Updated April 2026

Pulmonary Edema and Respiratory Failure in Michigan

76 Michigan hospitals report Medicare totals for this DRG, averaging $13,107 (close to the $13,813 national mean), with a 2× spread from $8,467 to $19,305. 3 carry an A grade, 0 carry an F.

The Respiratory procedure Pulmonary Edema and Respiratory Failure carries DRG code 189 in the CMS classification system. 2,752 hospitals in Michigan report payment data, averaging $13,813 per procedure — median $13,365, ranging from $4,632 to $29,837. A $29,837 maximum and $4,632 minimum on the same DRG procedure is normal for the Medicare payment system — DRG codes bundle cases that may differ in complexity, and hospital wage-index adjustments alone can move payments by 30% across regions.

Within Michigan, the 2,752 hospitals reporting this procedure span the full range of ownership types and hospital sizes. The state-specific average ($13,813) is shaped by which hospitals in the state see enough volume to report the DRG code at all. For patients with elective scheduling on Pulmonary Edema and Respiratory Failure, the cost-comparison logic is straightforward: the per-procedure payment range is meaningfully wide, so the hospital chosen affects total cost. For patients in an emergency, the choice is functionally fixed — but the listed prices still matter for insurance-coverage and out-of-pocket planning.

About This Procedure

Respiratory DRGs include pneumonia, COPD, ventilator-supported respiratory failure, and chronic lung disease. Length of stay drives most of the cost spread, especially for ventilator cases that cross the 96-hour threshold.

Pulmonary Edema and Respiratory Failure is Medicare DRG 189 in the Respiratory category. National Medicare average for this DRG is $13,813 across 2,752 reporting hospitals. The state-level view here filters that universe down to Michigan only.

Cost Picture in Michigan

Michigan's average for this DRG sits close to the national Medicare mean. State-level differences are explained primarily by the regional Medicare wage index — the multiplier CMS applies to standardize DRG payments to local labor costs — alongside hospital case mix and the concentration of academic referral centers in the state's larger metros.

Within the state, the 2× spread between the lowest- and highest-reporting facility usually reflects length-of-stay differences, complication adjustments for sicker patients, teaching-status add-ons, and outlier payments for unusually long stays. Two hospitals reporting the same DRG can post meaningfully different totals without anything “wrong” happening at either site. For non-Medicare patients, the more relevant figure is the negotiated commercial rate published in each hospital's machine-readable file under the CMS Hospital Price Transparency Rule.

Quality Alongside Price

For a planned admission, the most useful complement to the cost view is the hospital-specific quality data on CMS Care Compare. The site publishes risk-adjusted measures of mortality, readmission, complication, infection, and patient experience for every Medicare-participating hospital. The Agency for Healthcare Research and Quality (AHRQ) Patient Safety Indicators feed many of these CMS measures.

For complex procedures, hospital-level case volume correlates with outcomes in published research, even after risk adjustment. CMS publishes case counts on Care Compare alongside outcome measures.

Hospitals in Michigan Reporting Pulmonary Edema and Respiratory Failure

Sorted lowest to highest Medicare total payment. Pricing is informational and should be considered alongside CMS quality measures.

#	Hospital	City	Payment	Quality	Grade
1	Schoolcraft Memorial Hospital Manistique	Manistique	$8,467	Not Rated	C
2	Mymichigan Medical Center Midland Midland	Midland	$8,529	★★★★☆	B
3	Munson Healthcare Grayling Hospital Grayling	Grayling	$8,714	★★★☆☆	B
4	Mymichigan Medical Center West Branch West Branch	West Branch	$8,927	★★★★☆	B
5	Bell Hospital Ishpeming	Ishpeming	$9,295	Not Rated	C
6	Covenant Medical Center Saginaw	Saginaw	$9,581	★★☆☆☆	D
7	Spectrum Health United Hospital Greenville	Greenville	$9,647	★★★★☆	B
8	Oaklawn Hospital Marshall	Marshall	$9,688	★★★★☆	B
9	Mclaren Northern Michigan Petoskey	Petoskey	$9,851	★★★★☆	B
10	Walter P Reuther Psychiatric Hospital Westland	Westland	$10,244	Not Rated	C
11	Munising Memorial Hospital Munising	Munising	$10,310	Not Rated	C
12	Mclaren Oakland Pontiac	Pontiac	$10,351	★★☆☆☆	C
13	Mclaren Thumb Region Bad Axe	Bad Axe	$10,397	Not Rated	C
14	Ascension Providence Hospital, Southfield And Novi Southfield	Southfield	$10,418	★★★★☆	A
15	Corewell Health Big Rapids Hospital Big Rapids	Big Rapids	$10,451	★★★☆☆	C
16	Healthsource Saginaw Saginaw	Saginaw	$10,468	Not Rated	C
17	Tawas St Joseph Hospital Tawas City	Tawas City	$10,836	★★★☆☆	B
18	Henry Ford Health Behavioral Health Hospital Ferndale	Ferndale	$11,078	Not Rated	C
19	Beaumont Hospital Royal Oak Royal Oak	Royal Oak	$11,207	★★★☆☆	B
20	Beaumont Hospital - Dearborn Dearborn	Dearborn	$11,277	★☆☆☆☆	D
21	The Center For Forensic Psychiatry Saline	Saline	$11,319	Not Rated	C
22	Huron Valley-Sinai Hospital Commerce Township	Commerce Township	$11,568	★★☆☆☆	C
23	Scheurer Hospital Pigeon	Pigeon	$11,779	Not Rated	C
24	Aspirus Iron River Hospital & Clinics, Inc Iron River	Iron River	$11,859	Not Rated	C
25	Henry Ford Health Warren Hospital Warren	Warren	$12,068	★★☆☆☆	C
26	Munson Medical Center Traverse City	Traverse City	$12,212	★★★★☆	B
27	Trinity Health Oakland Hospital Pontiac	Pontiac	$12,401	★★☆☆☆	C
28	Beaumont Hospital - Farmington Hills Farmington Hills	Farmington Hills	$12,436	★★☆☆☆	C
29	Saint Mary's Standish Community Hospital Standish	Standish	$12,560	Not Rated	C
30	Forest Health Medical Center Ypsilanti	Ypsilanti	$12,622	Not Rated	C
31	Bronson South Haven Hospital South Haven	South Haven	$12,630	Not Rated	B
32	Wyandotte Hospital And Medical Center Wyandotte	Wyandotte	$12,659	★★☆☆☆	C
33	Corewell Health Watervliet Hospital Watervliet	Watervliet	$12,707	Not Rated	C
34	Children's Hospital Of Michigan Detroit	Detroit	$12,725	Not Rated	C
35	University Of Michigan Health - West Wyoming	Wyoming	$12,833	★★★★☆	B
36	Aspirus Keweenaw Hospital And Clinics Laurium	Laurium	$12,834	Not Rated	C
37	Promedica Monroe Regional Hospital Monroe	Monroe	$12,886	★★☆☆☆	C
38	Harper University Hospital Detroit	Detroit	$12,902	★☆☆☆☆	D
39	Corewell Health Gerber Hospital Fremont	Fremont	$12,910	★★★★☆	B
40	Paul Oliver Memorial Hospital Frankfort	Frankfort	$12,945	Not Rated	B
41	Mclaren Port Huron Port Huron	Port Huron	$12,963	★★☆☆☆	C
42	Trinity Health Muskegon Hospital Muskegon	Muskegon	$13,041	★★☆☆☆	C
43	Henry Ford Allegiance Health Jackson	Jackson	$13,163	★★★☆☆	C
44	Promedica Charles And Virginia Hickman Hospital Adrian	Adrian	$13,192	★★★★☆	C
45	Sparrow Clinton Hospital Saint Johns	Saint Johns	$13,218	★★★☆☆	C
46	Kalamazoo Regional Psychiatric Hospital Kalamazoo	Kalamazoo	$13,390	Not Rated	C
47	Ascension River District Hospital East China	East China	$13,602	★★★☆☆	B
48	Up Health System Portage Hancock	Hancock	$13,635	Not Rated	C
49	Munson Healthcare Cadillac Hospital Cadillac	Cadillac	$13,669	★★★★☆	B
50	Charlevoix Area Hospital Charlevoix	Charlevoix	$13,720	Not Rated	C
51	Corewell Health Pennock Hospital Hastings	Hastings	$13,802	★★★☆☆	B
52	Pine Rest Christian Mental Health Services Grand Rapids	Grand Rapids	$13,817	Not Rated	C
53	Kalamazoo Behavioral Health Hospital Kalamazoo	Kalamazoo	$14,185	Not Rated	C
54	Deckerville Community Hospital Deckerville	Deckerville	$14,203	Not Rated	C
55	Mymichigan Medical Center Alma Alma	Alma	$14,230	★★★☆☆	B
56	Sparrow Ionia Hospital Ionia	Ionia	$14,284	★★★★☆	B
57	Va Ann Arbor Healthcare System Ann Arbor	Ann Arbor	$14,319	★★★★★	A
58	Mclaren Greater Lansing Lansing	Lansing	$14,410	★★☆☆☆	C
59	Mymichigan Medical Center Clare Clare	Clare	$14,430	Not Rated	C
60	Metropolitan Behavioral Health Dearborn	Dearborn	$14,608	Not Rated	C
61	Harbor Oaks Hospital New Baltimore	New Baltimore	$15,005	Not Rated	C
62	Mclaren Central Michigan Mount Pleasant	Mount Pleasant	$15,060	★★★★☆	B
63	Ascension Genesys Hospital Grand Blanc	Grand Blanc	$15,077	★★☆☆☆	C
64	Beaumont Hospital, Troy Troy	Troy	$15,088	★★★☆☆	C
65	Lakeland Hospital, St Joseph St Joseph	St Joseph	$15,692	★★★★☆	B
66	Memorial Healthcare Owosso	Owosso	$15,707	★★★★☆	B
67	Detroit (john D. Dingell) Va Medical Center Detroit	Detroit	$16,603	★★★★★	A
68	Edward W Sparrow Hospital Lansing	Lansing	$16,775	★★★☆☆	B
69	Cedar Creek Hospital Saint Johns	Saint Johns	$17,105	Not Rated	C
70	Brightwell Behavioral Health East Lansing	East Lansing	$17,122	Not Rated	C
71	Borgess Medical Center Kalamazoo	Kalamazoo	$17,821	★★★☆☆	C
72	Mclaren Bay Region Bay City	Bay City	$18,139	★★☆☆☆	C
73	Karmanos Cancer Center Detroit	Detroit	$18,926	★★★☆☆	C
74	Munson Healthcare Otsego Memorial Hospital Gaylord	Gaylord	$19,026	★★★★☆	B
75	The Behavioral Center Of Michigan Warren	Warren	$19,241	Not Rated	D
76	Mymichigan Medical Center Alpena Alpena	Alpena	$19,305	★★★★★	B

Frequently Asked Questions

How much does pulmonary edema and respiratory failure cost in Michigan?

Pulmonary Edema and Respiratory Failure (DRG 189) averages $13,107 in total Medicare payment across 76 Michigan hospitals reporting this code. Within the state, payments span $8,467 to $19,305 — about 2× from cheapest to most expensive.

Is Pulmonary Edema and Respiratory Failure more or less expensive in Michigan than nationally?

Michigan's state-level average of $13,107 sits close to the national Medicare average of $13,813 for this DRG. State differences are driven primarily by the regional Medicare wage index, case mix, and the share of high-acuity referral hospitals.

Why is the spread between hospitals so wide?

Variation within a state runs 2× because the same DRG can come with different lengths of stay, complication adjustments, teaching-status add-ons, and outlier payments. The CMS Hospital Price Transparency Rule publishes machine-readable rate files that allow direct comparisons against negotiated commercial rates, which often differ from Medicare totals.

Are these the prices a privately insured patient would pay?

No. Figures here are Medicare DRG payments. Privately insured patients are billed under their plan's negotiated network rate, published in each hospital's price-transparency file. Uninsured patients should ask the hospital for the cash-pay rate, also disclosed under federal price-transparency rules.

Should I choose a hospital based only on price?

No. HospitalCostData is informational. Surgeon experience, hospital volume for the procedure, complication rates, and your specific clinical situation matter at least as much as price. Always discuss options with your physician and review CMS Care Compare quality data alongside any pricing benchmark.

See the methodology page for DRG sourcing and Medicare wage-index context.

Sources & Citations

CMS Medicare Inpatient Hospital Payments (IPPS). DRG-level average covered charges, total payments, and Medicare payments per facility. data.cms.gov
CMS Hospital Compare (Care Compare). Star ratings, mortality, readmission, safety-of-care, and patient-experience measures. medicare.gov/care-compare
CMS Hospital Price Transparency Rule. Standard charge files required from every Medicare-participating hospital. cms.gov/hospital-price-transparency
Agency for Healthcare Research and Quality (AHRQ). National benchmarks, quality indicators, and clinical context for hospital outcome measures. ahrq.gov

Dataset last refreshed: April 2026. Underlying CMS files are public domain. Suggested citation: “HospitalCostData, hospitalcostdata.com, accessed May 24, 2026.”

This page is informational only and does not constitute medical, legal, or financial advice. Care decisions should be made with a licensed physician.

Source: CMS Hospital Price Transparency, 2026.