PULMONARY EDEMA AND RESPIRATORY FAILURE
Medicare inpatient claims for MS-DRG 189. National volume + top hospitals + geographic distribution. Sourced from CMS Medicare Inpatient Hospitals by Provider; refreshed annually.
What is MS-DRG 189?
MS-DRG 189 is the Medicare Severity Diagnosis-Related Group for PULMONARY EDEMA AND RESPIRATORY FAILURE. When a Medicare patient is discharged, the hospital stay is grouped into a single MS-DRG, and Medicare reimburses the hospital a fixed, predetermined amount for that group rather than itemizing each service.
Across the CMS Medicare Inpatient Hospitals by Provider dataset, 2,268 hospitals reported 180,108 discharges for MS-DRG 189. The average hospital submitted charge was $56K, while the average amount Medicare actually paid was $10K — a 5.8× gap between list price and reimbursement, which is typical for Medicare inpatient claims.