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Pulmonary Edema and Respiratory Failure

Massachusetts rates for MS-DRG 189

Pulmonary Edema and Respiratory Failure

Rates data updated July 2026.

How much does Pulmonary Edema and Respiratory Failure cost?

$19,055

Typical facility fee. In Massachusetts, July 2026.

Insurers have agreed to pay about $19,055 for this service. Most negotiated rates run $11,482 to $26,303.

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 7 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $19,055 · 10th to 90th $9,333 to $32,359
$200$1K$5K$20Kfacility $19,055

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
$11,481.54
Median
$20,417.38
Typical High
$32,359.37
AllWays Health Partners
Setting
Facility
Modifier
Global
Typical Low
$6,165.95
Median
$17,782.79
Typical High
$46,773.51
Cigna
Setting
Facility
Modifier
Global
Typical Low
$10,964.78
Median
$18,620.87
Typical High
$27,542.29
Fallon Health
Setting
Facility
Modifier
Global
Typical Low
$154.88
Median
$173.78
Typical High
$26,915.35
Harvard Pilgrim
Setting
Facility
Modifier
Global
Typical Low
$6,165.95
Median
$17,378.01
Typical High
$46,773.51
Mass General Brigham
Setting
Facility
Modifier
Global
Typical Low
$6,165.95
Median
$17,782.79
Typical High
$46,773.51
United
Setting
Facility
Modifier
Global
Typical Low
$7,413.10
Median
$14,791.08
Typical High
$37,153.52

Where Massachusetts 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.

Massachusetts· 29th of 51

$19,055

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.