DRG 189 Medical
Pulmonary Edema and Respiratory Failure
Hospital inpatient stay cost data from CMS
Avg Medicare Payment
$8,030
National average
Avg Total Costs
$11,506
CMS Inpatient data
Avg Length of Stay
3.5 days
CMS MS-DRG
Est. Commercial Insurance
$12,045 — $20,075
1.5x — 2.5x Medicare
Annual Discharges
90,117
Medicare beneficiaries
CMS Inpatient National Data
From CMS Medicare Provider Utilization & Payment Data (FY 2023)
90,117
Total Discharges
$11,506
Avg Total Costs
$9,437
Avg Medicare Payment
Frequently Asked Questions
How much does a hospital stay for pulmonary edema and respiratory failure cost?
The average Medicare payment for DRG 189 is $8,030. Average hospital costs are $11,506. Commercial insurance typically pays 150-250% of Medicare rates ($12,045 — $20,075).
How long is the hospital stay for DRG 189?
The average length of stay is 3.5 days. This varies by severity — patients with complications or comorbidities may stay longer.
How much does this hospital stay cost without insurance?
Without insurance, you may be billed the hospital's chargemaster rate, which can be 3-5x the actual cost. Request an itemized bill and ask about financial assistance programs. Many hospitals offer 40-60% discounts for self-pay patients.