitals · 93,765 stays
DRG 189: Pulmonary Edema and Respiratory Failure
Medicare patients had 93,765 stays in DRG 189 in 2024. Hospitals charged an average of $57,570 per stay and were paid $12,198 — a ratio of 4.7 to 1 — of which Medicare's own share averaged $9,989. Average charges ran from $8,930 at the least expensive hospital to $561,008 at the most; half of hospitals charged between $34,608 and $70,700.
- 1Average charge $57,570
- 2Average paid $12,198
- 3Reporting hospitals 2,098
- 4Medicare stays 93,765
By state
Average charges for DRG 189 were highest in California ($104,292) and lowest in Maryland ($23,291). Payments vary far less than charges, because Medicare sets them: they range across states from $8,115 to $20,993.
| State | Stays | Avg charge | Avg paid | Ratio |
|---|---|---|---|---|
| California | 7,528 | $104,292 | $15,897 | 6.6× |
| New Jersey | 2,375 | $97,805 | $12,570 | 7.8× |
| Alaska | 327 | $91,419 | $16,104 | 5.7× |
| Nevada | 1,016 | $89,432 | $11,924 | 7.5× |
| Colorado | 1,068 | $77,535 | $11,131 | 7× |
| District of Columbia | 170 | $74,757 | $15,386 | 4.9× |
| New York | 5,093 | $74,150 | $15,119 | 4.9× |
| Florida | 5,724 | $72,382 | $10,641 | 6.8× |
| Texas | 7,755 | $65,957 | $11,822 | 5.6× |
| Pennsylvania | 4,265 | $65,329 | $11,268 | 5.8× |
| Arizona | 1,506 | $59,227 | $11,598 | 5.1× |
| Washington | 1,953 | $57,551 | $11,854 | 4.9× |
| Georgia | 2,406 | $55,758 | $11,742 | 4.7× |
| South Carolina | 1,969 | $54,819 | $10,948 | 5× |
| Alabama | 1,128 | $54,397 | $10,070 | 5.4× |
| Missouri | 1,871 | $53,702 | $10,787 | 5× |
| Kansas | 1,108 | $53,050 | $10,004 | 5.3× |
| Illinois | 4,268 | $50,573 | $11,480 | 4.4× |
| Connecticut | 1,003 | $50,454 | $13,750 | 3.7× |
| Oklahoma | 1,669 | $50,283 | $10,196 | 4.9× |
| Virginia | 2,256 | $49,409 | $10,895 | 4.5× |
| Mississippi | 1,270 | $48,358 | $9,556 | 5.1× |
| Hawaii | 177 | $48,044 | $16,250 | 3× |
| South Dakota | 512 | $47,652 | $11,675 | 4.1× |
| Tennessee | 2,070 | $46,082 | $10,179 | 4.5× |
| Louisiana | 1,253 | $45,592 | $9,803 | 4.7× |
| Utah | 491 | $45,495 | $11,834 | 3.8× |
| Nebraska | 719 | $45,487 | $11,083 | 4.1× |
| Maine | 338 | $45,067 | $14,390 | 3.1× |
| Ohio | 3,468 | $44,002 | $10,477 | 4.2× |
| Idaho | 474 | $43,340 | $10,491 | 4.1× |
| Oregon | 848 | $42,760 | $12,368 | 3.5× |
| New Mexico | 493 | $42,393 | $11,604 | 3.7× |
| Kentucky | 1,865 | $42,054 | $9,410 | 4.5× |
| Minnesota | 1,432 | $41,872 | $11,683 | 3.6× |
| West Virginia | 948 | $41,781 | $10,667 | 3.9× |
| Delaware | 438 | $41,708 | $12,021 | 3.5× |
| Indiana | 2,444 | $41,261 | $10,352 | 4× |
| North Carolina | 2,337 | $41,108 | $11,347 | 3.6× |
| Rhode Island | 221 | $40,970 | $12,735 | 3.2× |
| Wisconsin | 1,660 | $40,535 | $10,823 | 3.7× |
| Iowa | 1,223 | $39,347 | $10,151 | 3.9× |
| Arkansas | 1,356 | $38,336 | $9,184 | 4.2× |
| Michigan | 3,054 | $37,617 | $11,581 | 3.2× |
| New Hampshire | 483 | $36,724 | $11,286 | 3.3× |
| North Dakota | 339 | $36,026 | $11,059 | 3.3× |
| Wyoming | 138 | $35,484 | $14,338 | 2.5× |
| Vermont | 428 | $34,049 | $8,115 | 4.2× |
| Montana | 259 | $30,540 | $10,242 | 3× |
| Massachusetts | 2,461 | $28,925 | $12,483 | 2.3× |
| Maryland | 4,108 | $23,291 | $20,993 | 1.1× |
Highest average charges
| Hospital | Charge | Paid |
|---|---|---|
| Capital Health Regional Medical Center Trenton, NJ · 19 stays | $561,008 | $16,468 |
| Capital Health Medical Center - Hopewell Pennington, NJ · 32 stays | $455,479 | $13,529 |
| Stanford Health Care Stanford, CA · 100 stays | $369,459 | $33,952 |
| Cedars-Sinai Medical Center Los Angeles, CA · 34 stays | $348,855 | $27,972 |
| Los Robles Hospital & Medical Center Thousand Oaks, CA · 89 stays | $267,668 | $18,266 |
| San Ramon Regional Medical Center San Ramon, CA · 13 stays | $241,893 | $13,115 |
| Regional Medical Center of San Jose San Jose, CA · 32 stays | $226,829 | $15,348 |
| Doctors Medical Center Modesto, CA · 24 stays | $224,183 | $13,261 |
| Martin Luther King, Jr. Community Hospital Los Angeles, CA · 21 stays | $220,223 | $20,744 |
| Garfield Medical Center Monterey Park, CA · 13 stays | $215,160 | $13,170 |
Lowest average charges
| Hospital | Charge | Paid |
|---|---|---|
| Tuba City Regional Health Care Corporation Tuba City, AZ · 18 stays | $8,930 | $15,951 |
| Northern Regional Hospital Mount Airy, NC · 19 stays | $12,253 | $9,103 |
| Essentia Health Duluth Duluth, MN · 17 stays | $12,440 | $9,176 |
| Highland Hills Medical Center Senatobia, MS · 14 stays | $12,786 | $8,950 |
| P H S Indian Hosp at Belcourt-Quentin N Burdick Belcourt, ND · 19 stays | $13,376 | $13,836 |
| UPMC Washington Washington, PA · 16 stays | $13,514 | $9,341 |
| Heritage Valley Beaver Beaver, PA · 20 stays | $13,930 | $9,974 |
| Whitfield Regional Hospital Demopolis, AL · 12 stays | $14,182 | $9,613 |
| Carteret General Hospital Morehead City, NC · 23 stays | $14,489 | $10,785 |
| Ascension St Joseph Hospital Tawas City, MI · 15 stays | $14,636 | $10,649 |
These are averages over each hospital's Medicare stays in this DRG, which mix simple and complicated cases. A high average charge is the hospital's pricing, not a sign of better or worse care, and not what a patient pays: Medicare patients owe the inpatient deductible, and people with other coverage pay their plan's negotiated rate.
Sources: CMS Medicare Inpatient Hospitals — by Provider and Service / by Geography and Service, data year 2024. Hospitals with fewer than 11 stays are suppressed by CMS. Checked 2026-10-24. Methodology.