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 2,051–2,100. 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
Freestone Medical CenterFairfield, TX · CCN 450658	12	$13,407	11% above the national average	$12,455	$35,194
Northern Light Maine Coast HospitalEllsworth, ME · CCN 200050	32	$13,427	11% above the national average	$12,253	$32,705
University Health System, IncKnoxville, TN · CCN 440015	235	$13,430	11% above the national average	$8,974	$30,030
Northern Dutchess HospitalRhinebeck, NY · CCN 330049	62	$13,438	12% above the national average	$11,554	$34,170
MedStar Franklin Square Medical CenterRosedale, MD · CCN 210015	325	$13,444	12% above the national average	$12,139	$15,023
Overlook Medical CenterSummit, NJ · CCN 310051	275	$13,446	12% above the national average	$10,668	$81,221
Christus Spohn Hospital Corpus ChristiCorpus Christi, TX · CCN 450046	125	$13,448	12% above the national average	$12,092	$69,157
PIH Health Good Samaritan HospitalLos Angeles, CA · CCN 050471	159	$13,457	12% above the national average	$12,229	$63,995
Stamford HospitalStamford, CT · CCN 070006	197	$13,466	12% above the national average	$11,847	$58,034
Suburban HospitalBethesda, MD · CCN 210022	347	$13,495	12% above the national average	$12,086	$15,092
Emory University Hospital MidtownAtlanta, GA · CCN 110078	159	$13,514	12% above the national average	$10,332	$54,452
Maine General Medical CenterAugusta, ME · CCN 200039	100	$13,533	12% above the national average	$11,772	$44,762
St Luke's Warren HospitalPhillipsburg, NJ · CCN 310060	139	$13,537	12% above the national average	$11,122	$103,080
Sagewest Health CareRiverton, WY · CCN 530008	21	$13,539	12% above the national average	$10,765	$59,350
Covenant Hospital PlainviewPlainview, TX · CCN 450539	13	$13,547	12% above the national average	$12,291	$29,655
Adventist Health Lodi MemorialLodi, CA · CCN 050336	141	$13,576	13% above the national average	$12,056	$142,061
San Gorgonio Memorial HospitalBanning, CA · CCN 050054	32	$13,587	13% above the national average	$12,133	$67,040
PeaceHealth St Joseph Medical CenterBellingham, WA · CCN 500030	208	$13,590	13% above the national average	$10,265	$63,523
Asante Rogue Regional Medical CenterMedford, OR · CCN 380018	142	$13,607	13% above the national average	$11,690	$48,384
Pomona Valley Hospital Medical CenterPomona, CA · CCN 050231	144	$13,612	13% above the national average	$11,979	$98,727
Rochester General HospitalRochester, NY · CCN 330125	140	$13,619	13% above the national average	$11,675	$30,391
Petaluma Valley HospitalPetaluma, CA · CCN 050136	45	$13,627	13% above the national average	$12,429	$97,197
University Of Arkansas Medical SciencesLittle Rock, AR · CCN 040016	89	$13,628	13% above the national average	$10,319	$33,545
Cherokee Nation W W Hastings Indian HospitalTahlequah, OK · CCN 370171	28	$13,628	13% above the national average	$12,696	$20,481
Desert Valley HospitalVictorville, CA · CCN 050709	97	$13,638	13% above the national average	$11,648	$40,190
Plainview HospitalPlainview, NY · CCN 330331	214	$13,643	13% above the national average	$11,207	$80,230
Mount Auburn HospitalCambridge, MA · CCN 220002	124	$13,643	13% above the national average	$11,586	$23,642
Pennsylvania HospitalPhiladelphia, PA · CCN 390226	118	$13,643	13% above the national average	$11,417	$110,377
Luminis Health Doctors Community Medical Center, IncLanham, MD · CCN 210051	255	$13,645	13% above the national average	$12,150	$14,627
Doctors Hosptal At RenaissanceEdinburg, TX · CCN 450869	71	$13,647	13% above the national average	$11,433	$46,226
MUSC Health Lancaster Medical CenterLancaster, SC · CCN 420036	52	$13,653	13% above the national average	$8,654	$102,575
Saint Joseph HospitalDenver, CO · CCN 060028	55	$13,656	13% above the national average	$10,249	$72,403
Memorial Medical CenterModesto, CA · CCN 050557	226	$13,661	13% above the national average	$11,290	$73,342
Penn State Health Hampden Medical CenterEnola, PA · CCN 390336	69	$13,664	13% above the national average	$6,887	$42,774
Providence Holy Cross Medical CenterMission Hills, CA · CCN 050278	138	$13,665	13% above the national average	$11,550	$84,116
Mercy Hospital LebanonLebanon, MO · CCN 260059	29	$13,667	13% above the national average	$12,485	$24,379
Sisters Of Charity HospitalBuffalo, NY · CCN 330078	58	$13,673	13% above the national average	$10,804	$24,327
Sinai-Grace HospitalDetroit, MI · CCN 230024	62	$13,681	14% above the national average	$11,054	$62,301
Garfield Medical CenterMonterey Park, CA · CCN 050737	68	$13,683	14% above the national average	$12,230	$96,932
Providence Saint Joseph Medical CenterBurbank, CA · CCN 050235	226	$13,686	14% above the national average	$12,091	$96,035
Carney HospitalBoston, MA · CCN 220017	11	$13,692	14% above the national average	$12,282	$17,448
Huntington HospitalPasadena, CA · CCN 050438	233	$13,693	14% above the national average	$12,154	$116,839
Trinity Health Livingston HospitalHowell, MI · CCN 230069	120	$13,696	14% above the national average	$10,886	$31,091
University McDuffie County Regional Medical CenterThomson, GA · CCN 110111	16	$13,698	14% above the national average	$11,858	$18,681
Mayo Clinic Health System - FairmontFairmont, MN · CCN 240166	33	$13,706	14% above the national average	$12,470	$17,006
Mid-Columbia Medical CenterThe Dalles, OR · CCN 380001	32	$13,710	14% above the national average	$12,384	$27,899
Providence Little Company Of Mary Medical Center TorranceTorrance, CA · CCN 050353	152	$13,710	14% above the national average	$11,738	$81,460
Adventist Health CastleKailua, HI · CCN 120006	42	$13,715	14% above the national average	$10,601	$31,390
Southeastern Regional Medical CenterLumberton, NC · CCN 340050	102	$13,722	14% above the national average	$10,769	$22,982
Victor Valley Global Medical CenterVictorville, CA · CCN 050517	34	$13,734	14% above the national average	$12,727	$41,806

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.