Inpatient stay · MS-DRG 291

Heart failure cost in Texas, with major complications

In 2024, Medicare and patients paid an average of $11,821 per stay at 194 Texas hospitals, about the same as the national average of $12,050. That is the 17th highest of 51 states. Half of Texas hospitals averaged between $10,057 and $12,097.

Medicare’s name: Heart failure and shock with MCC (MS-DRG 291)

Also known as: Heart failure, CHF

Texas figures, 2024

Average payment per case: $11,821
Typical range (middle half of hospitals): $10,057–$12,097
Medicare’s share: $10,10886% of the payment
Average billed charge: $68,207
Hospitals reporting: 19420,162 stays

Compare with hospitals nationwide

National figures, 2024

Average payment per case: $12,050
Typical range (middle half of hospitals): $9,780–$12,873
Medicare’s share: $10,02283% of the payment
Average billed charge: $56,495
Hospitals reporting: 2,587304,694 stays

Hospitals in Texas, plus your selected hospitals

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Average payment across these 195 hospitals: $11,797National $12,050 · Texas $11,821
Median hospital: $10,881
Lowest to highest: $7,631–$124,840
Medicare stays: 21,379

195 hospitals reported at least 11 Medicare stays for this in 2024; showing 151–195. Download as CSV

Medicare payments per case for Heart failure and shock with MCC by hospital, 2024
Hospital	Cases	Average payment	vs national average	Medicare paid	Billed charge
Rio Grande Regional HospitalMcallen, TX · CCN 450711	43	$12,317	About average	$10,662	$124,370
UT Of Texas Southwestern University Hospital - William P. Clements Jr.Dallas, TX · CCN 450044	230	$12,323	About average	$8,620	$45,694
Northwest Texas HospitalAmarillo, TX · CCN 450209	86	$12,348	About average	$11,091	$125,298
Memorial Hermann Hospital SystemHouston, TX · CCN 450184	617	$12,420	About average	$10,629	$49,869
South Texas Health SystemEdinburg, TX · CCN 450119	99	$12,449	About average	$11,457	$150,469
Memorial Hermann Northeast HospitalHumble, TX · CCN 450684	152	$12,453	About average	$11,243	$55,121
Ascension Seton NorthwestAustin, TX · CCN 450867	24	$12,615	About average	$11,528	$69,241
Matagorda Regional Medical CenterBay City, TX · CCN 450465	31	$12,627	About average	$11,522	$20,767
Medical City ArlingtonArlington, TX · CCN 450675	86	$12,663	About average	$10,519	$106,960
UT Health East Texas Carthage HospitalCarthage, TX · CCN 450210	13	$12,735	About average	$11,605	$55,666
UT Health East Texas Jacksonville HospitalJacksonville, TX · CCN 450194	11	$12,827	About average	$12,085	$83,444
Texas Health Harris Methodist Hospital StephenvillStephenville, TX · CCN 450351	18	$12,859	About average	$11,589	$32,340
Baylor St Lukes Medical CenterHouston, TX · CCN 450193	130	$13,137	About average	$10,136	$74,180
Cuero Regional HospitalCuero, TX · CCN 450597	20	$13,297	10% above the national average	$12,483	$30,013
Rolling Plains Memorial HospitalSweetwater, TX · CCN 450055	14	$13,321	11% above the national average	$12,618	$24,443
HCA Houston Healthcare WestHouston, TX · CCN 450644	48	$13,391	11% above the national average	$11,977	$100,961
Freestone Medical CenterFairfield, TX · CCN 450658	12	$13,407	11% above the national average	$12,455	$35,194
Christus Spohn Hospital Corpus ChristiCorpus Christi, TX · CCN 450046	125	$13,448	12% above the national average	$12,092	$69,157
Covenant Hospital PlainviewPlainview, TX · CCN 450539	13	$13,547	12% above the national average	$12,291	$29,655
Doctors Hosptal At RenaissanceEdinburg, TX · CCN 450869	71	$13,647	13% above the national average	$11,433	$46,226
Scenic Mountain Medical CenterBig Spring, TX · CCN 450653	21	$13,757	14% above the national average	$12,824	$44,860
Baylor University Medical CenterDallas, TX · CCN 450021	213	$13,762	14% above the national average	$9,812	$47,863
Christus Spohn Hospital AliceAlice, TX · CCN 450828	40	$13,799	15% above the national average	$12,647	$50,035
Oakbend Medical CenterRichmond, TX · CCN 450330	22	$14,052	17% above the national average	$12,829	$35,769
Christus Spohn Hospital KlebergKingsville, TX · CCN 450163	26	$14,054	17% above the national average	$12,861	$46,828
UT Health East Texas Henderson HospitalHenderson, TX · CCN 450475	13	$14,245	18% above the national average	$10,017	$48,784
Houston Methodist HospitalHouston, TX · CCN 450358	513	$14,276	18% above the national average	$10,537	$91,730
Val Verde Regional Medical CenterDel Rio, TX · CCN 450154	19	$14,331	19% above the national average	$13,301	$33,946
Methodist Dallas Medical CenterDallas, TX · CCN 450051	95	$14,391	19% above the national average	$11,107	$51,992
Baylor Scott & White Medical Center - TempleTemple, TX · CCN 450054	136	$14,413	20% above the national average	$10,335	$54,127
CHI St Lukes Health Memorial LivingstonLivingston, TX · CCN 450395	38	$14,736	22% above the national average	$13,662	$50,997
HCA Houston Healthcare SoutheastPasadena, TX · CCN 450097	55	$14,870	23% above the national average	$13,537	$105,177
Christus Spohn Hospital BeevilleBeeville, TX · CCN 450082	14	$15,070	25% above the national average	$13,905	$55,439
HCA Houston Healthcare NorthwestHouston, TX · CCN 450638	53	$15,179	26% above the national average	$14,301	$95,592
University Of Texas Medical Branch GalvestonGalveston, TX · CCN 450018	227	$15,440	28% above the national average	$12,144	$38,619
University Medical CenterLubbock, TX · CCN 450686	138	$15,485	29% above the national average	$13,552	$57,578
Christus Jasper Memorial HospitalJasper, TX · CCN 450573	13	$15,898	32% above the national average	$14,768	$26,170
Memorial Hermann - Texas Medical CenterHouston, TX · CCN 450068	182	$16,816	40% above the national average	$13,104	$75,110
HCA Houston Healthcare Medical CenterHouston, TX · CCN 450659	35	$17,328	44% above the national average	$8,846	$152,753
Dell Seton Medical Center At The University Of TXAustin, TX · CCN 450124	12	$23,212	93% above the national average	$21,167	$100,054
University Medical Center Of El PasoEl Paso, TX · CCN 450024	42	$25,257	110% above the national average	$23,497	$39,728
University Health SystemSan Antonio, TX · CCN 450213	74	$28,866	140% above the national average	$21,725	$62,017
JPS Health NetworkFort Worth, TX · CCN 450039	97	$40,889	239% above the national average	$39,250	$62,948
Parkland Health & Hospital SystemDallas, TX · CCN 450015	165	$52,862	339% above the national average	$49,910	$65,302
Harris HealthHouston, TX · CCN 450289	46	$124,840	936% above the national average	$121,092	$29,615

National trend

Average payment and billed charge per stay, and how many Medicare stays were reported each year.

Average payment
Average billed charge

2020: 303,430 stays at 2,659 hospitals · 2021: 310,937 stays at 2,653 hospitals · 2022: 324,750 stays at 2,677 hospitals · 2023: 319,702 stays at 2,633 hospitals · 2024: 304,694 stays at 2,587 hospitals

View data as a table

National average payment and billed charge for Heart failure and shock with MCC
Year of care	Average payment	Average billed charge
2020	$11K	$48K
2021	$11K	$50K
2022	$11K	$51K
2023	$12K	$54K
2024	$12K	$56K

By state, 2024

Case-weighted average payment across each state’s reporting hospitals, lowest first.

Show all 51 states

Average payment by state for Heart failure and shock with MCC, 2024
State	Hospitals	Cases	Average payment	Typical range
Vermont	6	530	$8,624	$7,205–$8,483
Arkansas	34	3,283	$9,415	$8,726–$10,035
Mississippi	39	3,620	$9,460	$8,942–$10,481
Kentucky	53	4,869	$9,551	$8,982–$10,111
Louisiana	51	4,664	$9,739	$8,509–$10,365
Iowa	28	2,899	$9,839	$8,941–$10,522
Alabama	49	4,230	$9,996	$8,819–$10,109
Oklahoma	48	4,164	$9,999	$9,144–$10,948
Kansas	32	2,692	$10,293	$8,844–$11,376
Tennessee	62	6,623	$10,310	$9,047–$10,655
Indiana	71	7,335	$10,316	$9,598–$11,238
Montana	10	805	$10,441	$9,850–$10,503
North Dakota	6	842	$10,494	$10,256–$10,994
West Virginia	21	2,071	$10,504	$8,859–$11,271
Nebraska	20	1,742	$10,527	$9,358–$11,413
Missouri	59	6,883	$10,532	$9,254–$11,570
Idaho	11	885	$10,635	$10,356–$11,616
Ohio	107	12,342	$10,650	$9,081–$11,274
South Carolina	47	5,966	$10,691	$9,362–$12,203
Florida	162	23,493	$10,713	$9,469–$11,460
Wisconsin	58	4,850	$10,871	$9,518–$11,045
Virginia	69	10,175	$11,030	$9,754–$11,392
Colorado	38	2,510	$11,055	$10,002–$11,883
South Dakota	11	888	$11,071	$9,390–$11,439
New Hampshire	13	1,723	$11,075	$9,825–$11,590
Pennsylvania	118	15,656	$11,113	$9,311–$11,630
New Mexico	19	1,162	$11,284	$9,736–$12,669
North Carolina	76	9,559	$11,304	$9,767–$11,094
Arizona	48	4,873	$11,458	$9,896–$12,175
Utah	23	1,228	$11,493	$9,403–$10,531
Michigan	79	9,464	$11,569	$10,590–$11,945
Delaware	6	1,767	$11,734	$11,118–$12,270
Minnesota	45	4,298	$11,754	$10,108–$11,885
Illinois	105	15,144	$11,807	$9,926–$12,206
Texas	194	20,162	$11,821	$10,057–$12,097
Maine	16	1,030	$11,929	$10,800–$12,873
Georgia	78	9,106	$11,997	$10,246–$12,167
Washington	44	5,302	$12,124	$11,153–$12,266
Nevada	19	2,321	$12,427	$11,322–$13,526
Rhode Island	9	927	$12,554	$10,312–$13,226
New Jersey	60	11,041	$12,802	$11,259–$15,132
Oregon	28	2,466	$12,977	$11,369–$13,841
Massachusetts	51	11,540	$12,996	$10,513–$14,354
Connecticut	25	3,928	$13,920	$11,973–$13,882
Wyoming	8	488	$14,218	$14,134–$16,497
California	245	26,610	$15,543	$13,248–$16,171
District of Columbia	6	814	$15,583	$13,813–$18,333
New York	121	16,510	$16,039	$11,796–$17,776
Hawaii	11	745	$16,278	$14,928–$18,200
Alaska	7	537	$16,280	$15,082–$20,331
Maryland	41	7,932	$16,644	$13,925–$19,276

About these numbers

Average payment is what Medicare paid plus the patient’s deductible and coinsurance (and any other insurer), averaged over the hospital’s Medicare cases. It covers the hospital’s part of the care; doctors bill separately. Billed charges are the hospital’s list prices, which few patients pay.

Medicare sets its payments by formula, adjusting for local wages, teaching programs, the share of low-income patients and unusually costly cases. Those adjustments drive most differences between hospitals, so a lower payment doesn’t mean better or worse care, and Medicare patients’ own costs usually vary much less than the totals. Private insurance pays different, usually higher, prices.

Source: CMS Medicare Inpatient Hospitals by Provider and Service (Medicare fee-for-service claims). CMS omits hospitals with fewer than 11 stays. More in the glossary.