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

Hospitals in Pennsylvania

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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Average payment across these 118 hospitals: $11,113National $12,050 · Pennsylvania $11,113
Median hospital: $10,315
Lowest to highest: $7,810–$20,596
Medicare stays: 15,656

118 hospitals reported at least 11 Medicare stays for this in 2024; showing 51–100. 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
Geisinger-Community Medical CenterScranton, PA · CCN 390001	187	$9,991	17% below the national average	$8,407	$75,317
Heritage Valley BeaverBeaver, PA · CCN 390036	97	$10,031	17% below the national average	$8,733	$18,643
Wellspan Good Samaritan HospitalLebanon, PA · CCN 390066	141	$10,071	16% below the national average	$8,795	$32,160
Forbes HospitalMonroeville, PA · CCN 390267	130	$10,073	16% below the national average	$7,692	$52,991
Lancaster General HospitalLancaster, PA · CCN 390100	343	$10,114	16% below the national average	$8,482	$37,508
Grove City Medical CenterGrove City, PA · CCN 390266	17	$10,253	15% below the national average	$8,813	$27,038
Gettysburg HospitalGettysburg, PA · CCN 390065	115	$10,257	15% below the national average	$8,603	$37,859
UPMC SomersetSomerset, PA · CCN 390039	17	$10,269	15% below the national average	$8,380	$21,708
Wellspan Chambersburg HospitalChambersburg, PA · CCN 390151	257	$10,289	15% below the national average	$9,004	$35,314
Bryn Mawr HospitalBryn Mawr, PA · CCN 390139	247	$10,341	14% below the national average	$8,828	$73,873
Phoenixville HospitalPhoenixville, PA · CCN 390127	104	$10,466	13% below the national average	$8,055	$56,404
UPMC St MargaretPittsburgh, PA · CCN 390102	93	$10,486	13% below the national average	$7,854	$54,362
St Mary Medical CenterLanghorne, PA · CCN 390258	254	$10,557	12% below the national average	$8,677	$35,079
UPMC McKeesport HospitalMc Keesport, PA · CCN 390002	25	$10,603	12% below the national average	$8,719	$58,382
Lehigh Valley Hospital - Dickson CityDickson City, PA · CCN 390338	21	$10,634	12% below the national average	$6,299	$55,864
St Luke's Hospital - Easton CampusEaston, PA · CCN 390162	52	$10,702	11% below the national average	$9,698	$91,228
UPMC HanoverHanover, PA · CCN 390233	159	$10,717	11% below the national average	$9,133	$44,811
UPMC Bedford MemorialEverett, PA · CCN 390117	16	$10,728	11% below the national average	$9,302	$26,194
Geisinger-Lewistown HospitalLewistown, PA · CCN 390048	98	$10,868	About average	$8,392	$40,606
Penn State Health St. JosephReading, PA · CCN 390096	184	$10,887	About average	$8,836	$47,457
Wayne Memorial HospitalHonesdale, PA · CCN 390125	67	$10,902	About average	$9,827	$34,318
Geisinger-Bloomsburg HospitalBloomsburg, PA · CCN 390003	39	$10,905	About average	$8,940	$39,863
West Penn HospitalPittsburgh, PA · CCN 390090	27	$10,939	About average	$9,164	$65,456
Warren General HospitalWarren, PA · CCN 390146	24	$10,981	About average	$9,757	$14,800
Punxsutawney Area HospitalPunxsutawney, PA · CCN 390199	11	$11,001	About average	$9,817	$14,140
Jefferson Health- NortheastPhiladelphia, PA · CCN 390115	323	$11,001	About average	$9,111	$39,398
St Luke's Hospital - Upper Bucks CampusQuakertown, PA · CCN 390035	104	$11,025	About average	$9,703	$100,093
Magee Womens Hospital Of UPMC Health SystemPittsburgh, PA · CCN 390114	17	$11,186	About average	$9,590	$91,833
UPMC Pinnacle HospitalsHarrisburg, PA · CCN 390067	496	$11,260	About average	$9,100	$50,605
Geisinger Wyoming Valley Medical CenterWilkes Barre, PA · CCN 390270	211	$11,282	About average	$9,152	$83,916
Reading HospitalWest Reading, PA · CCN 390044	418	$11,317	About average	$9,780	$46,283
St Luke's Miners Memorial HospitalCoaldale, PA · CCN 390183	89	$11,370	About average	$8,939	$53,229
Saint Vincent HospitalErie, PA · CCN 390009	173	$11,386	About average	$9,814	$62,109
Jefferson Abington HospitalAbington, PA · CCN 390231	420	$11,447	About average	$9,355	$50,871
UPMC LititzLititz, PA · CCN 390068	42	$11,497	About average	$9,776	$48,331
Wellspan York HospitalYork, PA · CCN 390046	304	$11,521	About average	$9,353	$46,689
Mount Nittany Medical CenterState College, PA · CCN 390268	154	$11,583	About average	$10,099	$36,076
UPMC KaneKane, PA · CCN 390104	15	$11,603	About average	$10,300	$14,532
Wellspan Waynesboro HospitalWaynesboro, PA · CCN 390138	75	$11,639	About average	$9,784	$30,935
UPMC HamotErie, PA · CCN 390063	170	$11,646	About average	$10,024	$93,616
Lehigh Valley HospitalAllentown, PA · CCN 390133	830	$11,706	About average	$9,541	$67,971
Robert Packer HospitalSayre, PA · CCN 390079	166	$11,762	About average	$9,764	$40,786
Roxborough Memorial HospitalPhiladelphia, PA · CCN 390304	45	$12,013	About average	$10,132	$50,923
Temple Health - Chestnut Hill HospitalPhiladelphia, PA · CCN 390026	110	$12,126	About average	$9,943	$119,643
Conemaugh Memorial Medical CenterJohnstown, PA · CCN 390110	85	$12,146	About average	$10,172	$29,040
Crozer Chester Medical CenterUpland, PA · CCN 390180	84	$12,182	About average	$10,335	$85,287
Suburban Community HospitalNorristown, PA · CCN 390116	12	$12,209	About average	$9,667	$49,358
Main Line Hospital LankenauWynnewood, PA · CCN 390195	357	$12,360	About average	$10,107	$93,251
Jefferson Einstein Montgomery HospitalEast Norriton, PA · CCN 390329	205	$12,441	About average	$10,231	$43,448
Independence Health System Clarion HospitalClarion, PA · CCN 390093	26	$12,571	About average	$11,086	$15,207

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.