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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Year of care

2,587 hospitals reported at least 11 Medicare stays for this in 2024; showing 2,101–2,150. 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
Kent County Memorial HospitalWarwick, RI · CCN 410009	203	$13,739	14% above the national average	$10,174	$33,048
SSM Health St Mary's Hospital - St LouisSaint Louis, MO · CCN 260091	137	$13,746	14% above the national average	$11,266	$35,110
Graham Hospital AssociationCanton, IL · CCN 140001	38	$13,747	14% above the national average	$10,296	$28,916
Scenic Mountain Medical CenterBig Spring, TX · CCN 450653	21	$13,757	14% above the national average	$12,824	$44,860
Baylor University Medical CenterDallas, TX · CCN 450021	213	$13,762	14% above the national average	$9,812	$47,863
Northern Nevada Medical CenterSparks, NV · CCN 290032	62	$13,768	14% above the national average	$10,745	$110,863
St John's Riverside HospitalYonkers, NY · CCN 330208	171	$13,768	14% above the national average	$12,138	$47,047
Glendale Adventist Medical CenterGlendale, CA · CCN 050239	295	$13,785	14% above the national average	$12,441	$98,242
Providence Medford Medical CenterMedford, OR · CCN 380075	55	$13,788	14% above the national average	$11,852	$42,536
Lower Keys Medical CenterKey West, FL · CCN 100150	47	$13,789	14% above the national average	$12,059	$56,275
Adventist Health St HelenaSaint Helena, CA · CCN 050013	52	$13,796	14% above the national average	$12,886	$129,508
Christus Spohn Hospital AliceAlice, TX · CCN 450828	40	$13,799	15% above the national average	$12,647	$50,035
St Elizabeth Community HospitalRed Bluff, CA · CCN 050042	68	$13,801	15% above the national average	$12,721	$65,381
Woodland Memorial HospitalWoodland, CA · CCN 050127	39	$13,803	15% above the national average	$12,757	$83,737
Inspira Medical Center VinelandVineland, NJ · CCN 310032	210	$13,823	15% above the national average	$11,748	$65,924
The University Of Vermont Health Network - ChamplPlattsburgh, NY · CCN 330250	175	$13,824	15% above the national average	$12,357	$53,764
Doctors Medical CenterModesto, CA · CCN 050464	166	$13,827	15% above the national average	$12,675	$259,631
Providence Milwaukie HospitalMilwaukie, OR · CCN 380082	44	$13,832	15% above the national average	$12,078	$29,961
Novato Community HospitalNovato, CA · CCN 050131	44	$13,832	15% above the national average	$12,831	$57,182
Hollywood Presbyterian Medical CenterLos Angeles, CA · CCN 050063	82	$13,833	15% above the national average	$12,814	$62,308
Saint James HospitalPontiac, IL · CCN 140161	46	$13,836	15% above the national average	$11,373	$35,103
Swedish Medical Center / Cherry HillSeattle, WA · CCN 500025	121	$13,848	15% above the national average	$10,849	$63,088
Bridgeport HospitalBridgeport, CT · CCN 070010	296	$13,848	15% above the national average	$11,611	$40,515
Morristown Medical CenterMorristown, NJ · CCN 310015	628	$13,853	15% above the national average	$11,711	$113,063
Research Medical CenterKansas City, MO · CCN 260027	83	$13,859	15% above the national average	$10,939	$128,469
Western Missouri Medical CenterWarrensburg, MO · CCN 260097	38	$13,863	15% above the national average	$12,876	$27,363
Good Samaritan Regional Medical CenterCorvallis, OR · CCN 380014	85	$13,868	15% above the national average	$11,279	$44,191
Allegheny General HospitalPittsburgh, PA · CCN 390050	116	$13,875	15% above the national average	$9,984	$58,501
St Francis Hospital & Medical CenterHartford, CT · CCN 070002	248	$13,882	15% above the national average	$11,666	$50,858
Orange County Global Medical CenterSanta Ana, CA · CCN 050746	37	$13,886	15% above the national average	$12,920	$59,436
West Anaheim Medical CenterAnaheim, CA · CCN 050426	83	$13,886	15% above the national average	$12,458	$48,602
Franklin Memorial HospitalFarmington, ME · CCN 200037	21	$13,889	15% above the national average	$12,802	$27,242
Henry Mayo Newhall HospitalValencia, CA · CCN 050624	150	$13,889	15% above the national average	$11,878	$124,949
Southwest Healthcare Rancho Springs HospitalMurrieta, CA · CCN 050701	72	$13,905	15% above the national average	$12,463	$92,363
Providence Alaska Medical CenterAnchorage, AK · CCN 020001	169	$13,905	15% above the national average	$11,511	$97,153
Sutter Davis HospitalDavis, CA · CCN 050537	53	$13,909	15% above the national average	$11,946	$67,329
Eisenhower Medical CenterRancho Mirage, CA · CCN 050573	314	$13,914	15% above the national average	$12,292	$76,104
Christus St Vincent Regional Medical CenterSanta Fe, NM · CCN 320002	105	$13,915	15% above the national average	$12,485	$41,368
Norwalk HospitalNorwalk, CT · CCN 070034	127	$13,916	15% above the national average	$11,539	$45,407
Winona Health ServicesWinona, MN · CCN 240044	19	$13,916	15% above the national average	$12,373	$15,622
San Ramon Regional Medical CenterSan Ramon, CA · CCN 050689	66	$13,919	16% above the national average	$12,741	$223,931
Tidalhealth Peninsula Regional, IncSalisbury, MD · CCN 210019	295	$13,925	16% above the national average	$12,428	$15,494
Northridge Hospital Medical CenterNorthridge, CA · CCN 050116	176	$13,930	16% above the national average	$12,853	$144,558
Chickasaw Nation Medical CenterAda, OK · CCN 370180	17	$13,935	16% above the national average	$12,783	$15,548
Centinela Hospital Medical CenterInglewood, CA · CCN 050739	161	$13,937	16% above the national average	$12,954	$58,280
Mountainview HospitalLas Vegas, NV · CCN 290039	296	$13,957	16% above the national average	$11,411	$119,602
Uci Health - Fountain ValleyFountain Valley, CA · CCN 050570	145	$13,966	16% above the national average	$12,812	$175,363
Valley Hospital Medical CenterLas Vegas, NV · CCN 290021	79	$13,974	16% above the national average	$11,641	$196,532
Presence Saints Mary And Elizabeth Medical CenterChicago, IL · CCN 140180	63	$13,985	16% above the national average	$11,751	$72,858
Mercy San Juan Medical CenterCarmichael, CA · CCN 050516	242	$13,990	16% above the national average	$12,708	$86,958

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.