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 901–950. 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
Allina United HospitalSaint Paul, MN · CCN 240038	253	$10,231	15% below the national average	$8,989	$46,164
Sibley Memorial HospitalWashington, DC · CCN 090005	149	$10,231	15% below the national average	$8,924	$47,798
Abrazo Scottsdale CampusPhoenix, AZ · CCN 030083	18	$10,232	15% below the national average	$7,911	$113,448
HCA Florida Memorial HospitalJacksonville, FL · CCN 100179	102	$10,238	15% below the national average	$8,841	$115,562
Piedmont Walton HospitalMonroe, GA · CCN 110046	104	$10,242	15% below the national average	$9,427	$53,674
Texoma Medical CenterDenison, TX · CCN 450324	243	$10,244	15% below the national average	$8,969	$96,733
Mainehealth Mid Coast HospitalBrunswick, ME · CCN 200021	79	$10,247	15% below the national average	$8,586	$26,475
Thedacare Regional Medical Center - Appleton IncAppleton, WI · CCN 520160	61	$10,248	15% below the national average	$8,509	$26,609
St Marys Medical CenterHuntington, WV · CCN 510007	142	$10,248	15% below the national average	$7,647	$41,908
HonorHealth Scottsdale Osborn Medical CenterScottsdale, AZ · CCN 030038	116	$10,248	15% below the national average	$8,973	$68,667
Grove City Medical CenterGrove City, PA · CCN 390266	17	$10,253	15% below the national average	$8,813	$27,038
Sanford Medical Center BismarckBismarck, ND · CCN 350015	129	$10,253	15% below the national average	$8,453	$27,592
Saint Joseph Hospital-ElginElgin, IL · CCN 140217	42	$10,254	15% below the national average	$9,050	$55,490
The Cooley Dickinson Hospital IncNorthampton, MA · CCN 220015	149	$10,255	15% below the national average	$8,764	$21,224
Texas Health Harris Methodist Hospital AllianceFort Worth, TX · CCN 670085	86	$10,257	15% below the national average	$8,523	$40,755
Gettysburg HospitalGettysburg, PA · CCN 390065	115	$10,257	15% below the national average	$8,603	$37,859
University Of Mississippi Medical Center- GrenadaGrenada, MS · CCN 250168	54	$10,258	15% below the national average	$9,144	$18,527
Insight Hospital And Medical Center ColdwaterColdwater, MI · CCN 230022	38	$10,259	15% below the national average	$9,096	$23,975
Northside Hospital DuluthDuluth, GA · CCN 110252	51	$10,259	15% below the national average	$8,076	$58,164
Northwest Medical Center SahuaritaSahuarita, AZ · CCN 030148	70	$10,260	15% below the national average	$8,719	$61,519
Morton Plant North Bay HospitalNew Port Richey, FL · CCN 100063	84	$10,261	15% below the national average	$9,186	$52,664
Southern Maine Health CareBiddeford, ME · CCN 200019	49	$10,262	15% below the national average	$8,146	$37,411
Methodist Mansfield Medical CenterMansfield, TX · CCN 670023	155	$10,263	15% below the national average	$8,748	$58,099
Ochsner Medical Center-KennerKenner, LA · CCN 190274	56	$10,265	15% below the national average	$8,263	$26,377
Trinity HospitalsMinot, ND · CCN 350006	95	$10,265	15% below the national average	$8,808	$29,644
Uchicago Medicine AdventHealth HinsdaleHinsdale, IL · CCN 140122	97	$10,267	15% below the national average	$8,906	$30,081
Robert Wood Johnson University Hospital At HamiltonHamilton, NJ · CCN 310110	136	$10,269	15% below the national average	$8,755	$103,305
Presbyterian Santa Fe Medical CenterSanta Fe, NM · CCN 320090	13	$10,269	15% below the national average	$9,139	$22,215
UPMC SomersetSomerset, PA · CCN 390039	17	$10,269	15% below the national average	$8,380	$21,708
St Alexius Medical CenterHoffman Estates, IL · CCN 140290	205	$10,271	15% below the national average	$8,983	$46,641
Atrium Health ClevelandShelby, NC · CCN 340021	175	$10,272	15% below the national average	$8,815	$50,874
UT Health East Texas Athens HospitalAthens, TX · CCN 450389	32	$10,273	15% below the national average	$9,204	$64,935
Winchester HospitalWinchester, MA · CCN 220105	221	$10,275	15% below the national average	$9,011	$19,317
AdventHealth Castle RockCastle Rock, CO · CCN 060125	46	$10,275	15% below the national average	$8,422	$65,928
Baylor Scott And White Medical Center Lake PointeRowlett, TX · CCN 450742	94	$10,277	15% below the national average	$8,682	$40,570
Great Plains HealthNorth Platte, NE · CCN 280065	94	$10,278	15% below the national average	$9,090	$47,716
Lexington Memorial Hospital IncLexington, NC · CCN 340096	62	$10,286	15% below the national average	$8,813	$25,231
Bayshore Medical CenterHolmdel, NJ · CCN 310112	114	$10,288	15% below the national average	$9,372	$83,759
Southern NH Medical CenterNashua, NH · CCN 300020	141	$10,288	15% below the national average	$8,703	$27,992
Hutchinson Regional Medical Center IncHutchinson, KS · CCN 170020	84	$10,289	15% below the national average	$9,220	$31,250
Wellspan Chambersburg HospitalChambersburg, PA · CCN 390151	257	$10,289	15% below the national average	$9,004	$35,314
Baystate Noble HospitalWestfield, MA · CCN 220065	112	$10,289	15% below the national average	$9,107	$15,591
Knox Community HospitalMount Vernon, OH · CCN 360040	33	$10,290	15% below the national average	$9,326	$29,923
Titus Regional Medical CenterMount Pleasant, TX · CCN 450080	39	$10,294	15% below the national average	$9,499	$16,869
Centra Bedford Memorial HospitalBedford, VA · CCN 490088	38	$10,295	15% below the national average	$9,178	$33,764
Wyandotte Hospital And Medical CenterWyandotte, MI · CCN 230146	125	$10,299	15% below the national average	$8,610	$39,381
St. Vincent's EastBirmingham, AL · CCN 010011	100	$10,301	15% below the national average	$8,536	$38,133
The Hospitals Of Providence - Memorial CampusEl Paso, TX · CCN 450002	25	$10,304	14% below the national average	$8,962	$156,012
Cox Medical CentersSpringfield, MO · CCN 260040	106	$10,305	14% below the national average	$8,923	$44,209
OSF Saint Anthony's Health CenterAlton, IL · CCN 140052	48	$10,307	14% below the national average	$7,793	$29,901

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.