go back

Pulmonary Edema and Respiratory Failure

Texas rates for MS-DRG 189

Pulmonary Edema and Respiratory Failure

Rates data updated July 2026.

How much does Pulmonary Edema and Respiratory Failure cost?

$15,849

Typical facility fee. In Texas, July 2026.

Insurers have agreed to pay about $15,849 for this service. Most negotiated rates run $11,220 to $20,893.

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 6 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $15,849 · 10th to 90th $7,586 to $28,840
$5K$10K$20K$50Kfacility $15,849

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
$11,748.98
Median
$17,782.79
Typical High
$34,673.69
BCBS
Setting
Facility
Modifier
Global
Typical Low
$6,456.54
Median
$12,589.25
Typical High
$21,379.62
Cigna
Setting
Facility
Modifier
Global
Typical Low
$11,220.18
Median
$19,054.61
Typical High
$33,884.42
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
$11,220.18
Median
$16,218.10
Typical High
$37,153.52
United
Setting
Facility
Modifier
Global
Typical Low
$6,760.83
Median
$13,182.57
Typical High
$30,902.95

Where Texas 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.

Texas· 35th of 51

$15,849

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.