Inpatient stay · MS-DRG 291

Heart failure cost, with major complications

In 2024, Medicare and patients paid an average of $12,050 per stay at 2,587 hospitals. Half of hospitals averaged between $9,780 and $12,873.

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

Also known as: Heart failure, CHF

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 within 50 miles of AdventHealth Orlando, plus your selected hospitals

Narrow by a state, city or ZIP code (optionally a distance around it), and/or pick specific hospitals. With both, your picks are added to the area’s hospitals.

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Year of care

Average payment across these 25 hospitals: $10,206National $12,050 · Florida $10,713
Median hospital: $9,638
Lowest to highest: $8,108–$12,527
Medicare stays: 4,274

25 hospitals reported at least 11 Medicare stays for this in 2024. 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
Viera HospitalMelbourne, FL · 46 mi · CCN 100315	73	$8,108	33% below the national average	$7,057	$45,600
The Villages Regional HospitalThe Villages, FL · 44 mi · CCN 100290	333	$8,317	31% below the national average	$7,219	$48,130
UF Health Leesburg HospitalLeesburg, FL · 34 mi · CCN 100084	244	$8,772	27% below the national average	$7,587	$48,790
UCF Lake Nona HospitalOrlando, FL · 15 mi · CCN 100350	24	$8,923	26% below the national average	$7,971	$100,987
Orlando Health South Lake HospitalClermont, FL · 21 mi · CCN 100051	189	$9,116	24% below the national average	$7,985	$79,946
AdventHealth WatermanTavares, FL · 27 mi · CCN 100057	296	$9,146	24% below the national average	$8,082	$43,623
AdventHealth Heart Of FloridaDavenport, FL · 32 mi · CCN 100137	43	$9,268	23% below the national average	$8,206	$72,614
AdventHealth Daytona BeachDaytona Beach, FL · 49 mi · CCN 100068	211	$9,320	23% below the national average	$8,090	$46,339
AdventHealth New Smyrna BeachNew Smyrna Beach, FL · 41 mi · CCN 100014	94	$9,325	23% below the national average	$8,405	$34,528
Parrish Medical CenterTitusville, FL · 33 mi · CCN 100028	83	$9,513	21% below the national average	$8,167	$40,423
Orlando Health St Cloud HospitalSaint Cloud, FL · 23 mi · CCN 100302	66	$9,588	20% below the national average	$8,357	$85,336
Cape Canaveral HospitalCocoa Beach, FL · 48 mi · CCN 100177	70	$9,610	20% below the national average	$8,099	$37,696
AdventHealth DelandDeland, FL · 32 mi · CCN 100045	93	$9,638	20% below the national average	$8,517	$40,036
AdventHealth Fish MemorialOrange City, FL · 24 mi · CCN 100072	143	$9,689	20% below the national average	$8,488	$48,405
Orlando Health Rockledge HospitalRockledge, FL · 43 mi · CCN 100092	72	$9,816	19% below the national average	$8,593	$55,321
Winter Haven HospitalWinter Haven, FL · 43 mi · CCN 100052	208	$9,939	18% below the national average	$8,520	$45,353
Oviedo Medical CenterOviedo, FL · 10 mi · CCN 100329	46	$10,100	16% below the national average	$9,151	$79,533
Orlando Health-Health Central HospitalOcoee, FL · 9.7 mi · CCN 100030	115	$10,336	14% below the national average	$9,154	$81,225
AdventHealth Lake WalesLake Wales, FL · 48 mi · CCN 100099	29	$10,758	11% below the national average	$9,914	$100,672
HCA Florida Poinciana HospitalKissimmee, FL · 30 mi · CCN 100320	41	$10,781	11% below the national average	$9,746	$107,783
Halifax Health Medical CenterDaytona Beach, FL · 47 mi · CCN 100017	95	$10,861	About average	$9,523	$46,805
AdventHealth OrlandoSelectedOrlando, FL · 0 mi · CCN 100007	1,217	$11,391	About average	$8,763	$84,093
Orlando HealthOrlando, FL · 3.4 mi · CCN 100006	376	$11,680	About average	$10,171	$85,351
Central Florida Lake Monroe HospitalSanford, FL · 17 mi · CCN 100161	42	$11,844	About average	$8,793	$77,703
HCA Florida Osceola HospitalKissimmee, FL · 19 mi · CCN 100110	71	$12,527	About average	$10,936	$107,146

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.