Inpatient stay · MS-DRG 291

Heart failure and shock with MCC

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.

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

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2,587 hospitals reported at least 11 Medicare stays for this in 2024; showing 801–850. 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
Palestine Regional Medical CenterPalestine, TX · CCN 450747	28	$10,038	17% below the national average	$8,847	$60,573
Stanly Regional Medical CenterAlbemarle, NC · CCN 340119	59	$10,038	17% below the national average	$8,359	$40,124
Euclid HospitalEuclid, OH · CCN 360082	72	$10,043	17% below the national average	$7,525	$47,908
North Arkansas Regional Medical CenterHarrison, AR · CCN 040017	24	$10,045	17% below the national average	$8,957	$16,498
The Medical Center At RussellvilleRussellville, KY · CCN 180066	13	$10,045	17% below the national average	$8,664	$38,121
Hugh Chatham Memorial HospitalElkin, NC · CCN 340097	34	$10,052	17% below the national average	$8,936	$33,455
Medical City PlanoPlano, TX · CCN 450651	124	$10,052	17% below the national average	$8,610	$116,862
Cape Regional Medical Center IncCape May Court House, NJ · CCN 310011	156	$10,052	17% below the national average	$8,862	$59,228
Community Medical CenterMissoula, MT · CCN 270023	25	$10,054	17% below the national average	$8,681	$44,484
Highlands Medical CenterScottsboro, AL · CCN 010061	17	$10,058	17% below the national average	$8,714	$20,355
Piedmont Mountainside Hospital IncJasper, GA · CCN 110225	99	$10,058	17% below the national average	$8,645	$43,780
Inova Loudoun HospitalLeesburg, VA · CCN 490043	292	$10,068	16% below the national average	$8,454	$39,189
Elliot HospitalManchester, NH · CCN 300012	177	$10,071	16% below the national average	$9,044	$30,226
Wellspan Good Samaritan HospitalLebanon, PA · CCN 390066	141	$10,071	16% below the national average	$8,795	$32,160
Inova Fair Oaks HospitalFairfax, VA · CCN 490101	178	$10,072	16% below the national average	$8,570	$34,704
Forbes HospitalMonroeville, PA · CCN 390267	130	$10,073	16% below the national average	$7,692	$52,991
Houston Methodist Willowbrook HospitalHouston, TX · CCN 450844	231	$10,074	16% below the national average	$8,760	$60,370
Sanford Bemidji Medical CenterBemidji, MN · CCN 240100	96	$10,074	16% below the national average	$8,990	$35,207
Fort Duncan Medical CenterEagle Pass, TX · CCN 450092	16	$10,075	16% below the national average	$8,953	$93,518
Beth Israel Deaconess Hospital - MiltonMilton, MA · CCN 220108	198	$10,078	16% below the national average	$8,882	$15,647
Tristar Centennial Medical CenterNashville, TN · CCN 440161	141	$10,079	16% below the national average	$8,501	$84,171
Cullman Regional Medical CenterCullman, AL · CCN 010035	158	$10,083	16% below the national average	$8,717	$25,498
Insight Hospital And Medical Center TrumbullWarren, OH · CCN 360055	39	$10,083	16% below the national average	$8,290	$51,775
Tristar Stonecrest Medical CenterSmyrna, TN · CCN 440227	44	$10,084	16% below the national average	$8,431	$75,160
Park Nicollet Methodist HospitalSaint Louis Park, MN · CCN 240053	225	$10,085	16% below the national average	$8,493	$34,489
HCA Florida Capital HospitalTallahassee, FL · CCN 100254	93	$10,088	16% below the national average	$8,733	$74,184
Eastern New Mexico Medical CenterRoswell, NM · CCN 320006	59	$10,089	16% below the national average	$8,409	$80,152
Community Hospital South, Inc.Indianapolis, IN · CCN 150128	109	$10,090	16% below the national average	$8,823	$38,080
Edward HospitalNaperville, IL · CCN 140231	352	$10,090	16% below the national average	$7,700	$48,430
Marion General HospitalMarion, IN · CCN 150011	77	$10,092	16% below the national average	$8,513	$20,061
Hunt Regional Medical CenterGreenville, TX · CCN 450352	118	$10,092	16% below the national average	$8,989	$33,886
Keralty HospitalMiami, FL · CCN 100284	21	$10,095	16% below the national average	$8,767	$29,979
MercyOne Waterloo Medical CenterWaterloo, IA · CCN 160067	41	$10,095	16% below the national average	$8,512	$29,857
Hancock Regional HospitalGreenfield, IN · CCN 150037	43	$10,097	16% below the national average	$8,845	$33,573
Ascension Seton WilliamsonRound Rock, TX · CCN 670041	74	$10,097	16% below the national average	$9,033	$81,189
Aurora Medical Center Bay AreaMarinette, WI · CCN 520113	72	$10,100	16% below the national average	$9,148	$34,121
Oviedo Medical CenterOviedo, FL · CCN 100329	46	$10,100	16% below the national average	$9,151	$79,533
Hendrick Medical Center BrownwoodBrownwood, TX · CCN 450587	48	$10,107	16% below the national average	$8,976	$62,862
Essentia Health DuluthDuluth, MN · CCN 240019	20	$10,108	16% below the national average	$8,568	$18,068
Aurora Lakeland Medical CenterElkhorn, WI · CCN 520102	70	$10,108	16% below the national average	$8,995	$34,356
King's Daughters Medical Center-BrookhavenBrookhaven, MS · CCN 250057	27	$10,108	16% below the national average	$9,020	$21,545
Mercy Gilbert Medical CenterGilbert, AZ · CCN 030119	147	$10,108	16% below the national average	$8,554	$79,326
Thomas HospitalFairhope, AL · CCN 010100	117	$10,109	16% below the national average	$8,393	$28,950
Owensboro Health Muhlenberg Community HospitalGreenville, KY · CCN 180004	27	$10,111	16% below the national average	$9,145	$19,241
Lancaster General HospitalLancaster, PA · CCN 390100	343	$10,114	16% below the national average	$8,482	$37,508
St Marys Hospital Medical CenterGreen Bay, WI · CCN 520097	30	$10,115	16% below the national average	$6,597	$37,036
Ashtabula County Medical CenterAshtabula, OH · CCN 360125	90	$10,117	16% below the national average	$8,950	$22,222
Novant Health Presbyterian Medical CenterCharlotte, NC · CCN 340053	109	$10,123	16% below the national average	$9,136	$37,942
Bethesda Hospital EastBoynton Beach, FL · CCN 100002	201	$10,126	16% below the national average	$8,426	$70,998
Palomar Health Downtown CampusEscondido, CA · CCN 050115	153	$10,128	16% below the national average	$8,960	$105,283

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.