go back

Pulmonary Edema and Respiratory Failure

California rates for MS-DRG 189

Pulmonary Edema and Respiratory Failure

Rates data updated July 2026.

How much does Pulmonary Edema and Respiratory Failure cost?

$30,903

Typical facility fee. In California, July 2026.

Insurers have agreed to pay about $30,903 for this service. Most negotiated rates run $23,442 to $44,668.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 8 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $30,903 · 10th to 90th $16,596 to $52,481
$200$1K$5K$20Kfacility $30,903

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$19,054.61
Median
$28,840.32
Typical High
$52,480.75
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$17,782.79
Median
$30,902.95
Typical High
$52,480.75
Blue Shield
Setting
Facility
Modifier
Global
Typical Low
$8,912.51
Median
$19,952.62
Typical High
$44,668.36
Cigna
Setting
Facility
Modifier
Global
Typical Low
$16,982.44
Median
$25,118.86
Typical High
$43,651.58
Kaiser Permanente
Setting
Facility
Modifier
Global
Typical Low
$141.25
Median
$194.98
Typical High
$302.00
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$44,668.36
Median
$44,668.36
Typical High
$44,668.36
Providence
Setting
Facility
Modifier
Global
Typical Low
$17,378.01
Median
$28,183.83
Typical High
$50,118.72
United
Setting
Facility
Modifier
Global
Typical Low
$5,011.87
Median
$21,877.62
Typical High
$47,863.01

Where California sits

The same service costs 4.9 times more in Montana than in New Mexico. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

California· 2nd of 51

$30,903

MT $48,978NM $10,000

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.