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Pulmonary Edema and Respiratory Failure

Maine rates for MS-DRG 189

Pulmonary Edema and Respiratory Failure

Rates data updated July 2026.

How much does Pulmonary Edema and Respiratory Failure cost?

$23,442

Typical facility fee. In Maine, July 2026.

Insurers have agreed to pay about $23,442 for this service. Most negotiated rates run $19,055 to $24,547.

Few insurers publish rates for this combination, so treat this figure as a rough guide.

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 4 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $23,442 · 10th to 90th $15,849 to $28,840
$10K$20Kfacility $23,442

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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$14,454.40
Median
$24,547.09
Typical High
$28,840.32
Cigna
Setting
Facility
Modifier
Global
Typical Low
$16,218.10
Median
$19,054.61
Typical High
$37,153.52
Harvard Pilgrim
Setting
Facility
Modifier
Global
Typical Low
$19,054.61
Median
$19,054.61
Typical High
$19,054.61
United
Setting
Facility
Modifier
Global
Typical Low
$15,848.93
Median
$15,848.93
Typical High
$15,848.93

Where Maine 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.

Maine· 13th of 51

$23,442

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.